我是怎么做的：右心导管在肺动脉高压诊断中的最佳实践。

IF 9.5 1区医学 Q1 CRITICAL CARE MEDICINE

Chest Pub Date : 2025-05-16 DOI:10.1016/j.chest.2025.05.009

Yuri Matusov,Nicholas A Kolaitis,Dael Geft,Jacqueline DesJardin,Christopher Barnett,Antoine Hage,Teresa De Marco,Michael I Lewis

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引用次数: 0

摘要

右心导管（RHC）是诊断肺动脉高压（PH）的金标准。在实践中存在差异和一些陷阱，导致诊断错误，可能严重影响治疗。正确评估肺动脉楔压（PAWP）的错误会显著影响肺动脉高压患者的准确分类，并导致潜在有害的治疗决策。本文综述了RHC性能的最佳实践，强调了获得最准确结果的实用和病理生理原理，以及在PH中的先进应用。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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How I do it: Best practices for right heart catheterization in the diagnosis of pulmonary hypertension.

Right heart catheterization (RHC) is the gold standard for the diagnosis of pulmonary hypertension (PH). There are variations in practice and several pitfalls introducing errors in diagnosis that can significantly impact treatment. Errors in assessing the correct pulmonary artery wedge pressure (PAWP) can significantly affect accurate classification of patients with pulmonary hypertension, and lead to potentially deleterious treatment decisions. This review focuses on best practices in RHC performance, emphasizing practical and pathophysiologic principles to obtain the most accurate result, as well as advanced applications in PH.

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来源期刊

Chest 医学-呼吸系统

CiteScore

13.70

自引率

3.10%

发文量

3369

审稿时长

15 days

期刊介绍： At CHEST, our mission is to revolutionize patient care through the collaboration of multidisciplinary clinicians in the fields of pulmonary, critical care, and sleep medicine. We achieve this by publishing cutting-edge clinical research that addresses current challenges and brings forth future advancements. To enhance understanding in a rapidly evolving field, CHEST also features review articles, commentaries, and facilitates discussions on emerging controversies. We place great emphasis on scientific rigor, employing a rigorous peer review process, and ensuring all accepted content is published online within two weeks.