Practical Guidance for Hemodynamic Assessment by Right Heart Catheterization in Management of Heart Failure

Navin Rajagopalan; Barry A Borlaug; Alison L Bailey; Peter M Eckman; Maya Guglin; Shelley Hall; Matthew Montgomery; Gautam Ramani; Prateeti Khazanie

doi:10.1016/j.jchf.2024.03.020

Practical Guidance for Hemodynamic Assessment by Right Heart Catheterization in Management of Heart Failure

JACC Heart Fail. 2024 Jul;12(7):1141-1156. doi: 10.1016/j.jchf.2024.03.020.

Authors

Navin Rajagopalan¹, Barry A Borlaug², Alison L Bailey³, Peter M Eckman⁴, Maya Guglin⁵, Shelley Hall⁶, Matthew Montgomery⁷, Gautam Ramani⁸, Prateeti Khazanie⁹

Affiliations

¹ Division of Cardiology, University of Kentucky, Lexington, Kentucky, USA. Electronic address: [email protected].
² Department of Cardiovascular Medicine, Mayo Clinic, Rochester, Minnesota, USA.
³ Centennial Heart at Parkridge, Chattanooga, Tennessee, USA.
⁴ Alina Health Minneapolis Heart Institute, Minneapolis, Minnesota, USA.
⁵ Krannert Cardiovascular Research Center, Indiana University, Indianapolis, Indiana, USA.
⁶ Baylor University Medical Center, Dallas, Texas, USA.
⁷ Division of Cardiology, Newark Beth Israel Medical Center, Newark, New Jersey, USA.
⁸ Division of Cardiology, University of Maryland, Baltimore, Maryland, USA.
⁹ Division of Cardiology, University of Colorado-Anschutz Medical Campus, Aurora, Colorado, USA.

PMID: 38960519
DOI: 10.1016/j.jchf.2024.03.020

Abstract

Heart failure is a clinical syndrome characterized by the inability of the heart to meet the circulatory demands of the body without requiring an increase in intracardiac pressures at rest or with exertion. Hemodynamic parameters can be measured via right heart catheterization, which has an integral role in the full spectrum of heart failure: from ambulatory patients to those in cardiogenic shock, as well as patients being considered for left ventricular device therapy and heart transplantation. Hemodynamic data are critical for prompt recognition of clinical deterioration, assessment of prognosis, and guidance of treatment decisions. This review is a field guide for hemodynamic assessment, troubleshooting, and interpretation for clinicians treating patients with heart failure.

Keywords: heart failure; hemodynamics; right heart catheterization.

Publication types

Review

MeSH terms

Cardiac Catheterization* / methods
Heart Failure* / diagnosis
Heart Failure* / physiopathology
Heart Failure* / therapy
Hemodynamics* / physiology
Humans