Effect of abnormal right heart structures on the diagnosis of pulmonary hypertension (2017 Grover Conference Series)

PVRI Member Authors: Adriano Tonelli

Abstract

The diagnosis of pulmonary hypertension (PH) requires a right heart catheterization (RHC) that reveals a mean pulmonary artery pressure ≥ 25 mmHg. The pulmonary artery catheter traverse the right atrium and ventricle on its way to the pulmonary artery. The presence of abnormal right heart structures, i.e. thrombus, vegetation, benign or malignant cardiac lesions, can lead to complications during this procedure. On the other hand, avoidance of RHC delays the diagnosis and treatment of PH, an approach that might be associated with worse outcomes. This paper discusses the impact of right heart lesions on the diagnosis of PH and suggests an approach on how to manage this association.

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Topics

Catheterization
Echocardiography
Pulmonary Hypertension
Thrombosis

Authors

Batool AbuHalimeh, Milind Y. Desai

Published in:

Pulmonary Circulation Vol 8: No 2 cover image

June 2018

Pulmonary Circulation Vol 8: No 2

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