Fluid Challenge During Right Heart Catheterization: An Experience From a Tertiary Pulmonary Hypertension Referral Centre

Differentiating pre-capillary or pulmonary arterial hypertension (PAH) from pulmonary hypertension (PH) related to left-sided heart disease (PH-LHD) can be challenging. Pulmonary arterial wedge pressure (PAWP) measured at right heart catheterization is required for classifying PH. However, a normal PAWP is a poor predictor for absence of left heart disease. Therefore, there has been an interest in using fluid challenge to unmask PH-LHD. The purpose of our study is to evaluate the impact of fluid challenge in the classification and management of a real-world population.

Source: The Journal of Heart and Lung Transplantation - March 31, 2018 Category: Transplant Surgery Authors: N. Moghaddam, J. Swiston, R.D. Levy, V.F. Huckell, N.W. Brunner Source Type: research