Key result
Right heart catheterization serves as a cornerstone diagnostic tool for managing patients with refractory heart failure, cardiogenic shock, and those undergoing heart replacement therapies.
Right heart catheterization is a crucial tool for the hemodynamic evaluation and management of complex advanced heart failure and cardiogenic shock, complementing physical examination and non-invasive imaging.
Supports right heart catheterization in refractory heart failure and shock; leaves open need for prospective trials to confirm outcomes.
Patients with chronic congestive heart failure belong to a population with reduced quality of life, poor functional class, and increased risk of mortality and morbidity. In these patients, assessment of invasive hemodynamics both serves therapeutic purposes and is useful for stratification roles. The right heart catheterization has become a cornerstone diagnostic tool for patients in refractory heart failure or cardiogenic shock, as well as for the assessment of candidacy for heart replacement therapies, and the management of patients following mechanical circulatory assist device implantation and heart transplantation.
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Cochran et al. (2022) conducted a review in Advanced heart failure. Right heart catheterization was evaluated. Right heart catheterization serves as a cornerstone diagnostic tool for managing patients with refractory heart failure, cardiogenic shock, and those undergoing heart replacement therapies.
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