Key result
Critical care management of pulmonary hypertension requires detailed evaluation of right ventricular hemodynamics to guide treatment, with a subset of patients benefiting from specialized therapies.
Critical care management of pulmonary hypertension requires detailed hemodynamic evaluation and potentially specialized treatments or transfer to expert centers.
May support right ventricular hemodynamic evaluation in pulmonary hypertension critical care; hypothesis-generating for specialized therapies, requiring prospective trials.
Pulmonary hypertension (PH) is a common diagnosis in patients admitted to the cardiac intensive care unit with a wide range of underlying causes. A detailed evaluation to identify all factors contributing to the elevated pulmonary artery pressure and provide an assessment of right ventricular haemodynamics and function is needed to guide treatment and identify patients at highest risk for poor outcomes. While in many patients management of underlying and triggering medical problems with careful monitoring is appropriate, a subset of patients may benefit from specialized treatments targeting the pulmonary circulation and support of the right ventricle. In such cases, collaboration with or transfer to a centre with special expertise in the management of PH may be warranted.
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Barnett et al. (2021) conducted a review in Pulmonary hypertension. Critical care management was evaluated. Critical care management of pulmonary hypertension requires detailed evaluation of right ventricular hemodynamics to guide treatment, with a subset of patients benefiting from specialized therapies.
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