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January 1, 2008Critical Care Medicine

Recent studies have not demonstrated any sustained benefits from right heart catheterization in acute heart failure, and some have suggested harm due to adverse events related to the invasive procedure.

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Why the study?

Does hemodynamic monitoring (right heart catheterization) improve outcomes in patients with acute heart failure?

Population

Patients with acute heart failure

Design

Review

Authors

GCGad CotterOCOlga Milo CotterEKEdo Kaluski

Discussion

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Overview

May warrant restricting right heart catheterization to select acute heart failure cases; leaves open need for targeted RCTs.

Structured PICO

Does hemodynamic monitoring (right heart catheterization) improve outcomes in patients with acute heart failure?

P
Population
Patients with acute heart failure
I
Intervention
Hemodynamic monitoring (right heart catheterization)

Right heart catheterization should not be used routinely in acute heart failure, but rather reserved for cases of impending respiratory or circulatory failure, diagnostic dilemmas, or refractory hemodynamic lability.

Cite This Study

Cotter et al. (2008) studied this question.

synapsesocial.com/papers/6a7679fae4645e92c9bd2f7ehttps://doi.org/10.1097/01.ccm.0000296280.71595.64
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Outpatient Hemodynamic Monitoring of Patients with Heart Failure2002 · 1 citations
  2. 2Advanced hemodynamic monitoring of the patient with acute heart failure and cardiogenic shock2026
  3. 3Effective hemodynamic monitoring2022 · 170 citations
  4. 4Continuous Hemodynamic Monitoring in Heart Failure2002 · 12 citations
  5. 5Hemodynamic Monitoring Devices in the Management of Outpatient Heart Failure2023 · 2 citations