Effect of abnormal right heart structures on the diagnosis of pulmonary hypertension

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...

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Bibliographic Details
Published in:Pulmonary Circulation 2018-04, Vol.8 (2), p.1-8
Main Authors: AbuHalimeh, Batool, Desai, Milind Y., Tonelli, Adriano R.
Format: Article
Language:English
Subjects:
Catheters
diagnosis
Heart
Pulmonary arteries
Pulmonary hypertension
Review
right‐sided heart lesions
thrombus
tumors
Veins & arteries
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Summary: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.
ISSN:2045-8940
2045-8932
2045-8940
DOI:10.1177/2045894018773053