Zero reference level for right heart catheterisation

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Zero reference level for right heart catheterisation.

Although in the pulmonary circulation small pressure differences may alter the categorisation of patients, there is no consensus on a standard zero reference level (ZRL). In the supine position, ZRL is mostly set at "5 cm below anterior thorax surface", "1/3 thoracic diameter below anterior thorax surface", "mid-thoracic level" or "10 cm above table level". We retrospectively assessed the dista...

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Right heart catheterisation: best practice and pitfalls in pulmonary hypertension.

Right heart catheterisation (RHC) plays a central role in identifying pulmonary hypertension (PH) disorders, and is required to definitively diagnose pulmonary arterial hypertension (PAH). Despite widespread acceptance, there is a lack of guidance regarding the best practice for performing RHC in clinical practice. In order to ensure the correct evaluation of haemodynamic parameters directly me...

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INVASIVE IMAGING: CARDIAC CATHETERIZATION AND ANGIOGRAPHY Right heart catheterisation: indications and interpretation

To cite: Callan P, Clark AL. Heart 2016;102:147–157. INTRODUCTION Significant improvements in the diagnostic power and availability of non-invasive cardiac imaging techniques, in addition to evidence of potential harm associated with pulmonary artery (PA) catheterisation in patients in critical care, have led to a decline in right heart catheterisation (RHC) over recent years. RHC, however, rem...

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Pulmonary hypertension diagnosed by right heart catheterisation in sickle cell disease.

Recent studies have recognised the importance of pulmonary hypertension (PH) in sickle cell disease (SCD). The aim of this study was to determine the prevalence and prognostic impact of PH and its features in patients with SCD. 80 patients with SCD underwent baseline clinical evaluation, laboratory testing, 6-min walk tests (6MWTs) and echocardiography. Patients with a peak tricuspid regurgitan...

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Interventional cardiac catheterisation in congenital heart disease.

As a result of recent technological advances, more types of congenital heart disease are amenable to treatment in the cardiac catheter laboratory than ever before.1 Improved imaging techniques allow for better selection of patients, and the development of a wide range of devices specifically for use in children means that many patients can avoid surgery altogether, while those with complex cong...

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ژورنال

عنوان ژورنال: European Respiratory Journal

سال: 2013

ISSN: 0903-1936,1399-3003

DOI: 10.1183/09031936.00050713