Abstract

BARBA¹, Virginia  and  CARUSO², Nicolás. Cómo y cuándo realizar un cateterismo derecho: Su implicancia en el seguimiento de los pacientes. Insuf. card. [online]. 2019, vol.14, suppl.1, pp.13-16. ISSN 1852-3862.

Right heart catheterization represents the main diagnostic study necessary to confirm the presence of pulmonary arterial hypertension, understood as a rare, disabling disease with variable prognosis. Its main indication occurs before any patient in whom there is a strong suspicion of pulmonary hypertension, although its uses extend further, being very useful in the assessment of the response to treatment and in the study of other pathologies such as heart disease congenital and patients undergoing cardiac transplantation. To procedure it requires a systematic and rigorous technique, in order to obtain reliable results that can be applied to daily practice. Its prognostic value is indisputable, by providing precise hemodynamic parameters for the stratification of patients and the implementation of therapeutic strategies directed according to risk. However, it is not free of complications, some of them potentially fatal, although in general terms it turns out to be a safe procedure with a low rate of morbidity and mortality in the main centers where it is performed.

Keywords : Right cardiac catheterization; Pulmonary hypertension; Pulmonary capillary pressure; Pulmonary vascular resistance.

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