Right Heart Catheterization (RHC): A Comprehensive Review of Provocation Tests and Hepatic Hemodynamics in Patients With Pulmonary Hypertension (PH)

Cardiac catheterization allows the invasive acquisition of haemodynamic data using direct and indirect pressure measurements and oxygen saturations, and provides anatomical information using contrast angiography. Right heart catheterization used to be a routine part of an invasive cardiac study. The increased accessibility and accuracy of non-invasive imaging (in particular, echocardiography and Doppler techniques), however, has reduced the need to perform right heart catheterization. This chapter describes the principal uses of cardiac catheterization, the basics of pressure waveforms, equipment required, accessing the left and right heart, left and right heart pressures and waveforms, how to perform calculations, and the techniques of ventriculography and aortography.

Cardiac catheterization

Right heart catheterization

Heart catheterization

Aortography

10.1093/med/9780198705642.003.0004

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Transseptal Left Heart Catheterization : Symposium on Intravascular Catheterization

Japanese Circulation Journal (1963)

Atsuo NAKANISHI

From the experiences with "transseptal left heart catheterization" in 40 patients, this method has been proven to be relatively simple and safty in techniques. Therefore, the procedure can be carried out by any physician trained in the usual techniques of right heart catheterization. As the Brockenbrough method has had advantages over the Ross method in techniques and applications, the author would like to recommend the use of the Brockenbrough method hereafter. In this report, clinical application of this method to dilution method was demonstrated with relation to left atrial pressure. Further application of this method to the hemodynamic study will contribute to clarify the pathologic physiology of the left-sided heart disease.

Cardiac catheterization

Right heart catheterization

Heart catheterization

10.1253/jcj.27.37

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Multiple Catheterization of the Right Side of the Heart

JAMA (1969)

Hugh Chaplin

To the Editor:—

The authors share Dr. Smith's understandable curiosity concerning the nature of the patient's cardiac anomaly and would be most interested in the results of a second catheterization of the right side of the heart. However, we were mightily impressed with our patient's cardiorespiratory reserve, which far exceeded our own individually or as a relay team. There was no medical justification for repeating the studies, and try as we might, nowhere could we find that the number of research grants supporting a clinical investigation constituted an indication for cardiac catheterization.

Right heart catheterization

Cardiac catheterization

Heart catheterization

10.1001/jama.1969.03160270096029

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Right Heart Catheterization

Springer eBooks (2015)

Stavros Hadjimiltiades

Right heart catheterization

Cardiac catheterization

Right heart

Heart catheterization

10.1007/978-3-319-17698-7_6

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Catheterization of the Left Side of the Heart

New England Journal of Medicine (1960)

Eugene R. Kelly Andrew G. Morrow Eugene Braunwald

CATHETERIZATION of the left side of the heart1 2 3 4 has made possible a variety of physiologic investigations5 6 7 8 of the heart and circulation. In addition, measurements of pressures in the left side of the heart have been found invaluable in the precise characterization of lesions of the mitral and of the aortic valve. Such studies have also facilitated the clinical assessment of adult patients with acquired heart disease in whom the results of the usual clinical examinations and right-sided catheterization leave the diagnosis in doubt. In the present report the usefulness of catheterization of the left side of the heart is demonstrated . . .

Right heart catheterization

Cardiac catheterization

Heart catheterization

10.1056/nejm196001282620402

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Citations (22)