Hemodynamic profiles in a series of patients undergoing right heart catheterization. Experience in one center of Medellin, Colombia

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Abstract

Objective: To characterize the hemodynamic classification of pulmonary hypertension in a series of patients undergoing to right cardiac catheterization. Methods: This is a retrospective study, we analyze the records of all right heart catheterizations performed between January 2017 and December 2018, all patient older than 18 years were included and those with incom-plete or inconclusive data were excluded. We identify three hemodynamic profiles according to the result of right heart ca-theterization. Results: 92 subjects were included and pulmonary hypertension was ruled out in 4 of them; 26.1% were classified as precapillary, 31.8% postcapillary and 42% as combined pulmonary hypertesion. There were no differences between the 3 groups in age or sex, pulmonary pressures were higher in the precapillary pulmonary hypertension group, right catheterization reclassified 35% of the patients in a hemodynamic group in a different from that expected. Precapillary PH was suspected in most of these cases, but the hemodynamic profiles found in cardiac catheterization corresponded to post-ca-pillary or combined pulmonay hypertension. Conclusion: Right heart catheterization is necessary for the hemodynamic classification of pulmonary hypertension, which is important not only for diagnosis but also for evaluating the etiology of the disease.

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Castaño-Cifuentes, O., Clavijo-Moldón, A. A., & Díaz-Betancur, J. S. (2022). Hemodynamic profiles in a series of patients undergoing right heart catheterization. Experience in one center of Medellin, Colombia. Archivos de Cardiologia de Mexico, 92(1), 53–59. https://doi.org/10.24875/acme.m22000275

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