Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Concept Videos

Cardiac Catheterization II: Right Heart Catheterization01:21

Cardiac Catheterization II: Right Heart Catheterization

153
Right Heart Catheterization: An OverviewRight heart catheterization is an invasive diagnostic procedure that measures right-sided cardiac and pulmonary artery pressures, calculates cardiac output, and identifies intracardiac shunts. It provides detailed hemodynamic data essential for diagnosing and managing various cardiovascular conditions, such as pulmonary hypertension.Access SitesCommon access sites for right heart catheterization include the internal jugular vein in the neck region, the...
153
Cardiac Catheterization III: Left Heart Catheterization01:24

Cardiac Catheterization III: Left Heart Catheterization

199
Left heart catheterization is an invasive diagnostic procedure used to evaluate the function and structure of the left side of the heart. It is generally performed to diagnose and treat cardiovascular conditions such as valve abnormalities, coronary artery disease, and congenital heart defects.Diagnostic and therapeutic purposesLeft heart catheterization serves various diagnostic and therapeutic purposes, including:Assessing coronary artery bypass grafts.Evaluating coronary artery disease in...
199
Cardiac Catheterization I: Pre-Procedure Overview01:28

Cardiac Catheterization I: Pre-Procedure Overview

146
Cardiac catheterization is an invasive diagnostic technique used to identify and evaluate structural and functional diseases of the heart and major blood vessels. This technique diagnoses congenital heart disease, coronary artery disease, valvular heart disease, and coronary spasms and assesses ventricular function. It helps guide treatment decisions, including the need for revascularization procedures like percutaneous coronary intervention (PCI) or coronary artery bypass grafting (CABG) and...
146
Cardiac Catheterization IV: Nursing Management01:26

Cardiac Catheterization IV: Nursing Management

182
Nursing responsibilities before cardiac catheterization include:Assess for allergies and establish baseline health status.Before cardiac catheterization, assess the patient for allergies to contrast dye. Perform a comprehensive baseline assessment, including vital signs, heart and breath sounds, and a neurovascular assessment of the extremities, noting distal pulses, skin color, and temperature. Instruct the patient to fast for 8-12 hours before the procedure. Evaluate baseline laboratory...
182

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Lung Transplant for Refractory Lung-Limited Stage IV Non-Small Cell Lung Cancer.

JAMA·2026
Same author

Outcomes of In-hospital Cardiac Arrest: Insights from a Medical Intensive Care Unit.

PloS one·2026
Same author

Response by Tonelli et al to Letter Regarding Article "Mechanisms Behind Dyspnea in Preload Insufficiency".

Circulation. Heart failure·2026
Same author

Performance of bilateral bronchoalveolar lavage during routine transplant surveillance bronchoscopy changes management.

JHLT open·2026
Same author

Mechanisms Behind Dyspnea in Preload Insufficiency.

Circulation. Heart failure·2026
Same author

Cardiac Output During Exercise: Thermodilution Versus Direct Fick.

Journal of the American Heart Association·2026

Related Experiment Video

Updated: Sep 5, 2025

Hemodynamic Characterization of Rodent Models of Pulmonary Arterial Hypertension
09:40

Hemodynamic Characterization of Rodent Models of Pulmonary Arterial Hypertension

Published on: April 11, 2016

21.1K

Hemodynamic Responses to Provocative Maneuvers during Right Heart Catheterization.

Bryce Montané1, Adriano R Tonelli2, Ambalavanan Arunachalam3

  • 1Medicine Institute.

Annals of the American Thoracic Society
|July 8, 2022
PubMed
Summary

Provocative maneuvers during right heart catheterization show moderate to strong correlation for diagnosing pulmonary hypertension, but inconsistencies exist in reclassifying patients, especially for exercise or postcapillary pulmonary hypertension.

Keywords:
exercisefluidpassive leg raisepulmonary hypertensionright heart catheterization

More Related Videos

Multiple Intravenous Bolus Dosing and Invasive Hemodynamic Assessment in a Hypoxia-Induced Mouse Pulmonary Artery Hypertension Model
08:51

Multiple Intravenous Bolus Dosing and Invasive Hemodynamic Assessment in a Hypoxia-Induced Mouse Pulmonary Artery Hypertension Model

Published on: November 11, 2022

1.5K
Continuous Venous-Arterial Doppler Ultrasound During a Preload Challenge
09:32

Continuous Venous-Arterial Doppler Ultrasound During a Preload Challenge

Published on: January 20, 2023

3.6K

Related Experiment Videos

Last Updated: Sep 5, 2025

Hemodynamic Characterization of Rodent Models of Pulmonary Arterial Hypertension
09:40

Hemodynamic Characterization of Rodent Models of Pulmonary Arterial Hypertension

Published on: April 11, 2016

21.1K
Multiple Intravenous Bolus Dosing and Invasive Hemodynamic Assessment in a Hypoxia-Induced Mouse Pulmonary Artery Hypertension Model
08:51

Multiple Intravenous Bolus Dosing and Invasive Hemodynamic Assessment in a Hypoxia-Induced Mouse Pulmonary Artery Hypertension Model

Published on: November 11, 2022

1.5K
Continuous Venous-Arterial Doppler Ultrasound During a Preload Challenge
09:32

Continuous Venous-Arterial Doppler Ultrasound During a Preload Challenge

Published on: January 20, 2023

3.6K

Area of Science:

  • Cardiology
  • Pulmonary Medicine
  • Diagnostic Procedures

Background:

  • Current guidelines recommend provocative maneuvers during right heart catheterization for pulmonary hypertension diagnosis.
  • Limited research exists comparing the efficacy of various provocation maneuvers.

Purpose of the Study:

  • To evaluate the hemodynamic correlation among passive leg raise (PLR), exercise, and fluid infusion provocative maneuvers.
  • To assess the impact of these maneuvers on pulmonary hypertension classification.

Main Methods:

  • A prospective trial involving 85 adult patients undergoing right heart catheterization.
  • Three provocative maneuvers were employed: passive leg raise (PLR), load-targeted supine bicycle exercise, and rapid crystalloid fluid infusion.
  • Patients were classified based on pulmonary hypertension type, and hemodynamic changes from each maneuver were analyzed for correlation and reclassification potential.

Main Results:

  • Moderate to strong hemodynamic correlation was observed between exercise and fluid challenge maneuvers (0.49-0.82).
  • Moderate correlation was found between PLR and exercise/fluid challenge (0.4-0.65).
  • Significant variation in patient reclassification for exercise pulmonary hypertension (3-50%) and postcapillary pulmonary hypertension (11-48%) was noted, depending on the maneuver and criteria used.

Conclusions:

  • Exercise and fluid challenge maneuvers demonstrate reliable hemodynamic correlation for pulmonary hypertension assessment.
  • Passive leg raise shows moderate correlation with exercise and fluid challenge.
  • Inconsistent reclassification of patients highlights variability in using provocative maneuvers for identifying specific pulmonary hypertension subtypes.