The importance of assessing and correcting hydration status prior to right heart catheterisation: a pilot study
Seshika Ratwatte1,2, Rachael L Cordina1,2, David Baker1,2
1Department of Cardiology, Royal Prince Alfred Hospital, Sydney, New South Wales, Australia.
Abstract:
We evaluated whether fluid status could be accurately assessed (and corrected if necessary) prior to right heart catheterisation (RHC), to diagnose accurately post-capillary pulmonary hypertension (PHT) in patients with left heart disease risk factors. A non-invasive measure of fluid status prior to RHC identified fluid-depleted patients. Baseline RHC measurements were performed, and a novel provocation technique (passive leg raise) was compared to a 'one-dose-fits-all' fluid challenge and found to be equivalent.
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