How To Session: Right Heart Catheterization
The accurate assessment of hemodynamics is essential to providing effective and efficient care for heart failure patients in cardiogenic shock. Moreover, the role of the right heart catheterization in communicating and understanding the patient’s complete hemodynamic assessment is crucial in the management of advanced heart failure. Recently the literature has called for standardization of data acquisition in a right heart catheterization to improve multidisciplinary management of the patient.
The workshop will provide an overview of the current evidence on best practices in cardiac catheterization and the data on the prognostic role advanced hemodynamic parameters have. This workshop will focus on interdisciplinary evaluation and management of hemodynamics and recommendations for completing a right heart catheterization.
Reference: Grinstein, J., Houston, B. A., Nguyen, A., Smith, B., Chinco, A., Pinney, S., Tedford, R. J., & Belkin, M. N. (n.d.). Standardization of the right heart catheterization and the emerging role of advanced hemodynamics in heart failure. Journal of Cardiac Failure, 29(11), 1543–1555. https://doi.org/10.1016/j.cardfail.2023.08.009
Overview: Brief announcement at the beginning regarding station rotation logistics and session goals.
Structure: Four stations 15-minute rotations per station
Stations:
Station 1: Standardization of Invasive Hemodynamic Measurement and Interpretation
Focus: Demonstration of leveling and zeroing the transducer, identifying waveforms, and recognizing common discrepancies (e.g., respiratory variation, obesity, ringing, etc.)
Station 2: Provocative Testing for Pulmonary Hypertension
Focus: Vasodilator testing, fluid bolus, and exercise — case-based discussion
Station 3: Exercise Invasive Hemodynamic Testing
Focus: Room set-up, necessary equipment, overview of protocols, upright bike testing, and equipment demonstration
Station 4: Novel Hemodynamic Metrics and the Future of Assessment
Focus: Calculation and interpretation of novel/advanced hemodynamic parameters — case-based format