Recognizing Pulmonary Hypertension and Right Ventricular Dysfunction in Heart Failure

Anuradha Lala; Sean P. Pinney

doi:10.1016/j.pcad.2016.01.005

Recognizing Pulmonary Hypertension and Right Ventricular Dysfunction in Heart Failure

Anuradha Lala, Sean P. Pinney

Research output: Contribution to journal › Review article › peer-review

3 Scopus citations

Abstract

Pulmonary hypertension (PH) in the setting of left heart disease (LHD) or heart failure (HF) is the most common form of PH, yet its prevalence is underappreciated. Varying terminology possibly leads to misconceptions in pathophysiology, diagnosis and management. The accurate diagnosis of PH due to LHD is contingent upon hemodynamic assessment via right heart catheterization, however due to limitations in access, comprehensive echocardiography and integrative scoring systems are frequently used. When present in the setting of PH due to LHD, right ventricular dysfunction (RVD) confers a poor clinical prognosis. The management of RVD is directed towards treating underlying HF and/or valvular disease. Implantable hemodynamic monitors may offer opportunity to obtain longitudinal information to increase diagnostic accuracy as well as monitor the effect of treatment of PH in the setting of HF with and without the presence of RVD.

Original language	English
Pages (from-to)	416-424
Number of pages	9
Journal	Progress in Cardiovascular Diseases
Volume	58
Issue number	4
DOIs	https://doi.org/10.1016/j.pcad.2016.01.005
State	Published - 1 Jan 2016

Keywords

Heart failure
Pulmonary hypertension
Right ventricular dysfunction

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10.1016/j.pcad.2016.01.005

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title = "Recognizing Pulmonary Hypertension and Right Ventricular Dysfunction in Heart Failure",

abstract = "Pulmonary hypertension (PH) in the setting of left heart disease (LHD) or heart failure (HF) is the most common form of PH, yet its prevalence is underappreciated. Varying terminology possibly leads to misconceptions in pathophysiology, diagnosis and management. The accurate diagnosis of PH due to LHD is contingent upon hemodynamic assessment via right heart catheterization, however due to limitations in access, comprehensive echocardiography and integrative scoring systems are frequently used. When present in the setting of PH due to LHD, right ventricular dysfunction (RVD) confers a poor clinical prognosis. The management of RVD is directed towards treating underlying HF and/or valvular disease. Implantable hemodynamic monitors may offer opportunity to obtain longitudinal information to increase diagnostic accuracy as well as monitor the effect of treatment of PH in the setting of HF with and without the presence of RVD.",

keywords = "Heart failure, Pulmonary hypertension, Right ventricular dysfunction",

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T1 - Recognizing Pulmonary Hypertension and Right Ventricular Dysfunction in Heart Failure

AU - Lala, Anuradha

AU - Pinney, Sean P.

PY - 2016/1/1

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N2 - Pulmonary hypertension (PH) in the setting of left heart disease (LHD) or heart failure (HF) is the most common form of PH, yet its prevalence is underappreciated. Varying terminology possibly leads to misconceptions in pathophysiology, diagnosis and management. The accurate diagnosis of PH due to LHD is contingent upon hemodynamic assessment via right heart catheterization, however due to limitations in access, comprehensive echocardiography and integrative scoring systems are frequently used. When present in the setting of PH due to LHD, right ventricular dysfunction (RVD) confers a poor clinical prognosis. The management of RVD is directed towards treating underlying HF and/or valvular disease. Implantable hemodynamic monitors may offer opportunity to obtain longitudinal information to increase diagnostic accuracy as well as monitor the effect of treatment of PH in the setting of HF with and without the presence of RVD.

AB - Pulmonary hypertension (PH) in the setting of left heart disease (LHD) or heart failure (HF) is the most common form of PH, yet its prevalence is underappreciated. Varying terminology possibly leads to misconceptions in pathophysiology, diagnosis and management. The accurate diagnosis of PH due to LHD is contingent upon hemodynamic assessment via right heart catheterization, however due to limitations in access, comprehensive echocardiography and integrative scoring systems are frequently used. When present in the setting of PH due to LHD, right ventricular dysfunction (RVD) confers a poor clinical prognosis. The management of RVD is directed towards treating underlying HF and/or valvular disease. Implantable hemodynamic monitors may offer opportunity to obtain longitudinal information to increase diagnostic accuracy as well as monitor the effect of treatment of PH in the setting of HF with and without the presence of RVD.

KW - Heart failure

KW - Pulmonary hypertension

KW - Right ventricular dysfunction

UR - https://www.scopus.com/pages/publications/84959274105

U2 - 10.1016/j.pcad.2016.01.005

DO - 10.1016/j.pcad.2016.01.005

M3 - Review article

C2 - 26780235

AN - SCOPUS:84959274105

SN - 0033-0620

VL - 58

SP - 416

EP - 424

JO - Progress in Cardiovascular Diseases

JF - Progress in Cardiovascular Diseases

IS - 4

ER -

Recognizing Pulmonary Hypertension and Right Ventricular Dysfunction in Heart Failure

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Keywords

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