The clinical role of invasive hemodynamics in the evaluation and treatment of structural heart disease.

IF 1.8 Q3 CARDIAC & CARDIOVASCULAR SYSTEMS Expert Review of Cardiovascular Therapy Pub Date : 2023-07-01 DOI:10.1080/14779072.2023.2219058
Joshua Rezkalla, Mackram F Eleid
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Abstract

Introduction: Recognition and evaluation of structural heart disease has become more common in clinical practice and will continue to grow as the population ages. With the growing availability of surgical and transcatheter interventional options, appropriate evaluation and patient selection for therapy is required. While echocardiography can frequently provide the required anatomic and hemodynamic information required to guide therapeutic decisions, there remains subsets of patients in which noninvasive testing yields inconclusive results prompting the need for invasive hemodynamics.

Areas covered: This article reviews the indications and strengths of invasive hemodynamics in a variety of structural heart diseases. We describe the utilization and benefits of continuous hemodynamics during transcatheter interventions and review the prognostic information that can be gleaned from changes in hemodynamics after intervention.

Expert opinion: The advancement of transcatheter therapies for structural heart disease has sparked a renewed interest in the utilization of invasive hemodynamics. Continued growth and accessibility of comprehensive hemodynamics for clinical practice will rely on clinicians to continually review, refine, and develop procedural techniques beyond the current training standards in order to further advance the field.

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有创血流动力学在结构性心脏病评估和治疗中的临床作用。
导读:对结构性心脏病的识别和评估在临床实践中越来越普遍,并将随着人口老龄化而继续增长。随着手术和经导管介入治疗方法的日益增多,需要对治疗方法进行适当的评估和患者选择。虽然超声心动图通常可以提供指导治疗决策所需的解剖和血流动力学信息,但仍有一部分患者的非侵入性检查结果不确定,这促使他们需要进行侵入性血流动力学检查。涉及领域:本文综述了侵袭性血流动力学在各种结构性心脏病中的适应症和优势。我们描述了连续血流动力学在经导管干预中的应用和益处,并回顾了干预后血流动力学变化所收集到的预后信息。专家意见:经导管治疗结构性心脏病的进展引发了对侵入性血流动力学应用的新兴趣。临床实践中全面血流动力学的持续发展和可及性将依赖于临床医生不断审查,改进和开发超越当前培训标准的程序技术,以进一步推进该领域。
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来源期刊
Expert Review of Cardiovascular Therapy
Expert Review of Cardiovascular Therapy CARDIAC & CARDIOVASCULAR SYSTEMS-
CiteScore
3.70
自引率
0.00%
发文量
82
期刊介绍: Expert Review of Cardiovascular Therapy (ISSN 1477-9072) provides expert reviews on the clinical applications of new medicines, therapeutic agents and diagnostics in cardiovascular disease. Coverage includes drug therapy, heart disease, vascular disorders, hypertension, cholesterol in cardiovascular disease, heart disease, stroke, heart failure and cardiovascular surgery. The Expert Review format is unique. Each review provides a complete overview of current thinking in a key area of research or clinical practice.
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