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Internal medicine journal · Feb 2025
The importance of assessing and correcting hydration status prior to right heart catheterisation: a pilot study.
- Seshika Ratwatte, Rachael L Cordina, David Baker, Edmund Lau, and David S Celermajer.
- Department of Cardiology, Royal Prince Alfred Hospital, Sydney, New South Wales, Australia.
- Intern Med J. 2025 Feb 1; 55 (2): 320324320-324.
AbstractWe 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.© 2024 Royal Australasian College of Physicians.
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