Abstract
Myocardial performance is determined by the combined effects of preload, afterload, and contractility. In vivo myocardial performance is represented by the cardiac output, while loading conditions are defined by the interplay between volume, pressure, and vascular resistance within the cardiac chambers and great vessels. Clinical decision-making is often based on the best estimate of these central hemodynamic measures, in addition to the physical examination and a variety of biochemical and noninvasive tools. This approach is often successful; however, there are circumstances where clinical judgment or patient characteristics limit the utility of a noninvasive assessment. In these individuals, direct assessment of cardiovascular hemodynamics may provide the only route to a clear diagnosis or a thoughtful treatment plan.
In this chapter, the principles and practice of left- and right-heart catheterization as a method of invasive cardiovascular hemodynamic assessment will be discussed. In addition, the waveform characteristics of normal cardiovascular physiology will be reviewed as a prelude to the discussion of specific cardiovascular disease states presented in subsequent chapters.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
Wiggers CJ. Determinants of cardiac performance. Circulation. 1951;4(4):485–95.
Harmon M, Gomes S, Oppenhein C, et al. Cerebral microembolism during cardiac catheterization and risk of acute brain injury: a prospective diffusion-weighted magnetic resonance imaging study. Stroke. 2007;37(8):2035–8.
Swan HJ, Ganz W, Forrester J, Marcus H, Diamond G, Chonette D. Catheterization of the heart in man with use of a flow-directed balloon-tipped catheter. N Engl J Med. 1970;283:447–51.
Noto TJ Jr, Johnson LW, Krone R, Weaver WF, Clark DA, Kramer JR Jr, Vetrovec GW. Cardiac catheterization 1990: a report of the Registry of the Society for Cardiac Angiography and Interventions (SCA&I). Cathet Cardiovasc Diagn.1991;24(2):75–83.
Suggested Reading
Antman EM, Marsh JD, Green LH, Grossman W. Blood oxygen measurements in the assessment of intracardiac left to right shunts: a critical appraisal of methodology. Am J Cardiol. 1980;46:265–71.
Bashore TM, Bates ER, Berger PB, et al. American College of Cardiology/Society for Cardiac Angiography and Interventions Clinical Expert Consensus Document on cardiac catheterization laboratory standards. A report of the American College of Cardiology Task Force on clinical expert consensus documents. J Am Coll Cardiol. 2001;37:2170–214.
Opotowsky AR, Hess E, Maron BA, et al. Thermodilution vs estimated Fick cardiac output measurement in clinical practice: an analysis of mortality from the Veterans Affairs Clinical Assessment, Reporting, and Tracking (VA CART) program and Vanderbilt University. JAMA Cardiol. 2017;2(10):1090–9.
Sandoval Y, Burke MN, Lobo AS, et al. Contemporary arterial access in the cardiac catheterization laboratory. JACC Cardiovasc Interv. 2017;10(22):2233–41.
Todorovic M, Jensen EW, Thǿgerson C. Evaluation of dynamic performance in liquid filled catheter systems for measuring invasive blood pressure. Int J Clin Mon Comp. 1996;13(3):173–8.
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2019 Springer Nature Switzerland AG
About this chapter
Cite this chapter
Faulx, M.D., Ziada, K.M. (2019). Cardiac Catheterization: Right- and Left-Heart Catheterization. In: Askari, A., Messerli, A. (eds) Cardiovascular Hemodynamics. Contemporary Cardiology. Humana, Cham. https://doi.org/10.1007/978-3-030-19131-3_14
Download citation
DOI: https://doi.org/10.1007/978-3-030-19131-3_14
Published:
Publisher Name: Humana, Cham
Print ISBN: 978-3-030-19130-6
Online ISBN: 978-3-030-19131-3
eBook Packages: MedicineMedicine (R0)