Discordance Between Clinical Assessment and Invasive Hemodynamics in Patients With Advanced Heart Failure.

ABSTRACT:

Background

Historically, invasive hemodynamic guidance was not superior compared to clinical assessment in patients admitted with acute decompensated heart failure (ADHF). This study assessed the accuracy of clinical assessment vs invasive hemodynamics in patients with ADHF.

Methods and results

We conducted a prospective cohort study of patients admitted with ADHF. Prior to right-heart catheterization (RHC), physicians categorically predicted right atrial pressure, pulmonary capillary wedge pressure, cardiac index and hemodynamic profile (wet/dry, warm/cold) based on physical examination and clinical data evaluation (warm = cardiac index > 2.2 L/min/m²; wet = pulmonary capillary wedge pressure > 18 mmHg). We collected 218 surveys (of 83 cardiology fellows, 55 atte

SUBMITTER: Narang N 

PROVIDER: S-EPMC7108664 | biostudies-literature | 2020 Feb

REPOSITORIES: biostudies-literature