Acute heart failure: How to evaluate left ventricular filling pressure in practice?
Heart failure is one of the most frequent reasons for hospitalization due to a cardiac event. In most instances, the main difficulty is how to accurately evaluate left ventricular filling pressure. It can be evaluated clinically, biologically and invasively. Although historically, invasive management has been the reference, it is being used less and less frequently and expertise in the technique is being lost. This paper discusses the strength and weaknesses of the different techniques for evaluating filling pressure in these patients, and the importance of this parameter for their optimal treatment.
Service de cardiologie, hôpital Bichat, 46, 75018 Paris, France. guillaume.jondeau@bch.aphp.fr
Guillaume
G
Jondeau
Delphine
D
Detaint
Florence
F
Arnoult
Gerald
G
Phan
Catherine
C
Morgan
Jean Jacques
JJ
Mercadier
Marie Claude
MC
Aumont
D000208:Acute Disease; D015415:Biomarkers / Q000097:blood; D006328:Cardiac Catheterization; D015150:Echocardiography, Doppler; D006333:Heart Failure / Q000175:diagnosis* / Q000503:physiopathology / Q000628:therapy; D006801:Humans; D045265:Natriuretic Peptides / Q000097:blood; D018579:Patient Selection; D011237:Predictive Value of Tests; D012680:Sensitivity and Specificity; D016896:Treatment Outcome; D016277:Ventricular Function, Left; D017725:Ventricular Pressure
D015415:Biomarkers; D045265:Natriuretic Peptides