ABC Heart Fail Cardiomyop 2022; 2(2): 234-236
Management of Patients with Advanced Heart Failure According to Hemodynamic Parameters
Carlos Aurélio dos Santos Aragão
, Daniella Motta da Costa Dan, Mônica Samuel Ávila
Introduction
Heart failure (HF) is characterized by progressive functional or structural worsening of the myocardium. Despite significant therapeutic advances that have improved survival and quality of life, HF still has high morbidity and mortality rates. Patients with HF may progress with refractory disease, whose gold standard treatment is heart transplantation (HT).,
The assessment of pulmonary hemodynamics is indicated for HT candidates. The presence of fixed pulmonary hypertension (PH) is a contraindication for HT because it promotes right ventricular (RV) dysfunction in the graft, reducing post-HT survival. In addition, the assessment of hemodynamic parameters helps in bedside therapeutic management, including in the setting of PH, favoring HT indication., We report a successful case of optimal bedside therapy guided by invasive hemodynamic parameters.
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Keywords: Advanced Heart Failure; Hemodynamics; Management
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