Document Detail


History of right heart catheterization: 100 years of experimentation and methodology development.
MedLine Citation:
PMID:  20160536     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The development of right heart catheterization has provided the clinician the ability to diagnose patients with congenital and acquired right heart disease, and to monitor patients in the intensive care unit with significant cardiovascular illnesses. The development of bedside pulmonary artery catheterization has become a standard of care for the critically ill patient since its introduction into the intensive care unit almost 40 years ago. However, adoption of this procedure into the mainstream of clinical practice occurred without prior evaluation or demonstration of its clinical or cost-effectiveness. Moreover, current randomized, controlled trials provide little evidence in support of the clinical utility of pulmonary artery catheterization in the management of critically ill patients. Nevertheless, the right heart catheter is an important diagnostic tool to assist the clinician in the diagnosis of congenital heart disease and acquired right heart disease, and moreover, when catheter placement is proximal to the right auricle (atria), this catheter provides an important and safe route for administration of fluids, medications, and parenteral nutrition. The purpose of this manuscript is to review the development of right heart catheterization that led to the ability to conduct physiologic studies in cardiovascular dynamics in normal individuals and in patients with cardiovascular diseases, and to review current controversies of the extension of the right heart catheter, the pulmonary artery catheter.
Authors:
Bobby D Nossaman; Brittni A Scruggs; Vaughn E Nossaman; Subramanyam N Murthy; Philip J Kadowitz
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Publication Detail:
Type:  Historical Article; Journal Article; Research Support, N.I.H., Extramural    
Journal Detail:
Title:  Cardiology in review     Volume:  18     ISSN:  1538-4683     ISO Abbreviation:  Cardiol Rev     Publication Date:    2010 Mar-Apr
Date Detail:
Created Date:  2010-02-17     Completed Date:  2011-03-17     Revised Date:  2013-05-30    
Medline Journal Info:
Nlm Unique ID:  9304686     Medline TA:  Cardiol Rev     Country:  United States    
Other Details:
Languages:  eng     Pagination:  94-101     Citation Subset:  IM    
Affiliation:
Department of Anesthesiology, Critical Care Medicine Section, Ochsner Medical Center, New Orleans, Louisiana, USA.
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MeSH Terms
Descriptor/Qualifier:
Animals
Biomedical Research / history
Cardiovascular Diseases / diagnosis,  history
Cardiovascular Physiological Phenomena
Catheterization, Swan-Ganz / history*,  instrumentation,  methods
Hemodynamics
History, 18th Century
History, 19th Century
History, 20th Century
History, 21st Century
Humans
Intensive Care Units / history
Grant Support
ID/Acronym/Agency:
HL 62000/HL/NHLBI NIH HHS; HL 77421/HL/NHLBI NIH HHS; R01 HL062000-08/HL/NHLBI NIH HHS; R01 HL077421-04S1/HL/NHLBI NIH HHS
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