Variation in Hemodynamic Assessment and Interpretation: A Call to Standardize the Right Heart Catheterization. (Record no. 13048)
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| 000 -LEADER | |
|---|---|
| fixed length control field | 03573nam a22003857a 4500 |
| 008 - FIXED-LENGTH DATA ELEMENTS--GENERAL INFORMATION | |
| fixed length control field | 230815s20232023 xxu||||| |||| 00| 0 eng d |
| 022 ## - INTERNATIONAL STANDARD SERIAL NUMBER | |
| International Standard Serial Number | 1071-9164 |
| 024 ## - OTHER STANDARD IDENTIFIER | |
| Standard number or code | 10.1016/j.cardfail.2023.06.009 [doi] |
| 024 ## - OTHER STANDARD IDENTIFIER | |
| Standard number or code | S1071-9164(23)00226-9 [pii] |
| 040 ## - CATALOGING SOURCE | |
| Original cataloging agency | Ovid MEDLINE(R) |
| 099 ## - LOCAL FREE-TEXT CALL NUMBER (OCLC) | |
| PMID | 37352965 |
| 245 ## - TITLE STATEMENT | |
| Title | Variation in Hemodynamic Assessment and Interpretation: A Call to Standardize the Right Heart Catheterization. |
| 251 ## - Source | |
| Source | Journal of Cardiac Failure. 2023 Jun 22 |
| 252 ## - Abbreviated Source | |
| Abbreviated source | J Card Fail. 2023 Jun 22 |
| 253 ## - Journal Name | |
| Journal name | Journal of cardiac failure |
| 260 ## - PUBLICATION, DISTRIBUTION, ETC. | |
| Year | 2023 |
| 260 ## - PUBLICATION, DISTRIBUTION, ETC. | |
| Manufacturer | FY2023 |
| 260 ## - PUBLICATION, DISTRIBUTION, ETC. | |
| Publication date | 2023 Jun 22 |
| 265 ## - SOURCE FOR ACQUISITION/SUBSCRIPTION ADDRESS [OBSOLETE] | |
| Publication status | aheadofprint |
| 265 ## - SOURCE FOR ACQUISITION/SUBSCRIPTION ADDRESS [OBSOLETE] | |
| Medline status | Publisher |
| 266 ## - Date added to catalog | |
| Date added to catalog | 2023-08-15 |
| 520 ## - SUMMARY, ETC. | |
| Abstract | BACKGROUND: Invasive hemodynamic measurement via right heart catheterization has shown divergent data in its role in the treatment of patients with heart failure (HF) and cardiogenic shock. We hypothesized that variation in data acquisition technique and interpretation might contribute to these observations. We sought to assess differences in hemodynamic acquisition and interpretation by operator subspecialty as well as level of experience. |
| 520 ## - SUMMARY, ETC. | |
| Abstract | CONCLUSIONS: Significant variation exists between the acquisition and interpretation of right heart catheterization measurements between HF and IC, as well as those early and late in their careers. With the growth of the heart team approach to management of patients in cardiogenic shock, standardization of both assessment and management practices is needed. Copyright © 2023 Elsevier Inc. All rights reserved. |
| 520 ## - SUMMARY, ETC. | |
| Abstract | METHODS AND RESULTS: Individual-level responses to how physicians both collect and interpret hemodynamic data at the time of right heart catheterization was solicited via a survey distributed to international professional societies in HF and interventional cardiology. Data were stratified both by operator subspecialty (HF specialists or interventional cardiologists [IC]) and operator experience (early career [<=10 years from training] or late career [>10 years from training]) to determine variations in clinical practice. For the sensitivity analysis, we also look at differences in each subgroup. A total of 261 responses were received. There were 141 clinicians (52%) who self-identified as HF specialists, 99 (38%) identified as IC, and 20 (8%) identified as other. There were 142 early career providers (54%) and late career providers (119 [46%]). When recording hemodynamic values, there was considerable variation in practice patterns, regardless of subspecialty or level of experience for the majority of the intracardiac variables. There was no agreement or mild agreement among HF and IC as to when to record right atrial pressures or pulmonary capillary wedge pressures. HF cardiologists were more likely to routinely measure both Fick and thermodilution cardiac output compared with IC (51% vs 29%, P < .001), something mirrored in early career vs later career cardiologists. |
| 546 ## - LANGUAGE NOTE | |
| Language note | English |
| 650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM | |
| Topical term or geographic name entry element | IN PROCESS -- NOT YET INDEXED |
| 650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM | |
| Indexing | Automated |
| 651 ## - SUBJECT ADDED ENTRY--GEOGRAPHIC NAME | |
| Institution | MedStar Heart & Vascular Institute |
| 657 ## - INDEX TERM--FUNCTION | |
| Medline publication type | Journal Article |
| 700 ## - ADDED ENTRY--PERSONAL NAME | |
| Local Authors | Najjar, Samer S |
| Institution Code | MHVIv |
| 700 ## - ADDED ENTRY--PERSONAL NAME | |
| Local Authors | Rao, Sriram D |
| Institution Code | MHVI |
| 790 ## - Authors | |
| All authors | Cyrille-Superville N, Devore AD, Feliberti JP, Goswami RM, Grinstein J, Jeng EI, Najjar SS, Neyestanak ME, Patel PA, Rao SD, Sinha SS, Snipelisky DF |
| 856 ## - ELECTRONIC LOCATION AND ACCESS | |
| DOI | <a href="https://dx.doi.org/10.1016/j.cardfail.2023.06.009">https://dx.doi.org/10.1016/j.cardfail.2023.06.009</a> |
| Public note | https://dx.doi.org/10.1016/j.cardfail.2023.06.009 |
| 942 ## - ADDED ENTRY ELEMENTS (KOHA) | |
| Koha item type | Journal Article |
| Item type description | Article |
No items available.