Part I Basics of Right Heart Catheterization

Chapter 01 Implementation and Interpretation of Right Heart Catheterization
1.
outline
2.
Indications, contraindications, and complications of right heart catheterization
3.
The basics of right heart technique
4.
The practice of performing a depth catheterization
5.
Key Metrics
6.
Clinical interpretation
7.
conclusion

Part II Right Heart Catheterization in Various Clinical Situations

Chapter 01 Heart Failure
1 Right heart catheterization in patients with heart failure with preserved ejection fraction
1.
When right heart catheterization is required to diagnose dyspnea of ​​unknown cause
2.
Evaluation using exercise stress echocardiography
3.
Invasive hemodynamics
4.
Necessity and diagnostic criteria for exercise-induced right heart catheterization
5.
Precautions when performing right heart catheterization
6. Load test method that causes PCWP increase
2 Indications for right heart catheterization in left ventricular assist devices and heart transplantation
1.
severe heart failure
2.
implantable left ventricular assist device
3.
heart transplant
Chapter 02 Cardiogenic Shock
1.
Indications
2.
Reality of use
3.
conclusion
Chapter 03 Heart Valve Disease
1.
aortic stenosis
2.
Mitral valve stenosis
3.
Mitral regurgitation
4.
aortic regurgitation
5.
tricuspid regurgitation
Chapter 04 Pericardial Disease and Cardiomyopathy
1.
outline
2.
cardiac tamponade
3.
Constrictive pericarditis vs.
Restrictive cardiomyopathy
4.
hypertrophic cardiomyopathy
Chapter 05 Right Heart Catheterization in Patients with Pulmonary Hypertension
1.
Classification of pulmonary hypertension and definition of pulmonary hypertension
2.
Indications for right heart catheterization
3. Differentiation method for pulmonary hypertension by group using RHC
4.
Vascular reactivity test
Chapter 06 Right Heart Catheterization in Patients with Congenital Heart Disease
1.
outline
2.
Types of congenital heart disease
3.
Cardiac catheterization in congenital heart disease
4.
Pre-procedure planning
5.
Treatment of congenital heart disease
Chapter 07 Intraoperative Hemodynamic Assessment
1.
Indications for right heart catheterization for intraoperative hemodynamic assessment
2.
Key hemodynamic variables and assessments that can be obtained through intraoperative right heart catheterization
3.
Use of right heart catheterization in individual diseases (surgeries)
4.
Intraoperative Transesophageal Echocardiography-Guided Right Heart Catheterization and Practical Tips
Chapter 08 Exercise-induced right heart catheterization
Chapter 09 Alternative Techniques and Understanding of Hemodynamic Monitoring
1.
Invasive methods
2.
minimally invasive methods
3.
Non-invasive methods

Search (index)

[Publisher's Note]

In recent years, the importance of right heart catheterization has been increasingly recognized in diagnosing and establishing treatment strategies for patients with heart failure.
This test is essential to accurately assess the patient's condition and clarify the diagnosis, especially in patients with high-risk or uncertain hemodynamic status, as well as in patients with heart failure with preserved left ventricular ejection fraction (HFpEF).
Despite this, standardized guidelines for the surgical technique, interpretation methods, and clinical application of right heart catheterization are still lacking.
Accordingly, the manual for right heart catheterization published this time was designed as a practical guide that can be directly applied in the field to meet the needs of these clinical settings.

This manual was initiated by former chairmen Professors Kang Seok-min and Hwang Seok-jae, who shared their vision for the project. Professor Yang Jeong-hoon and other committee members readily contributed to the writing and editing process, despite their busy clinical and research schedules. This effort was made possible by this effort.
In particular, Professors Kim In-cheol, Bae Dae-hwan, Hong Da-wi, and Kim A-ram played pivotal roles as editorial committee members, and Professor Kim Ji-hoon directly took charge of the design. Thanks to the efforts and talents of many teachers, we were able to produce a high-quality result.
This manual goes beyond simply listing technical content; it covers a wide range of topics, from indications for the procedure to interpretation of results and application to actual patient cases, ensuring practical assistance in the treatment of heart failure.
I would like to take this opportunity to express my sincere gratitude, on behalf of the Korean Heart Failure Society, to all the teachers who worked hard on the writing and production of this book.
Furthermore, we hope that this manual will be widely utilized as an important basic resource for improving the quality of heart failure treatment and standardizing treatment.
thank you

Chairman of the Korean Heart Failure Society
Yoo Byung-soo Dream

[introduction]

Due to its inherently invasive nature and the failure to demonstrate clinical efficacy in large-scale randomized controlled trials, right heart catheterization has not been actively utilized in clinical practice for some time.
However, as heart replacement therapies such as heart transplantation and ventricular assist devices are actively performed and early diagnosis of heart failure with preserved left ventricular systolic function is possible through right heart catheterization combined with exercise stress, its clinical importance is being emphasized again.

However, in Korea, right-sided catheterization is performed based on the experience of each institution and practitioner, and the need for standardized guidelines has arisen.
Since 2012, I have been specializing in adult right heart catheterization at the institution where I work, and have developed my own protocol, accumulating over 10 years of experience and know-how.
In the meantime, I had the opportunity to publish this manual through in-depth discussions with staff from several hospitals that perform right heart catheterization in actual clinical practice.

Recent observational studies, particularly in the field of cardiogenic shock, have shown that accurate right heart catheterization can improve patient outcomes, and large-scale randomized controlled trials are currently underway worldwide to re-evaluate its clinical effectiveness.
This is an opportunity to re-evaluate the role of right heart catheterization in the era of heart replacement therapy and mechanical circulatory support devices.

Working on this manual was a huge responsibility and burden for me, but I was able to successfully complete it thanks to the many authors and editors who contributed excellent manuscripts, as well as the outstanding leadership of Professor Incheol Kim, who led this project with me.
I would like to express my sincere gratitude to Director Kim Won-ho and Director Kim Hyeon-jeong of the National Institute of Health for their generous support and their understanding of the need for right heart catheterization for the evaluation and treatment planning of cardiogenic shock and heart failure, as well as to Professors Kang Seok-min and Yoo Byeong-su for their full support of the right heart catheterization project.

Finally, we hope that this manual will serve as a cornerstone for standardization of right heart catheterization in Korea and serve as a starting point for medical standardization between hospitals and regions. We also hope that this manual will serve as the first step toward developing into a more complete revised edition in the future.
thank you

Chairman of the Compilation Committee of the Korean Heart Failure Society's Right Heart Catheterization Practice Guidelines
Yang Jeong-hoon Dream