Role of right heart catheterization.
نویسنده
چکیده
especially in medical patients with respiratory failure. Because of these data limitations, we do not believe that undue reliance on formulas and guidelines alone will prevent nutritional complications. Our case report illustrated the problem ofweaning difficulties due to nutritionally associated hypercapnia in a patient population not commonly thought to be susceptible to this problem. We feel that long term ventilator patients from any cause, as well as some severe COPD ventilator patients, are candidates for this complication even with the use of nutritional guidelines. How frequently this occurs is unknown. We hope the “carry home” message ofour case report, by documenting for the first time what has previously been a clinical observation, would be to encourage physicians to consider whether hypercapnia-associated difficulties could be due to nutritional support even when basic guidelines have been utilized.
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Pulmonary hypertension (PH), second only to left heart diseases (LHD), is a frequent problem in clinical practice. At the same time, left heart diseases represent the most common cause of pulmonary hypertension, and the occurrence of PH in patients with chronic heart failure is usually associated with worse functional class, and prognosis. Right heart catheterization (RHC) is the "gold standard...
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ورودعنوان ژورنال:
- Chest
دوره 89 5 شماره
صفحات -
تاریخ انتشار 1986