Purpose:BackgroundPrior studies indicate significant physiologic differences between obese and non-obese heart failure (HF) patients, but none have evaluated in hemodynamic patterns these patient populations during treatment for acute decompensated HF (ADHF). ObjectivesIn this study, we assessed trends patients ADHF.MethodsObese (BMI >30, n=63) <25, n=69) with ADHF the Evaluation Study of Conge...

n the first case of percutaneous coronary intervention (PCI), reported by Dr Gruntzig in 1978, the transfemoral approach was used. Since then, many interventional cardiologists have performed PCI using that approach. However, in the history of cardiac catheterization, the first case was performed by a urologist Dr Forssmann, from his own brachial vein to the right side of his heart in 1929, for...

Methods Forty nine subjects undergoing clinically indicated right and left heart cardiac catheterization were prospectively recruited to undergo MRI in a 1.5T scanner. First pass perfusion using steady state free precession saturation recovery sequence was performed with gadolinium infusion at 0.01 mmol/kg. Global TT was defined as the time between the peaks of time intensity curves between the...

MUCH has been written relative to the physiologic abnormalities produced by mitral stenosis and insufficiency. Most of the data and the concepts derived therefrom have been obtained by right heart catheterization.'--8 The introduction of left heart and combined heart catheterization9-19 has greatly enhanced the value of physiologic study in patients with rheumatic mitral valve disease and has p...

The hepatojugular reflux (HJR) test was studied to assess the ability to clinically predict response during cardiac catheterization and to determine its significance in patients without heart failure and correlate it to their baseline hemodynamic parameters. Sixty-five patients considered to be free of heart failure undergoing routine cardiac catheterization were enrolled. The HJR test, defined...

BACKGROUND Recent guidelines from the National Institute for Clinical Excellence (NICE) recommend the use of ultrasound guidance for central venous catheterization in children. This study prospectively examined the use of ultrasound guidance for central venous catheterization in children undergoing heart surgery. METHODS One hundred and twenty-four infants and children were randomized to eith...