Tedford - CHF Fellows Course Hemodynamic Assessment Nov 2025.pptx

1、Garbage In=Garbage Out:Getting the Hemodynamics Right,Ryan J.Tedford,MDDr.Peter C.Gazes Endowed Chair in Heart FailureProfessor of Medicine/CardiologySection Chief,Heart FailureMedical Director,Cardiac Transplantation Director,AHFTC Fellowship,RyanTedfordMD,Disclosures of Conflict of Interest,Consul

2、tant Abbott,Acorai,Adona,Aria CV Inc.,Alleviant,Boston Scientific,Edwards Lifesciences,Endotronix,Fauna Bio,Gradient,Imbria,Medtronic,Merck,Morphic Therapeutics,Pulmovant,Tempus AI,35Pharma,United Therapeutics.Steering Committees Abbott,Edwards Lifesciences,Endotronix,Merck,Restore Medical,Tempus AI

3、Hemodynamic Core Lab-Merck Research Advisory Group-Abiomed,Ryan J.Tedford,MD,One more disclosure!,Ryan J.Tedford,MD,I love hemodynamics,remote monitoring and doing RHC!,Objectives,Review proper set up,technique and best practices of the right heart catheterizationDetail waveform interpretation inclu

4、ding considerations of how to accurately measure the PAWP Appraise methodology to estimate cardiac outputEnsure you capture good hemodynamic data to make your remote monitoring technologies work best!,Birth of Invasive Hemodynamics,1929:Dr Werner Forssmann introduced a catheter into his own heart an

5、d established that right heart catheterization is feasible in humans.However,the catheter was advanced only into the right atrium.Drs Andre Cournand and Dickinson Richards developed catheters that could be advanced into the pulmonary arteries and can be used to study the pathophysiology of congenita

6、l and acquired heart diseases.1956:Drs Forssmann,Cournand,and Richards received the Nobel Prize in medicine for their discoveries.,Chatterjee K.Circulation.2009 Jan 6;119(1):147-52,Santa Monica shoreline on a calm day,Conventional Slot Sail,Spinnaker Sail,Swan-Ganz Catheter,Chatterjee K.Circulation.