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What happens in a right heart catheterization for pulmonary arterial hypertension?

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If other tests show that you might have pulmonary hypertension, you will get a right heart catheterization to be sure. Your doctor will give you a sedative and use local anesthesia, and then place a catheter into a large vein and guide it into the right side of your heart. A monitor records the pressures in that area and in the pulmonary arteries. Your doctor may also inject medicines into the catheter to see if the pulmonary arteries are stiff. This is called a vasoreactivity test. You can usually go home the same day, but you will need someone to drive you home.

SOURCES:

National Heart, Lung, and Blood Institute: "What Is Pulmonary Hypertension?"

Pulmonary Hypertension Association: "Treatment."

Barst, R.J. Journal of the American College of Cardiology, 2004.

Simonneau, G. Journal of the American College of Cardiology, 2004.

Runo, J.R. Lancet, 2003.

Mereles, D. Circulation, 2006.

Galie, N. Journal of the American College of Cardiology, 2004.

Badesch, D.B. Chest, 2007.

Klepetko, W. Journal of the American College of Cardiology, 2004.

Sitbon, O. Circulation, 2005.

Reviewed by Suzanne R. Steinbaum on July 01, 2019

SOURCES:

National Heart, Lung, and Blood Institute: "What Is Pulmonary Hypertension?"

Pulmonary Hypertension Association: "Treatment."

Barst, R.J. Journal of the American College of Cardiology, 2004.

Simonneau, G. Journal of the American College of Cardiology, 2004.

Runo, J.R. Lancet, 2003.

Mereles, D. Circulation, 2006.

Galie, N. Journal of the American College of Cardiology, 2004.

Badesch, D.B. Chest, 2007.

Klepetko, W. Journal of the American College of Cardiology, 2004.

Sitbon, O. Circulation, 2005.

Reviewed by Suzanne R. Steinbaum on July 01, 2019

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What questions should you ask your doctor about pulmonary arterial hypertension?

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