Right heart catheterization boosts outcomes for cardiogenic shock patients – Cardiovascular Business

Right heart catherization (RHC) in patients with cardiogenic shock (CS) may result in better outcomes and greater use of downstream advanced heart failure therapies, according to new data published in the Journal of the American Heart Association.

This large realworld retrospective study of patients with cardiogenic shock demonstrates that right heart catheterization is associated with improved inhospital survival and reduced rehospitalizations, wrote lead author Sagar Ranka, MD, with the department of cardiovascular medicine, The University of Kansas Health System, and colleagues. Moreover, though the use of right heart catheterization across the United States is infrequent, the procedure improves downstream use of lifesaving advanced heart failure therapies.

Researchers analyzed 236,156 patients who were hospitalized with CS between 2016 and 2017. Of that group only 25,840 underwent RHC upon admission.

All data came from the Nationwide Readmissions Database usingInternational Classification of Diseases, Tenth Revision.

The authors found that compared with their counterparts, patients who underwent RHC tended to be younger, aged 61.6years versus 67.3 years. Sixty-eight percent of patients were men.

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Right heart catheterization boosts outcomes for cardiogenic shock patients - Cardiovascular Business