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Do you prefer using end-expiratory or mean pulmonary artery wedge pressure obtained during diagnostic right heart catheterization for the classification of precapillary vs postcapillary PH?

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Do you prefer using end-expiratory or mean pulmonary artery wedge pressure obtained during diagnostic right heart catheterization for the classification of precapillary vs postcapillary PH?

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1 Answer
Mednet Member
Mednet MemberInvited Expert
Pulmonology · Hospital of the University of Pennsylvania
Answered on

I use end-expiratory wedge pressure (and all hemodynamics for that matter at end-expiratory pressure) most of the time which is supported by current guidelines. The confounder is in patients with wide transthoracic pressure swings (i.e., exercise, severe COPD, severe obesity). This is just something...

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