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How are PA diastolic goals established and individualized to reduce HF readmission risk post-CardioMEMs, recognizing the overall unclear clinical value of outpatient PA sensor monitoring?

2 Answers
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Cardiology · Yale School of Medicine
Answered on

The PA diastolic goal is generally set to <20 mm Hg to aim for euvolemia. Consideration should also be given to mPAP (<25 mm Hg).

However, the goals need to be individualized, taking into consideration underlying pathology of HF (HFpEF vs HFrEF with steeper PV curves in patients with HFpEF), pulmona...

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Mednet Member
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Cardiology · Vanderbilt University Medical Center Internal Medicine
Answered on

Agree with Dr. @Dr. First Last. There is no significant signal regarding pressures being too low, and much more often that pressures are not low enough, so would not overthink initial targets. It is important to record the delta between PAD and PCW at RHC and write that prominently in the patient Me...

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