How To: Advanced Invasive and Non-invasive Hemodynamics

Accurate assessment of hemodynamics is essential to providing effective and efficient care for heart failure patients in cardiogenic shock. Moreover, the role of the right heart catheterization in communicating and understanding the patient’s complete hemodynamic assessment is crucial in the management of advanced heart failure. 

The proposed workshop will provide an overview of the best practices in non-invasive and invasive assessment of cardiac hemodynamics and data on the prognostic role advanced hemodynamic parameters have. This workshop will focus on standardizing the techniques of right heart catheterization and the growing rule of non-invasive POCUS evaluation of cardiac hemodynamics particularly in critically ill patients.

Stations
20-minute rotations

• Station 1 – Provocative Testing for PH 
• Station 2 – Exercise Right Heart Catheterization 
• Station 3 – Non-Invasive POCUS Hemodynamic Assessment  

Reference: Grinstein, J., Houston, B. A., Nguyen, A., Smith, B., Chinco, A., Pinney, S., Tedford, R. J., & Belkin, M. N. (n.d.). Standardization of the right heart catheterization and the emerging role of advanced hemodynamics in heart failure. Journal of Cardiac Failure, 29(11), 1543–1555. https://doi.org/10.1016/j.cardfail.2023.08.009 

Learning Objectives 

• Understand the role of POCUS as a non-invasive approach to assess the intracardiac hemodynamics particularly in critically ill patients and incorporate hemodynamic assessment in cardiac critical care.
• Explain advanced hemodynamic parameters that incorporate both the congestive and perfusion state of a patient and have additive prognostic information
• Discussing the future of hemodynamic assessment should incorporate dynamic testing and attempts to find patient-specific thresholds predictive of decompensation.