This Article  • Full text  • PDF  • Send to a friend  • Save in My Folder  • Save to citation manager  • Permissions  Citing Articles  • Citation map  • Citing articles on HighWire  • Citing articles on Web of Science (29)  • Contact me when this article is cited  Related Content  • Related article  • Similar articles in JAMA  Social Bookmarking   What's this?

James E. Dalen, MD

JAMA. 2001;286:348-350.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

The introduction of the flow-directed pulmonary artery catheter (PAC) by Swan and associates in 1970¹ made it possible to perform right heart catheterization (RHC) at the bedside.

Right heart catheterization permits measurement of pulmonary artery and right heart pressures and cardiac output. In addition, measurement of pulmonary capillary or "wedge" pressure provides a close approximation of left ventricular filling pressure.² These measurements are more accurate in determining a patient's hemodynamic status than estimates based on clinical assessment.³ It was quickly established that the PAC could be used to diagnose accurately the major complications of acute myocardial infarction (AMI), such as left ventricular failure, cardiogenic shock, ventricular septal defect, and mitral regurgitation.⁴

The PAC can be kept in place for several days, allowing serial measurements and, thus, permitting bedside hemodynamic monitoring.⁴ Hemodynamic monitoring has been used widely in patients with AMI as well as during and after . . . [Full Text of this Article]

Author Affiliation: Office of the Dean, University of Arizona Health Sciences Center, Tucson. Dr Dalen is editor of Archives of Internal Medicine.

CiteULike    Connotea    Del.icio.us    Digg    Reddit    Technorati    Twitter     What's this?

RELATED ARTICLE

Right Heart Catheterization and Cardiac Complications in Patients Undergoing Noncardiac Surgery: An Observational Study
Carisi A. Polanczyk, Luis E. Rohde, Lee Goldman, E. Francis Cook, Eric J. Thomas, Edward R. Marcantonio, Carol M. Mangione, and Thomas H. Lee
JAMA. 2001;286(3):309-314.
ABSTRACT | FULL TEXT  

THIS ARTICLE HAS BEEN CITED BY OTHER ARTICLES

Exploring the Harmful Effects of Health Care
Kilo and Larson
JAMA 2009;302:89-91.
FULL TEXT  

The Swan-Ganz Catheters: Past, Present, and Future: A Viewpoint
Chatterjee
Circulation 2009;119:147-152.
ABSTRACT | FULL TEXT  

Pulmonary-Artery versus Central Venous Catheter to Guide Treatment of Acute Lung Injury
The National Heart, Lung, and Blood Institute Acut
NEJM 2006;354:2213-2224.
ABSTRACT | FULL TEXT  

Impact of the Pulmonary Artery Catheter in Critically Ill Patients: Meta-analysis of Randomized Clinical Trials
Shah et al.
JAMA 2005;294:1664-1670.
ABSTRACT | FULL TEXT  

Intradialytic Blood Volume Monitoring in Ambulatory Hemodialysis Patients: A Randomized Trial
Reddan et al.
J. Am. Soc. Nephrol. 2005;16:2162-2169.
ABSTRACT | FULL TEXT  

The Arc of the Pulmonary Artery Catheter
Fowler and Cook
JAMA 2003;290:2732-2734.
FULL TEXT  

Progress in Research on Pulmonary-Artery Catheters
Parsons
NEJM 2003;348:66-68.
FULL TEXT  

Using the Chest Radiograph To Determine Intravascular Volume Status : The Role of Vascular Pedicle Width
Ely and Haponik
Chest 2002;121:942-950.
ABSTRACT | FULL TEXT