Standardization of Baseline and Provocative Invasive Hemodynamic Protocols for the Evaluation of Heart Failure and Pulmonary Hypertension
Published: January 06, 2026
- Invasive hemodynamic protocols are essential for diagnosing and managing heart failure and pulmonary hypertension, with tailored testing guiding individual patient care and transplant eligibility.
- Serial right heart catheterizations and continuous pressure monitoring play critical roles in tracking disease progression, optimizing LVAD therapy, and reducing heart failure hospitalizations for high-risk patients.
- Acute vasoreactivity testing, fluid challenges, and exercise hemodynamic measurements help uncover occult pulmonary hypertension and predict patient outcomes, but further research is needed to refine approaches and therapeutic targets.
Invasive Hemodynamic Protocols for the Evaluation of Heart Failure and Pulmonary Hypertension
Writing Group Chair Mark N. Belkin, MD and Vice Chair Marat Fudim, MD announce the publication of a new scientific statement from the American Heart Association that addresses the need to standardize common baseline and provocative invasive hemodynamic protocols commonly used for the evaluation of heart failure and pulmonary hypertension.
Recommended Reading
- Risk-Based Primary Prevention of Heart Failure
- Dual-Organ Transplantation: Indications, Evaluation, and Outcomes for Heart-Kidney and Heart-Liver Transplantation
- Supervised Exercise Training for Chronic Heart Failure With Preserved Ejection Fraction
- Escalating and De-escalating Temporary Mechanical Circulatory Support in Cardiogenic Shock
- Elucidating the Clinical Implications and Pathophysiology of Pulmonary Hypertension in Heart Failure with Preserved Ejection Fraction
- Guidance for Timely and Appropriate Referral of Patients With Advanced Heart Failure
- Evaluation and Management of Pulmonary Hypertension in Non-Cardiac Surgery
- 2024 Guideline for Perioperative Cardiovascular Management for Noncardiac Surgery
- 2022 AHA/ACC/HFSA Guideline for the Management of Heart Failure