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Copyright ©The Author(s) 2016. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Transplant. Sep 24, 2016; 6(3): 542-547
Published online Sep 24, 2016. doi: 10.5500/wjt.v6.i3.542
Hemodynamic monitoring in heart failure and pulmonary hypertension: From analog tracings to the digital age
Ryan Davey, Amresh Raina
Ryan Davey, Amresh Raina, Cardiovascular Institute, Allegheny General Hospital, Pittsburgh, PA 15212-4772, United States
Author contributions: Both authors contributed equally to this work with regards to article conception, writing and final editing of the manuscript.
Conflict-of-interest statement: Dr. Davey has no relevant financial relationships; Dr. Raina is a consultant for St. Jude’s Medical.
Open-Access: This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Correspondence to: Amresh Raina, MD, FACC, Associate Director (Pulmonary Hypertension Program, Section of Heart Failure/Transplant/MCS and Pulmonary Hypertension), Assistant Professor of Medicine (Temple University School of Medicine), Cardiovascular Institute, Allegheny General Hospital, 320 East North Avenue, Pittsburgh, PA 15212-4772, United States. araina@wpahs.org
Telephone: +1-412-3594760 Fax: +1-412-3596544
Received: April 28, 2016
Peer-review started: April 29, 2016
First decision: June 17, 2016
Revised: July 6, 2016
Accepted: July 29, 2016
Article in press: August 1, 2016
Published online: September 24, 2016
Processing time: 147 Days and 17.8 Hours
Core Tip

Core tip: Hemodynamic monitoring forms the cornerstone of heart failure (HF) and pulmonary hypertension diagnosis and management. We review invasive hemodynamic monitors including a number of implantable devices that can allow for ambulatory determination of a variety of intracardiac pressures. These implantable devices have afforded clinicians an opportunity for objective determination of a patient’s volume status and pulmonary pressures. Devices such as the CardioMEMS and thoracic impedance monitors are supported by a body of evidence that show the potential to reduce HF related morbidity. Clinicians should start to familiarize themselves with their use and expect further development and refinement in the future.