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(Chest. 1958;33:513-532.)
© 1958 American College of Chest Physicians

Differentiation of the Causes of Pulmonary Hypertension in Rheumatic Heart Disease by Simultaneous Right and Left Heart Catheterization

PHILIP SAMET M.D., F.C.C.P.1; WILLIAM H. BERNSTEIN M.D.2; and ROBERT S. LITWAK M.D.3

1 The Cardio-Pulmonary Laboratory and the Department of Medicine, Mt. Sinai Hospital, Miami Beach, Florida, and the Division of Cardiology of the Department of Medicine and the Department of Surgery, University of Miami School of Medicine, Coral Gables, Florida, and Jackson Memorial Hospital, Miami, Florida., Director, Cardio-Pulmonary Laboratory, Mt. Sinai Hospital; Assistant Professor of Medicine, University of Miami School of Medicine.
2 The Cardio-Pulmonary Laboratory and the Department of Medicine, Mt. Sinai Hospital, Miami Beach, Florida, and the Division of Cardiology of the Department of Medicine and the Department of Surgery, University of Miami School of Medicine, Coral Gables, Florida, and Jackson Memorial Hospital, Miami, Florida.
3 The Cardio-Pulmonary Laboratory and the Department of Medicine, Mt. Sinai Hospital, Miami Beach, Florida, and the Division of Cardiology of the Department of Medicine and the Department of Surgery, University of Miami School of Medicine, Coral Gables, Florida, and Jackson Memorial Hospital, Miami, Florida., Assistant Professor of Surgery, University of Miami School of Medicine; Attending Surgical Staff, Jackson Memorial Hospital.

Pulmonary vascular disease, mitral valve block, left heart failure, or any combination of these factors may cause pulmonary hypertension. Right heart catheterization alone, in rheumatic heart disease, cannot differentiate among these possibilities. Right and left heart catheterization is of great aid, however, in resolution of the problem. Five cases are discussed to illustrate the value of combined heart catheterization.






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Copyright © 1958 by the American College of Chest Physicians.