Which data in a patient undergoing pulmonary heart catheterization confirms a diagnosis of systolic heart failure?
A) Decreased right atrial pressure
B) Elevated pulmonary artery wedge pressure
C) Increased cardiac index
D) Decreased pulmonary artery pressure
B) Elevated pulmonary artery wedge pressure
Explanation: A) Pulmonary artery catheterization may be helpful in making the diagnosis of systolic heart failure and in determining the treatment. Typically, patients with systolic heart failure have elevated right atrial pressures, pulmonary artery pressures, and pulmonary arterial wedge pressures, owing to the fluid retention and venous hypertension. Cardiac output and index may also be reduced.
B) Pulmonary artery catheterization may be helpful in making the diagnosis of systolic heart failure and in determining the treatment. Typically, patients with systolic heart failure have elevated right atrial pressures, pulmonary artery pressures, and pulmonary arterial wedge pressures, owing to the fluid retention and venous hypertension. Cardiac output and index may also be reduced.
C) Pulmonary artery catheterization may be helpful in making the diagnosis of systolic heart failure and in determining the treatment. Typically, patients with systolic heart failure have elevated right atrial pressures, pulmonary artery pressures, and pulmonary arterial wedge pressures, owing to the fluid retention and venous hypertension. Cardiac output and index may also be reduced.
D) Pulmonary artery catheterization may be helpful in making the diagnosis of systolic heart failure and in determining the treatment. Typically, patients with systolic heart failure have elevated right atrial pressures, pulmonary artery pressures, and pulmonary arterial wedge pressures, owing to the fluid retention and venous hypertension. Cardiac output and index may also be reduced.
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