Precapillary Pulmonary Arterial Hypertension Despite Contrary Anchoring Bias

Patrick Keller; Nilay S Shah; Ranya Sweis; Ruben J Mylvaganam

doi:10.1016/j.jaccas.2023.101977

Precapillary Pulmonary Arterial Hypertension Despite Contrary Anchoring Bias

JACC Case Rep. 2023 Aug 10:22:101977. doi: 10.1016/j.jaccas.2023.101977. eCollection 2023 Sep 20.

Authors

Patrick Keller¹, Nilay S Shah², Ranya Sweis², Ruben J Mylvaganam³

Affiliations

¹ Department of Medicine, Northwestern University Feinberg School of Medicine, Chicago, Illinois, USA.
² Division of Cardiology, Northwestern University Feinberg School of Medicine, Chicago, Illinois, USA.
³ Division of Pulmonary and Critical Care Medicine, Northwestern University Feinberg School of Medicine, Chicago, Illinois, USA.

Abstract

We present the case of a patient with risk factors and a noninvasive evaluation that suggested postcapillary pulmonary hypertension, but in fact had invasive hemodynamics consistent with precapillary pulmonary hypertension. A thorough hemodynamic evaluation of pulmonary hypertension must be performed, as treatment is linked to the underlying physiology. (Level of Difficulty: Advanced.).

Keywords: postcapillary; precapillary; pulmonary arterial hypertension; transseptal puncture.

Publication types

Case Reports