Procedures performed: Right and Left Heart catheterisation with coronary angiography and left ventriculogram
Conclusions:
Preserved LV systolic function
Non-obstructive epicardial coronaries
Elevated right heart filling pressures
Significant step up in oxygen saturation between RA and PA.
Decreased cardiac output/index
FINDINGS:
Left Heart Assessment
Left Ventricular End Diastolic Pressure 20 mmHg
Left Ventricular Ejection Fraction: 60%
LV Wall Motion: Normal
Right Heart Assessment
Fick CO: 1.86 Fick CI: 1.12
PCW: 23/20 16
PA: 23/14 17
RV: 24/14 17
RA: 22/30 18
PVR: 36 SVR: 1764
RM AIR REST
Coronary Angiography:
DOMINANCE: Right
LEFT ANTERIOR DESCENDING ARTERY: Normal
CIRCUMFLEX ARTERY: Normal
RIGHT CORONARY ARTERY: Normal