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Are dynamic measurements of central venous pressure in Fontan circulation during exercise or volume loading superior to resting measurements?

Alyssia VennaShriprasad R DeshpandeTacy E DowningAnitha JohnYves d'Udekem
Published in: Cardiology in the young (2023)
Based on current literature, there is not a lot of strong evidence to show that elevated resting central venous pressure or pulmonary artery pressure is predictive of Fontan failure. Some individuals experience dramatic increases in central venous pressure or pulmonary artery pressure under increased loading conditions with exercise or bolus fluid infusion, while others experience increases closer to that of a healthy control population. Further studies are needed to examine whether more dynamic and continuous monitoring of systemic venous pressures might better predict outcomes in patients with Fontan circulation.
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