Ao: aorta; LA: left atrium; RA: right atrium; SVC: superior vena cava
A 73-year-old male with a history of transient ischaemic attack, paroxysmal atrial fibrillation and heart failure with a preserved ejection fraction (HFPEF) was seen in the outpatient clinic with severe symptoms of heart failure despite optimal medical therapy. Prior to study inclusion (REDUCE-LAP trial) a heart catheterisation had been performed. The coronary angiogram showed only a significant stenosis of a small ramus descendens posterior.
Pulmonary hypertension (mean pulmonary artery pressure 34 mmHg) with an increased wedge pressure (21 mmHg) was present. The patient gave informed consent ...
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