Letters Section Editor: Robert M. Golub, MD, Senior Editor.
In Reply: Drs Won and Kuschner emphasize the utility of tailoring therapy to an estimate of right-sided filling pressures during management of acutely decompensated heart failure. They suggest that monitoring of CVP could have provided useful information to supplement clinical assessment. In the ESCAPE trial, however, the clinical assessment strategy included only symptoms and physical examination to estimate right-sided pressures; there was no invasive venous monitoring in patients who did not receive a PAC.
Stevenson LW, O’Connor CM, Califf RM. Pulmonary Artery Catheter Effectiveness in Congestive Heart Failure—Reply. JAMA. 2006;295(10):1121–1122. doi:10.1001/jama.295.10.1121-b
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