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INTERMACS adverse event definition of right heart failure

Documentation of elevated CVP by:

Direct right atrial pressures >16 mmHg
Significantly dilated inferior vena cava with absence of inspiratory variation by echocardiography
Clinical findings of elevated jugular venous distention in an upright patient

Manifestation of elevated CVP characterized by:

Clinical findings of peripheral edema (≥2+)
Ascites or palpable hepatomegaly on physical exam or diagnostic imaging
Laboratory evidence of worsening of hepatic (total bilirubin >2.0 mg/dL) or renal dysfunction (creatinine 2.0 mg/dL)

CVP: central venous pressure.

Reproduced with permission from: INTERMACS Adverse Event Definitions: Adult and Pediatric patients. The University of Alabama at Birmingham. Copyright © 2021 The University of Alabama at Birmingham. Available at: https://www.uab.edu/medicine/intermacs/intermacs-documents (Accessed on September 23, 2021).

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