9th Edition

World Heart Congress

THEME: "Heartbeat of Change: Inspiring Solutions for Global Cardiac Health"

img2 17-18 Nov 2025
img2 Dubai, UAE (Collaboration with the Armenian Cardiologists Association)
Mhd Baraa Habib

Mhd Baraa Habib

Hamad Medical Corporation. Qatar

Title: Hemodynamic Profiling Using Right Heart Catheterization in Acute Myocardial Infarction with Cardiogenic Shock: Classification and Outcomes


Biography

Dr. Mhd Baraa Habib is a cardiology fellowat Hamad Medical Corporation in Doha, Qatar, where he began his fellowship in2023 after completing his internal medicine residency at the same institution.He is board-certified in internal medicine by the Arab Board, Qatari Board, andthe Membership of the Royal Colleges of Physicians of the United Kingdom (MRCPUK). He has a distinguished academic background and has authored over 60publications, including peer-reviewed research articles, case reports, andconference presentations. His research interests lie primarily incardiovascular medicine and internal medicine.

Abstract

Background: Acute myocardial infarction with cardiogenic shock (AMICS) is a life-threatening condition with high morbidity and mortality. Right heart catheterization (RHC)-guided hemodynamic assessment enables classification of ventricular congestion patterns, which may have prognostic value.

Purpose: This study aimed to evaluate the clinical impact of different congestion phenotypes in AMICS based on RHC-derived right atrial pressure (RAP) and pulmonary capillary wedge pressure (PCWP).

Methods: Ninety-three patients with AMICS who underwent RHC at our center between 2018 and 2024 were classified as euvolemic (EuV), left ventricular congestion (LV), right ventricular congestion (RV), or biventricular congestion (BiV) based on RAP and PCWP. Baseline characteristics, hemodynamics, and clinical outcomes were compared among the groups.

Results: The cohort had a mean age of 54 ± 10 years, and 94.6% were male. Hemodynamic parameters varied significantly, with the BiV group exhibiting the highest RAP and PCWP. The primary composite outcome (all-cause mortality, acute kidney injury, acute liver injury, mechanical ventilation, or arrhythmia) occurred in 62.2%–78.6% of patients across congestion groups (p=0.707). All-cause mortality was highest in the RV group (42.9%) compared to EuV (6.3%), LV (8.3%), and BiV (13.5%) (p=0.017). Other outcomes, including acute kidney injury, acute liver injury, mechanical ventilation, and arrhythmia, were not significantly different among groups.