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Introduction Invasive hemodynamic assessment is a critical part of structural intervention. Imaging and hemodynamics are complementary, and both need to be mastered for effectiveness in structural heart disease (SHD) interventions. Indications for diagnostic invasive assessment include: 1. The diagnosis remains…

Case Study A 79-year-old obese male (body mass index 33 kg/m 2 ) with prior history of coronary bypass grafting, hypertension, and diabetes presented with New York Heart Association functional class III dyspnea progressive over 1 year. Vitals included a…