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Why do I need a right heart catherization?
A cardiac ECHO can only demonstrate the consequences of Pulmonary Hypertension (PH) in your heart. Although there are constant efforts to expand and improve its use, to my knowledge (I am a cardiac surgeon and not an ECHO specialist), the next step indeed includes a right heart catherization, as well as a host of other tests (see below).
Do you know why you have blockage in your "upper veins"? One explanation includes damage from lots of previously inserted catheters, others from other causes for thrombosis. As such, I am concerned your PH may involve a prior pulmonary embolism.
Other than that, the ablation may have involved lots of catheter insertions, and now has caused complete heart block, I don't think it has anything to do with your PH. You can read more here, including possible treatment choices:
Hope this helps,
Ask Doctor T. Blog
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