Practical PH: Foundations of PH – Hemodynamic Definition and RHC Pearls
March 10, 2026
Description: In this episode of our Foundations of PH series, Dr. Ryan Tedford joins us to discuss the evolving hemodynamic definitions of pulmonary hypertension and its clinical implications. We also review right heart catheterization techniques, provocative hemodynamic testing, and pearls for right heart catheterization interpretation.
Hosts:
Khushboo Goel, MD
Assistant Professor of Medicine
Cedars-Sinai Medical Center
Katherine Cox-Flaherty, MD
Assistant Professor of Medical Education
University of Virginia
Inova Fairfax
Guest:
Ryan Tedford, MD
Professor of Medicine/Cardiology
Chair, Heart Failure Program
Medical Director, Cardiac Transplantation Program
Medical University of South Carolina
00:00 — Podcast Introduction & Hosts
00:22 — Episode Overview: Hemodynamic Definitions of Pulmonary Hypertension
01:00 — Guest Introduction: Dr. Ryan Tedford
01:25 — Career Path into Pulmonary Vascular Disease
02:48 — Why Hemodynamic Assessment Is Essential in PH
04:22 — Clinical Case Presentation: Suspected PH in Systemic Sclerosis
06:00 — Right Heart Catheterization: Indications, Risks & Contraindications
08:38 — Interpreting Hemodynamics & Classifying Pulmonary Hypertension
10:37 — Updated Hemodynamic Definitions from Recent Guidelines
15:45 — Advanced Right Heart Cath Techniques: Vasoreactivity, Fluid Challenge & Shunt Evaluation
Description: In this episode of our Foundations of PH series, Dr. Ryan Tedford joins us to discuss the evolving hemodynamic definitions of pulmonary hypertension and its clinical implications. We also review right heart catheterization techniques, provocative hemodynamic testing, and pearls for right heart catheterization interpretation.
Hosts:
Khushboo Goel, MD
Assistant Professor of Medicine
Cedars-Sinai Medical Center
Katherine Cox-Flaherty, MD
Assistant Professor of Medical Education
University of Virginia
Inova Fairfax
Guest:
Ryan Tedford, MD
Professor of Medicine/Cardiology
Chair, Heart Failure Program
Medical Director, Cardiac Transplantation Program
Medical University of South Carolina
00:00 — Podcast Introduction & Hosts
00:22 — Episode Overview: Hemodynamic Definitions of Pulmonary Hypertension
01:00 — Guest Introduction: Dr. Ryan Tedford
01:25 — Career Path into Pulmonary Vascular Disease
02:48 — Why Hemodynamic Assessment Is Essential in PH
04:22 — Clinical Case Presentation: Suspected PH in Systemic Sclerosis
06:00 — Right Heart Catheterization: Indications, Risks & Contraindications
08:38 — Interpreting Hemodynamics & Classifying Pulmonary Hypertension
10:37 — Updated Hemodynamic Definitions from Recent Guidelines
15:45 — Advanced Right Heart Cath Techniques: Vasoreactivity, Fluid Challenge & Shunt Evaluation
Creators and Guests
Host
Katherine Cox-Flaherty, MD
Assistant Professor of Medical Education, University of Virginia, Inova Fairfax
Guest
Ryan Tedford, MD
Professor of Medicine/Cardiology Chair, Heart Failure Program, Medical Director, Cardiac Transplantation Program, Medical University of South Carolina
