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Accuracy of Doppler blood pressure measurement in continuous-flow left ventricular assist device patients.
Li, Song; Beckman, Jennifer A; Welch, Nathan G; Bjelkengren, Jason; Masri, Sofia Carolina; Minami, Elina; Stempien-Otero, April; Levy, Wayne C; O'Brien, Kevin D; Lin, Shin; Farris, Stephen D; Cheng, Richard K; Wood, Gregory; Koomalsingh, Kevin; Kirkpatrick, James; McCabe, James; Leary, Peter J; Chassagne, Fanette; Chivukula, Venkat Keshav; Aliseda, Alberto; Mahr, Claudius.
Afiliación
  • Li S; Division of Cardiology, Department of Medicine, University of Washington, Seattle, WA, 98195, USA.
  • Beckman JA; Division of Cardiology, Department of Medicine, University of Washington, Seattle, WA, 98195, USA.
  • Welch NG; Department of Statistics, University of Washington, Seattle, WA, USA.
  • Bjelkengren J; Division of Cardiology, Department of Medicine, University of Washington, Seattle, WA, 98195, USA.
  • Masri SC; Division of Cardiology, Department of Medicine, University of Washington, Seattle, WA, 98195, USA.
  • Minami E; Division of Cardiology, Department of Medicine, University of Washington, Seattle, WA, 98195, USA.
  • Stempien-Otero A; Division of Cardiology, Department of Medicine, University of Washington, Seattle, WA, 98195, USA.
  • Levy WC; Division of Cardiology, Department of Medicine, University of Washington, Seattle, WA, 98195, USA.
  • O'Brien KD; Division of Cardiology, Department of Medicine, University of Washington, Seattle, WA, 98195, USA.
  • Lin S; Division of Cardiology, Department of Medicine, University of Washington, Seattle, WA, 98195, USA.
  • Farris SD; Division of Cardiology, Department of Medicine, University of Washington, Seattle, WA, 98195, USA.
  • Cheng RK; Division of Cardiology, Department of Medicine, University of Washington, Seattle, WA, 98195, USA.
  • Wood G; Division of Cardiology, Department of Medicine, University of Washington, Seattle, WA, 98195, USA.
  • Koomalsingh K; Division of Cardiothoracic Surgery, Department of Surgery, University of Washington, Seattle, WA, USA.
  • Kirkpatrick J; Division of Cardiology, Department of Medicine, University of Washington, Seattle, WA, 98195, USA.
  • McCabe J; Division of Cardiology, Department of Medicine, University of Washington, Seattle, WA, 98195, USA.
  • Leary PJ; Division of Pulmonary and Critical Care Medicine, Department of Medicine, University of Washington, Seattle, WA, USA.
  • Chassagne F; Department of Mechanical Engineering, University of Washington, Seattle, WA, USA.
  • Chivukula VK; Department of Mechanical Engineering, University of Washington, Seattle, WA, USA.
  • Aliseda A; Department of Mechanical Engineering, University of Washington, Seattle, WA, USA.
  • Mahr C; Division of Cardiology, Department of Medicine, University of Washington, Seattle, WA, 98195, USA.
ESC Heart Fail ; 6(4): 793-798, 2019 08.
Article en En | MEDLINE | ID: mdl-31099483
AIMS: Accurate blood pressure (BP) measurement in continuous-flow ventricular assist device (CF-VAD) patients is imperative to reduce stroke risk. This study assesses the accuracy of the Doppler opening pressure method compared with the gold standard arterial line method in CF-VAD patients. METHODS AND RESULTS: In a longitudinal cohort of HeartMate II and HVAD patients, arterial line BP and simultaneously measured Doppler opening pressure were obtained. Overall correlation, agreement between Doppler opening pressure and arterial line mean vs. systolic pressure, and the effect of arterial pulsatility on the accuracy of Doppler opening pressure were analysed. A total of 1933 pairs of Doppler opening pressure and arterial line pressure readings within 1 min of each other were identified in 154 patients (20% women, mean age 55 ± 15, 50% HeartMate II and 50% HVAD). Doppler opening pressure had good correlation with invasive mean arterial pressure (r = 0.742, P < 0.0001) and more closely approximated mean than systolic BP (mean error 2.4 vs. -8.4 mmHg). Arterial pulsatility did not have a clinically significant effect on the accuracy of the Doppler opening pressure method. CONCLUSIONS: Doppler opening pressure should be the standard non-invasive method of BP measurement in CF-VAD patients.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Determinación de la Presión Sanguínea / Corazón Auxiliar / Ultrasonografía Doppler / Insuficiencia Cardíaca Tipo de estudio: Etiology_studies / Incidence_studies / Observational_studies / Prognostic_studies / Risk_factors_studies Límite: Adult / Aged / Female / Humans / Male / Middle aged Idioma: En Revista: ESC Heart Fail Año: 2019 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Reino Unido
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Determinación de la Presión Sanguínea / Corazón Auxiliar / Ultrasonografía Doppler / Insuficiencia Cardíaca Tipo de estudio: Etiology_studies / Incidence_studies / Observational_studies / Prognostic_studies / Risk_factors_studies Límite: Adult / Aged / Female / Humans / Male / Middle aged Idioma: En Revista: ESC Heart Fail Año: 2019 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Reino Unido