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Right Ventricular Pressure Waveform Analysis-Clinical Relevance and Future Directions.
Heerdt, Paul M; Kheyfets, Vitaly O; Oakland, Hannah T; Joseph, Phillip; Singh, Inderjit.
Afiliación
  • Heerdt PM; Department of Anesthesiology, Applied Hemodynamics, Yale School of Medicine, New Haven, CT. Electronic address: paul.heerdt@yale.edu.
  • Kheyfets VO; Department of Pediatrics-Critical Care Medicine, University of Colorado - Anschutz Medical Campus, Denver, CO.
  • Oakland HT; Division of Pulmonary, Critical Care, and Sleep Medicine, Department of Medicine, Yale New Haven Hospital and Yale School of Medicine, New Haven, CT.
  • Joseph P; Division of Pulmonary, Critical Care, and Sleep Medicine, Department of Medicine, Yale New Haven Hospital and Yale School of Medicine, New Haven, CT.
  • Singh I; Division of Pulmonary, Critical Care, and Sleep Medicine, Department of Medicine, Yale New Haven Hospital and Yale School of Medicine, New Haven, CT.
J Cardiothorac Vasc Anesth ; 38(10): 2433-2445, 2024 Oct.
Article en En | MEDLINE | ID: mdl-39025682
ABSTRACT
Continuous measurement of pressure in the right atrium and pulmonary artery has commonly been used to monitor right ventricular function in critically ill and surgical patients. This approach is largely based upon the assumption that right atrial and pulmonary arterial pressures provide accurate surrogates for diastolic filling and peak right ventricular pressures, respectively. However, due to both technical and physiologic factors, this assumption is not always true. Accordingly, recent studies have begun to emphasize the potential clinical value of also measuring right ventricular pressure at the bedside. This has highlighted both past and emerging research demonstrating the utility of analyzing not only the amplitude of right ventricular pressure but also the shape of the pressure waveform. This brief review summarizes data demonstrating that combining conventional measurements of right ventricular pressure with variables derived from waveform shape allows for more comprehensive and ideally continuous bedside assessment of right ventricular function, particularly when combined with stroke volume measurement or 3D echocardiography, and discusses the potential use of right ventricular pressure analysis in computational models for evaluating cardiac function.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Función Ventricular Derecha / Presión Ventricular Límite: Humans Idioma: En Revista: J Cardiothorac Vasc Anesth Asunto de la revista: ANESTESIOLOGIA / CARDIOLOGIA Año: 2024 Tipo del documento: Article Pais de publicación: Estados Unidos
Texto completo
Añadir a Mi BVS
Imprimir
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Función Ventricular Derecha / Presión Ventricular Límite: Humans Idioma: En Revista: J Cardiothorac Vasc Anesth Asunto de la revista: ANESTESIOLOGIA / CARDIOLOGIA Año: 2024 Tipo del documento: Article Pais de publicación: Estados Unidos