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Evaluation of Right-Heart Catheterization in the Critically Ill Patient without Acute Myocardial Infarction
Abstract
FLOW-directed right-heart catheterization is used extensively to monitor the hemodynamic status of critically ill patients. After acute myocardial infarction, measurements of the cardiac index and pulmonary capillary wedge pressure are useful in several ways: they allow accurate assessment of short-term and long-term prognosis,1 help in directing immediate and subsequent therapy,2 3 4 and correlate well with the clinical assessment of the hemodynamic status.5 Although there is no evidence that right-heart catheterization reduces the mortality of patients with acute myocardial infarction,6 the information it yields is sufficiently useful in assessing prognosis and directing therapy that the risks associated with catheterization7 , 8 are thought to . . .
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“It is important to appreciate that estimations of cardiac function, cardiac output and tissue oxygenation, based on the interpretation of standard clinical parameters, such as the physical examination, and hemodynamic parameters such as the central venous pressure, heart rate and blood pressure are often discordant from measured values [7, 8].”
From Management of the Low Cardiac Output Syndrome Following Surgery for Congenital Heart Disease (2016) · cites this paper as [7]
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Research works printed but not linked: 12
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- 10.7326/0003-4819-76-1-29 · DOI
- 10.1378/chest.67.1.8 · DOI
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“detected by clinical signs and CVC (17).”
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1 – Formation des réanimateurs et des anesthésistes-réanimateurs à l'échocardiographie
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Intraoperative Hemodynamic Monitoring
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“Along with intracardiac and mixed venous blood samples, these PAC-derived measurements allow calculation of hemodynamic indices and shunt ratios and provide data that are not obtainable by any other means.(56) This information may be helpful in diagnosing and managing rapidly varying hemodynamic changes and guiding fl…”
Metadata
- Authors
- Connors, A. F., McCaffree, D. R., & Gray, B. A.
- Affiliations
- University of Oklahoma Health Sciences Center (US)
- ORCID
- Connors, Alfred F.
- Venue
- New England Journal of Medicine
- Publisher
- Massachusetts Medical Society
- Published
- 1983-02-03
- Volume
- 308
- Issue
- 5
- Pages
- 263-267
- ISSN
- 0028-4793 (ISSN-L)
- 1533-4406
- OpenAlex
- W2033283702
- Cited by
- 365
- References
- 0
- Citations by year
- 2025: 2 · 2024: 2 · 2023: 6 · 2022: 7 · 2021: 3 · 2020: 1 · 2019: 3 · 2018: 5 · 2017: 7 · 2016: 12 · 2015: 2 · 2014: 5 · 2013: 8 · 2012: 5
- FWCI
- 23.25
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- New England Journal of Medicine (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Surgery › Hemodynamic Monitoring and Therapy
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Heart Failure Treatment and Management
- Health Sciences › Medicine › Critical Care and Intensive Care Medicine › Sepsis Diagnosis and Treatment
- Keywords
- right heart catheterization, hemodynamic monitoring, critically ill patients, acute myocardial infarction, cardiac index, pulmonary capillary wedge pressure, prognostic assessment
- MeSH terms
- Adolescent, Adult, Aged, Blood Pressure, Critical Care, Diagnostic Tests, Routine, Female, Cardiac Catheterization, Hemodynamics, Humans, Male, Middle Aged, Multiple Organ Failure, Pulmonary Wedge Pressure, Technology Assessment, Biomedical
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