Document Detail

Haemodynamic monitoring in acute heart failure.
MedLine Citation:
PMID:  17447139     Owner:  NLM     Status:  MEDLINE    
Acute Heart Failure is a major cause of hospitalisation, with a rate of death and complications. New guidelines have been developed in order to diagnose and treat this disease. Despite these efforts pathophysiology and treatments options are still limited. There is agreement among the experts that increasing the cardiac output and the stroke volume without fluid overloading the patient should be the goal of every treatment. Despite this, there is no agreement on how to monitor the cardiac function and how to follow it after a therapeutic intervention. In other fields of critical care cardiovascular monitoring and application of early goal directed protocols showed benefits. This review explores the available possibilities of how to monitor the cardiac function in Acute Heart Failure. Standard and more advanced techniques are presented. Cardiac output monitors from the pulmonary artery catheter to the pulse pressure analysis and Doppler techniques are discussed, with focus on this specific clinical setting. Undoubtedly monitoring is valuable tool, but without a protocol of how to manipulate the haemodynamics, no monitor will prove alone to be beneficial. Haemodynamic driven early goal directed therapy are largely awaited in this field of medicine.
Maurizio Cecconi; Toby E Reynolds; Nawaf Al-Subaie; Andrew Rhodes
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Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  Heart failure reviews     Volume:  12     ISSN:  1382-4147     ISO Abbreviation:  Heart Fail Rev     Publication Date:  2007 Jun 
Date Detail:
Created Date:  2007-06-13     Completed Date:  2007-08-16     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  9612481     Medline TA:  Heart Fail Rev     Country:  United States    
Other Details:
Languages:  eng     Pagination:  105-11     Citation Subset:  IM    
Department of Intensive Care Medicine, St George's Hospital, London, SW17 0QT, UK.
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MeSH Terms
Acute Disease
Blood Gas Monitoring, Transcutaneous
Blood Pressure Determination
Body Temperature
Cardiac Output, Low / diagnosis*
Catheterization, Central Venous
Central Venous Pressure
Heart Catheterization
Heart Failure / diagnosis*,  physiopathology*
Heart Rate
Monitoring, Physiologic*
Pulmonary Wedge Pressure

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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