Document Detail


Rapid echocardiographic assessment of left and right heart hemodynamics in critically ill obstetric patients.
MedLine Citation:
PMID:  7943098     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: Our purpose was to compare noninvasive two-dimensional and Doppler echocardiography and right heart catheterization with a pulmonary artery catheter in the estimation of stroke volume, cardiac output, cardiac index, left ventricular filling pressure, pulmonary artery systolic pressure, and right atrial pressure in a heterogeneous group of critically ill obstetric patients. STUDY DESIGN: Eleven critically ill obstetric patients requiring invasive monitoring for clinical management were prospectively studied. Simultaneous Doppler and pulmonary artery catheter readings of stroke volume, cardiac output, cardiac index, left ventricular filling pressure, pulmonary artery systolic pressure, and right atrial pressure were acquired. Mean +/- SD or median and range, as appropriate, of each parameter were compared, and data for all parameters were subjected to regression analysis. A two-tailed p value < 0.05 was regarded as significant. RESULTS: There was no significant difference between the two techniques in the estimation of cardiac index, intracardiac pressures, or pulmonary artery systolic pressure. There was a good correlation between the two methods for stroke volume (R2 = 0.98), cardiac output (R2 = 0.98), cardiac index (R2 = 0.96), left ventricular filling pressure (R2 = 0.79), pulmonary artery systolic pressure (R2 = 0.85), and right atrial pressure (R2 = 0.86). CONCLUSION: Two-dimensional and Doppler echocardiography allow rapid, reliable, noninvasive assessment of hemodynamic parameters in critically ill obstetric patients and may give the clinician valuable information that may influence therapeutic and clinical management.
Authors:
M A Belfort; R Rokey; G R Saade; K J Moise
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Publication Detail:
Type:  Clinical Trial; Comparative Study; Journal Article; Research Support, Non-U.S. Gov't; Research Support, U.S. Gov't, P.H.S.    
Journal Detail:
Title:  American journal of obstetrics and gynecology     Volume:  171     ISSN:  0002-9378     ISO Abbreviation:  Am. J. Obstet. Gynecol.     Publication Date:  1994 Oct 
Date Detail:
Created Date:  1994-11-15     Completed Date:  1994-11-15     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  0370476     Medline TA:  Am J Obstet Gynecol     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  884-92     Citation Subset:  AIM; IM    
Affiliation:
Department of Obstetrics and Gynecology, Baylor College of Medicine, Houston, TX 77030.
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Blood Pressure
Cardiac Output
Critical Illness
Echocardiography*
Echocardiography, Doppler*
Female
Heart / physiopathology*
Heart Atria / physiopathology
Heart Catheterization
Hemodynamics*
Humans
Predictive Value of Tests
Pregnancy
Pregnancy Complications / physiopathology,  ultrasonography*
Prospective Studies
Pulmonary Artery
Pulmonary Wedge Pressure
Regression Analysis
Ventricular Pressure
Grant Support
ID/Acronym/Agency:
PSA K11-HL02009/HL/NHLBI NIH HHS

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


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