在心脏重症监护病房患者中使用心声学对冲击和前冲击的非侵入性血液动力学表征
Jacob C Jentzer1, Barry Burstein2, Bradley Ternus1
1Department of Cardiovascular Medicine Mayo Clinic Rochester MN.
Journal of the American Heart Association
|November 20, 2023
概括
胸前心电回声学 (TTE) 显示,在经历冲击或前冲击的患者中,心脏功能有明显的差异. 将TTE与临床评估相结合,为这些关键疾病提供了可靠的死亡风险分层.
科学领域:
- 心脏病学 心脏病学
- 关键护理医学 关键护理医学
- 诊断成像 诊断成像 诊断成像
背景情况:
- 冲击和前冲击是临床状态,其特点是低血压,低 perfusion,或两者兼而有之.
- 非侵入性血液动力学评估对于了解这些疾病至关重要.
研究的目的:
- 为了确定冲击和前冲击的血液动力学基础,非侵入性地.
- 评估TTE在评估这些患者心脏功能的实用性.
主要方法:
- 从2007年至2015年,对5375名心脏重症监护病房患者的回顾性分析.
- 在接收后1天内包括TTE数据.
- 根据低血压和低血压分为四组:没有,孤立的低血压,孤立的低血压和两者.
主要成果:
- 在四组中,TTE变量显示出显著的差异,与血液动力学妥协程度相关.
- 观察到双心脏功能恶化,前向流量较低,填充压力更高,并且越来越多的妥协.
- 住院死亡率为8.2%,随着更大的血液动力学损害和TTE异常,死亡率显著增加.
结论:
- 胸前心电回声学 (TTE) 显示了前冲击和冲击患者的心脏功能的实质性差异.
- 临床评估和TTE衍生的血液动力学数据的结合提供了可靠的死亡风险分层.
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