Hemodynamic monitoring and echocardiographic evaluation in cardiogenic shock.

Autor: Ochagavía A; Servicio de Medicina Intensiva, Hospital Universitario de Bellvitge, Hospitalet de Llobregat, Barcelona, Spain. Electronic address: anaochagaviacalvo@gmail.com., Palomo-López N; Servicio de Medicina Intensiva, Hospital Universitario Virgen del Rocío, Sevilla, Spain., Fraile V; Servicio de Medicina Intensiva, Hospital Universitario Río Hortega, Valladolid, Spain., Zapata L; Servicio de Medicina Intensiva, Hospital de la Santa Creu i Sant Pau, Universitat Autònoma de Barcelona, Barcelona, Spain.
Jazyk: angličtina
Zdroj: Medicina intensiva [Med Intensiva (Engl Ed)] 2024 Oct; Vol. 48 (10), pp. 602-613. Date of Electronic Publication: 2024 Aug 02.
DOI: 10.1016/j.medine.2024.07.001
Abstrakt: Cardiogenic shock (CS) is characterized by the presence of a state of tissue hypoperfusion secondary to ventricular dysfunction. Hemodynamic monitoring allows us to obtain information about cardiovascular pathophysiology that will help us make the diagnosis and guide therapy in CS situations. The most used monitoring system in CS is the pulmonary artery catheter since it provides key hemodynamic variables in CS, such as cardiac output, pulmonary artery pressure, and pulmonary artery occlusion pressure. On the other hand, echocardiography makes it possible to obtain, at the bedside, anatomical and hemodynamic data that complement the information obtained through continuous monitoring devices. CS monitoring can be considered multimodal and integrative by including hemodynamic, metabolic, and echocardiographic parameters that allow describing the characteristics of CS and guiding therapeutic interventions during hemodynamic resuscitation.
(Copyright © 2024 Elsevier España, S.L.U. and SEMICYUC. All rights reserved.)
Databáze: MEDLINE
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