Rapid diagnosis of cardiac tamponade using pulsatility index variability in a patient with a HeartWare ventricular assist device
| Autor: | JoAnn Lindenfeld, Sandip Zalawadiya, Thomas G. DiSalvo |
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| Rok vydání: | 2015 |
| Předmět: |
Male
medicine.medical_specialty Systole medicine.medical_treatment Hypertension Pulmonary law.invention Postoperative Complications law Diastole Physiology (medical) Internal medicine Cardiac tamponade medicine Humans Thoracotomy Heart Failure Aspirin business.industry Anticoagulants Middle Aged medicine.disease Intensive care unit Pulmonary hypertension Sternotomy Cardiac Tamponade Ventricular assist device Heart failure Pulsatile Flow Cardiology Milrinone Heart-Assist Devices Warfarin Transthoracic echocardiogram Cardiology and Cardiovascular Medicine business medicine.drug |
| Zdroj: | Circulation. 131(13) |
| ISSN: | 1524-4539 |
| Popis: | A 59-year-old man with nonischemic cardiomyopathy, advanced heart failure, and group 2 pulmonary hypertension underwent HeartWare left ventricular assist device (LVAD) implantation as bridge to transplantation. Off-pump LVAD implantation was performed via minimally invasive left thoracotomy and upper hemisternotomy with an estimated blood loss of 200 mL. Postoperative VAD settings were as follows: speed, 2600 rpm; power, 4 W; flow, 5.5 to 5.7 L/min; and pulsatility index (PI), 4. Aspirin 325 mg daily and warfarin were begun on postoperative day 1. Over the course of the next few days, he was extubated and optimized hemodynamically with continued inotropic support (milrinone), and a therapeutic international normalized ratio (2–3) was achieved. Before his transfer out of the intensive care unit, he underwent a transthoracic echocardiogram, … |
| Databáze: | OpenAIRE |
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