Invazívne monitorovanie hemodynamiky.

Huňavý, Mikuláš

Invasive hemodynamic monitoring is crucial in critically ill patients and its goal is to identify the cause of the present condition, clarification of its etiology and, based on the results obtained, tailoring an optimal therapy. The number of patients with cardiogenic shock has doubled in the last decade with heart failure etiology dominant, surpassing acute coronary syndromes. This review article focuses on two methods -- right heart catheterization and transpulmonary thermodilution -- and their utilization mainly in patients with acute heart failure. Right heart catheterization is being performed in the whole spectrum of heart failure patients, from those who are hemodynamically stable up to those critically ill in cardiogenic shock with the need of continuous hemodynamic monitoring, as well as in patients in whom advanced heart failure therapies such left ventricular assist device or heart transplantation is being considered. Transpulmonary thermodilution is mainly being used in patients with shock states and acute respiratory distress syndrome in the absence of right ventricular dysfunction. In the hands of skilled doctors they can provide valuable information and aid in guiding treatment, and based on the latest observational trials, might decrease mortality. Fig. 3, Tab. 1, Ref. 48, on-line full text (Free, PDF) www.cardiologyletters.sk

HEART failure patients; ADULT respiratory distress syndrome; RIGHT ventricular dysfunction; HEMODYNAMIC monitoring; CARDIOGENIC shock; HEART assist devices; HEART failure

Cardiology Letters, 2024, Vol 33, Issue 5, p327

1338-3655

Academic Journal

10.4149/Cardiol_2024_5_5