Hemodynamics, fluids & transfusion
Association Between Right Ventricular Systolic Parameters Measured by Echocardiography and Stroke Volume Derived From Pulmonary Artery Catheter in Ischemic Cardiogenic Shock
Authors' conclusion
RVOT VTI is the echocardiographic RV systolic function parameter that best correlates with PAC-derived native SV in patients with STEMI complicated by CS.
Study context
- Population
- Patients with ST elevation myocardial infarction (STEMI) complicated by cardiogenic shock admitted to a tertiary cardiac ICU in London, UK
- Participants
- 43 patients
- Exposure
- Seven echocardiographic right ventricular (RV) systolic function parameters vs pulmonary artery catheter (PAC)-derived stroke volume
- Outcome
- Correlation with PAC-derived stroke volume
Methodological detailssingle-centre
- Single-centre
Main finding
As reported in the abstract
- RVOT VTI correlation with PAC-derived stroke volume (SV) (r)
- 0.42 (p = 0.007)
- TAPSE correlation with PAC-derived SV (r)
- 0.37 (p = 0.02)
- RVOT VTI independently associated with low PAC-derived SV (OR)
- 1.3 (p = 0.03)
- RVOT VTI AUC for low PAC-derived SV
- 0.71 (p = 0.02)
- RVOT VTI <12.7 cm: sensitivity for low PAC-derived SV
- 66%
- RVOT VTI <12.7 cm: specificity for low PAC-derived SV
- 72%
Observational data: associations, not effects.
Further findings
Baseline characteristics
- Median age (IQR 52-67 years)
- 61 years
- Male
- 36 of 43 (84%)
- Median PAC-derived SV (IQR 39-70 mL)
- 57 mL
- Median LV ejection fraction (IQR 22%-35%)
- 31%
Parts of this Brief are withheld: the automatic checks could not confirm them against the abstract.
Original publication
Association Between Right Ventricular Systolic Parameters Measured by Echocardiography and Stroke Volume Derived From Pulmonary Artery Catheter in Ischemic Cardiogenic Shock. J Cardiothorac Vasc Anesth. Published 25 July 2024. doi:10.
Composed by AI from the published abstract and checked against it. How Briefs are made →