Hemodynamics, fluids & transfusion
Echocardiography for Estimating Filling Pressures in Ischemic Cardiogenic Shock: A Real-World Comparison of New Guidelines and Invasive Measurements
Authors' conclusion
Echocardiographic algorithms demonstrated modest accuracy for detecting elevated PCWP in AMI-CS.
Study context
- Population
- Patients with acute MI-related cardiogenic shock (AMI-CS) with simultaneous transthoracic echocardiography and pulmonary artery catheter (PAC) monitoring, tertiary cardiac ICU, London, UK
- Participants
- 40 patients
- Comparison
- American Society of Echocardiography (ASE) 2016 vs ASE 2025 vs British Society of Echocardiography (BSE) 2024
- Outcome
- Diagnostic accuracy for elevated PCWP
Methodological detailspost hoc analysis of a prospective observational study, single-centre
- Post hoc analysis of a prospective observational study
- Single-centre
Performance
As reported in the abstract
| Strategy | Accuracy |
|---|---|
| ASE 2016 | 63% |
| BSE 2024 | 64% |
| ASE 2025 | 73% |
Accuracy
ASE 201663%
BSE 202464%
ASE 202573%
Parts of this Brief are withheld: the automatic checks could not confirm them against the abstract.
Original publication
Echocardiography for Estimating Filling Pressures in Ischemic Cardiogenic Shock: A Real-World Comparison of New Guidelines and Invasive Measurements. J Cardiothorac Vasc Anesth. Published 13 March 2026. doi:10.
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