心源性休克的血流动力学监测。
Hemodynamic monitoring in cardiogenic shock.
机构信息
Department of Critical Care Medicine, University of Pittsburgh, Pittsburgh, Pennsylvania, USA.
出版信息
Curr Opin Crit Care. 2021 Aug 1;27(4):454-459. doi: 10.1097/MCC.0000000000000838.
PURPOSE OF REVIEW
Cardiogenic shock remains a major cause of mortality today. With recent advancements in invasive mechanical support strategies, reperfusion practice, and a new classification scheme is proposed for cardiogenic shock, an updated review of the latest hemodynamic monitoring techniques is important.
RECENT FINDINGS
Multiple recent studies have emerged supporting the use of pulmonary artery catheters in the cardiogenic shock population. Data likewise continues to emerge on the use of echocardiography and biomarker measurement in the care of these patients.
SUMMARY
The integration of multiple forms of hemodynamic monitoring, spanning noninvasive and invasive modalities, is important in the diagnosis, staging, initial treatment, and subsequent management of the cardiogenic shock patient.
目的综述
心源性休克仍是当今主要的死亡原因。随着最近在有创机械支持策略、再灌注实践方面的进展，以及为心源性休克提出了新的分类方案，对最新血流动力学监测技术的更新回顾是很重要的。
最近的发现
多项最近的研究支持在心源性休克人群中使用肺动脉导管。同样也有越来越多的数据支持在这些患者的护理中使用超声心动图和生物标志物测量。
总结
多种血流动力学监测方式的整合，包括非侵入性和侵入性方式，在心源性休克患者的诊断、分期、初始治疗和后续管理中很重要。
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