Bertaina Maurizio, Galluzzo Alessandro, Morici Nuccia, Sacco Alice, Oliva Fabrizio, Valente Serafina, D'Ascenzo Fabrizio, Frea Simone, Sbarra Pierluigi, Petitti Elisabetta, Prever Silvia Brach, Boccuzzi Giacomo, Zanini Paola, Attisani Matteo, Rametta Francesco, De Ferrari Gaetano Maria, Noussan Patrizia, Iannaccone Mario
Department of Cardiology, San Giovanni Bosco Hospital, ASL Città di Torino Turin, Italy.
Department of Cardiology, Sant'Andrea Hospital Vercelli, Italy.
Card Fail Rev. 2022 Apr 26;8:e15. doi: 10.15420/cfr.2021.32. eCollection 2022 Jan.
Cardiogenic shock represents one of the most dramatic scenarios to deal with in intensive cardiology care and is burdened by substantial short-term mortality. An integrated approach, including timely diagnosis and phenotyping, along with a well-established shock team and management protocol, may improve survival. The use of the Swan-Ganz catheter could play a pivotal role in various phases of cardiogenic shock management, encompassing diagnosis and haemodynamic characterisation to treatment selection, titration and weaning. Moreover, it is essential in the evaluation of patients who might be candidates for long-term heart-replacement strategies. This review provides a historical background on the use of the Swan-Ganz catheter in the intensive care unit and an analysis of the available evidence in terms of potential prognostic implications in this setting.
心源性休克是重症心脏病护理中最严峻的情况之一，短期死亡率很高。综合治疗方法，包括及时诊断和分型，以及完善的休克治疗团队和管理方案，可能会提高生存率。使用 Swan-Ganz 导管在心源性休克管理的各个阶段都可能发挥关键作用，包括从诊断、血流动力学特征分析到治疗选择、滴定和撤机。此外，对于可能适合长期心脏置换策略的患者评估至关重要。本综述提供了 Swan-Ganz 导管在重症监护病房使用的历史背景，并分析了在这种情况下潜在预后影响方面的现有证据。
