Farshadmand Jonathan, Lowy Zachary, Hai Ofek, Zeltser Roman, Makaryus Amgad N
Donald and Barbara School of Medicine at Hofstra/Northwell, Hofstra University, 500 Hofstra Blvd., Hempstead, NY 11549, USA.
Department of Cardiology, Nassau University Medical Center, Hempstead, NY 11554, USA.
Healthcare (Basel). 2022 Nov 30;10(12):2417. doi: 10.3390/healthcare10122417.
Despite numerous advancements in prevention, diagnosis and treatment, cardiovascular disease has remained the leading cause of mortality globally for the past 20 years. Part of the explanation for this trend is persistent difficulty in determining the severity of cardiac conditions in order to allow for the deployment of prompt therapies. This review seeks to determine the prognostic importance of cardiac power (CP) measurements, including cardiac power output (CPO) and cardiac power index (CPI), in various cardiac pathologies. CP was evaluated across respective disease-state categories which include cardiogenic shock (CS), septic shock, transcatheter aortic valve replacement (TAVR), heart failure (HF), post-myocardial infarction (MI), critical cardiac illness (CCI) and an "other" category. Literature review was undertaken of articles discussing CP in various conditions and this review found utility and prognostic significance in the evaluation of TAVR patients with a significant correlation between one-year mortality and CPI; in HF patients showing CPI and CPO as valuable tools to assess cardiac function in the acute setting; and, additionally, CPO was found to be an essential tool in patients with CCI, as the literature showed that CPO was statistically correlated with mortality. Cardiac power and the derived measures obtained from this relatively easily obtained variable can allow for essential estimations of prognostic outcomes in cardiac patients.
尽管在预防、诊断和治疗方面取得了诸多进展，但在过去20年里，心血管疾病一直是全球主要的死亡原因。这种趋势的部分原因在于，确定心脏疾病的严重程度以进行及时治疗一直存在困难。本综述旨在确定心脏功率（CP）测量，包括心脏功率输出（CPO）和心脏功率指数（CPI），在各种心脏疾病中的预后重要性。在包括心源性休克（CS）、感染性休克、经导管主动脉瓣置换术（TAVR）、心力衰竭（HF）、心肌梗死后（MI）、重症心脏疾病（CCI）以及“其他”类别等各自的疾病状态类别中对CP进行了评估。对讨论各种情况下CP的文章进行了文献综述，本综述发现，在评估TAVR患者时，CP具有实用性和预后意义，一年死亡率与CPI之间存在显著相关性；在HF患者中，CPI和CPO是评估急性情况下心脏功能的有价值工具；此外，在CCI患者中，CPO是一种重要工具，因为文献表明CPO与死亡率存在统计学相关性。心脏功率以及从这个相对容易获得的变量得出的测量值，可以对心脏病患者的预后结果进行重要评估。
