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回复信件“理解乳酸及其在体外膜肺氧合支持难治性心源性休克患者中的清除率”。

Reply to the letter "Understanding lactate and its clearance during extracorporeal membrane oxygenation for supporting refractory cardiogenic shock patients".

机构信息

Research Projects Office, Division of Cardiology, Hospital Moinhos de Vento (HMV), Hospital de Clínicas de Porto Alegre (HCPA), Rua Ramiro Barcelos 630, Porto Alegre, RS, 90035-001, Brazil.

Research Projects Office, HMV, Rua Ramiro Barcelos 630, Porto Alegre, RS, 90035-001, Brazil.

出版信息

BMC Cardiovasc Disord. 2023 May 12;23(1):250. doi: 10.1186/s12872-023-03273-0.

DOI:10.1186/s12872-023-03273-0
PMID:37173648
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10182605/
Abstract

This is a reply to the letter titled "Understanding lactate and its clearance during extracorporeal membrane oxygenation for supporting refractory cardiogenic shock patients" by Eva Rully Kurniawati et al. In response to the concerns raised about our paper published in BMC Cardiovascular Disorders, titled "Association between serum lactate levels and mortality in patients with cardiogenic shock receiving mechanical circulatory support: a multicenter retrospective cohort study," we have addressed the confounding bias on the population included and the use of VA-ECMO and Impella CP. Furthermore, we have provided new data on the correlation of oxygen supply and lactate levels at admission of cardiogenic shock.

摘要

这是对 Eva Rully Kurniawati 等人题为“理解体外膜肺氧合支持难治性心原性休克患者过程中的乳酸及其清除率”的信件的回复。针对我们发表在 BMC 心血管疾病杂志上的题为“机械循环支持治疗心原性休克患者血清乳酸水平与死亡率的相关性:一项多中心回顾性队列研究”的论文中提出的担忧,我们已经解决了纳入人群中的混杂偏差以及 VA-ECMO 和 Impella CP 的使用问题。此外,我们还提供了心原性休克患者入院时氧供和乳酸水平相关性的新数据。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/423a/10182605/70ed39792f28/12872_2023_3273_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/423a/10182605/70ed39792f28/12872_2023_3273_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/423a/10182605/70ed39792f28/12872_2023_3273_Fig1_HTML.jpg

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Reply to the letter "Understanding lactate and its clearance during extracorporeal membrane oxygenation for supporting refractory cardiogenic shock patients".回复信件“理解乳酸及其在体外膜肺氧合支持难治性心源性休克患者中的清除率”。
BMC Cardiovasc Disord. 2023 May 12;23(1):250. doi: 10.1186/s12872-023-03273-0.
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Understanding lactate and its clearance during extracorporeal membrane oxygenation for supporting refractory cardiogenic shock patients.了解体外膜肺氧合期间乳酸及其清除情况以支持难治性心源性休克患者。
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本文引用的文献

1
Clonal haematopoiesis is associated with higher mortality in patients with cardiogenic shock.克隆性造血与心源性休克患者的死亡率升高相关。
Eur J Heart Fail. 2022 Sep;24(9):1573-1582. doi: 10.1002/ejhf.2588. Epub 2022 Jul 10.
2
Association between serum lactate levels and mortality in patients with cardiogenic shock receiving mechanical circulatory support: a multicenter retrospective cohort study.血清乳酸水平与机械循环支持治疗的心源性休克患者死亡率的关系:一项多中心回顾性队列研究。
BMC Cardiovasc Disord. 2020 Nov 24;20(1):496. doi: 10.1186/s12872-020-01785-7.
3
A Standardized and Comprehensive Approach to the Management of Cardiogenic Shock.
一种标准化且全面的心源性休克管理方法。
JACC Heart Fail. 2020 Nov;8(11):879-891. doi: 10.1016/j.jchf.2020.09.005.
4
Investigation of microcirculation in patients with venoarterial extracorporeal membrane oxygenation life support.探讨静脉-动脉体外膜肺氧合生命支持患者的微循环。
Crit Care. 2018 Aug 19;22(1):200. doi: 10.1186/s13054-018-2081-2.
5
Contemporary Management of Cardiogenic Shock: A Scientific Statement From the American Heart Association.当代心源性休克管理:美国心脏协会的科学声明
Circulation. 2017 Oct 17;136(16):e232-e268. doi: 10.1161/CIR.0000000000000525. Epub 2017 Sep 18.