Non-invasive Cardiac Output Monitoring in Congenital Heart Disease

Q3 Medicine

Current Treatment Options in Pediatrics Pub Date : 2023-09-25 DOI:10.1007/s40746-023-00274-1

Animesh Tandon, Sarnab Bhattacharya, Ayse Morca, Omer T Inan, Daniel S Munther, Shawn D Ryan, Samir Q Latifi, Nanshu Lu, Javier J Lasa, Bradley S Marino, Orkun Baloglu

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Abstract

Abstract Purpose of review Cardiac output (CO) is a fundamental physiological parameter that measures the volume of blood that is pumped by the heart per unit of time, and helps define how oxygen is delivered to the tissues of the human body. In this paper, we discuss current methods of continuous CO monitoring while defining low CO syndrome (LCOS) and how analytical tools may help improve CO management in the subpopulation of patients with congenital heart disease (CHD). Recent findings Non-invasive methods of measuring CO have become increasingly available in recent years. Advantages of non-invasive over invasive techniques include decreased risk of procedural complications, decreased exposure to sedative and/or anesthetic agents, and increased patient comfort. Pediatric patient populations are particularly sensitive to the risks and complications of invasive techniques given the relative size of current technologies to pediatric vascular and cardiac dimensions. Summary Novel device technologies, combined with emerging analytical techniques, may help improve measurement of CO in children and those with CHD, and allow earlier detection of LCOS.

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先天性心脏病无创心输出量监测

心输出量(Cardiac output, CO)是衡量单位时间内心脏泵出的血容量的基本生理参数，有助于确定氧气如何被输送到人体各组织。在本文中，我们讨论了当前的连续CO监测方法，同时定义低CO综合征(LCOS)，以及分析工具如何有助于改善先天性心脏病(CHD)患者亚群的CO管理。近年来，测量一氧化碳的非侵入性方法越来越多。与侵入性技术相比，非侵入性技术的优点包括降低手术并发症的风险，减少镇静和/或麻醉剂的暴露，增加患者的舒适度。鉴于目前的技术相对于儿童血管和心脏的尺寸，儿科患者群体对侵入性技术的风险和并发症特别敏感。新的仪器技术，结合新兴的分析技术，可能有助于改善儿童和冠心病患者CO的测量，并允许早期检测LCOS。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Current Treatment Options in Pediatrics Medicine-Pediatrics, Perinatology and Child Health

CiteScore

0.60

自引率

0.00%

发文量

期刊介绍： Current Treatment Options in Pediatrics aims to review the most important, recently published research on treatment in the field of pediatrics. By providing clear, insightful, balanced contributions by international experts, the journal intends to serve all those involved in the care of children of all ages.We accomplish this aim by appointing international authorities to serve as Section Editors in key subject areas covering all the major medical and surgical disciplines in pediatrics. Section Editors, in turn, select topics for which leading experts contribute comprehensive treatment-focused review articles that emphasize new developments and recently published papers of major importance, highlighted by annotated reference lists. An international Editorial Board reviews the annual table of contents, suggests articles of special interest to their country/region, and ensures that topics are current and include emerging research. Commentaries from well-known figures in the field are also occasionally provided.