Assessing aortic flow with doppler echocardiography in cardiogenic shock: A crucial diagnostic tool

IF 1.6 4区医学 Q3 CARDIAC & CARDIOVASCULAR SYSTEMS

Echocardiography-A Journal of Cardiovascular Ultrasound and Allied Techniques Pub Date : 2024-08-08 DOI:10.1111/echo.15901

Mauro Riccardi MD, Dario S. Cani MD, Matteo Pagnesi MD, PhD, Carlo M. Lombardi MD, Marco Metra MD, Riccardo M. Inciardi MD, PhD

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引用次数: 0

Abstract

Purpose

Cardiogenic shock still has a high mortality. In order to correctly manage these patients, it is useful to have available haemodynamic parameters, invasive and non-invasive. The aim of this review is to show the current evidence on the use of echocardiographic aortic flow assessment by left ventricular outflow tract - velocity time integral.

Methods

Publications relevant to the discussion of echocardiographic aortic flow assessment by left ventricular outflow tract - velocity time integral and cardiogenic shock, were retrieved from PubMed®.

Results

Left ventricular outflow tract - velocity time integral is an easily sampled and reproducible parameter that has already been shown to have prognostic value in various cardiovascular pathologies, including myocardial infarction and heart failure. Although there are still few data available in the literature, the LVOT-VTI also seems to have an important role in CS from prognosis to guidance in the escalation/de-escalation of vasoactive therapy and to support devices by allowing an estimate of patient’s probability of response to fluid administration.

Conclusion

Aortic flow assessment can become a very useful invasive parameter in the management of cardiogenic shock.

Abstract Image

查看原文本刊更多论文

用多普勒超声心动图评估心源性休克的主动脉血流：重要的诊断工具。

目的：心源性休克的死亡率仍然很高。为了正确处理这些患者，掌握有创和无创血流动力学参数非常有用。本综述旨在展示通过左心室流出道-速度时间积分进行超声心动图主动脉血流评估的现有证据：方法：从PubMed®中检索与通过左室流出道-速度时间积分进行超声心动图主动脉血流评估和心源性休克讨论相关的文献：左心室流出道--速度时间积分是一个易于采样和重复的参数，已被证明对包括心肌梗塞和心力衰竭在内的各种心血管疾病具有预后价值。虽然文献中的数据还很少，但 LVOT-VTI 似乎在 CS 中也有重要作用，从预后到指导血管活性疗法的升级/降级，以及通过估计患者对输液反应的概率来支持设备：结论：主动脉血流评估可以成为治疗心源性休克的一个非常有用的有创参数。

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

Echocardiography-A Journal of Cardiovascular Ultrasound and Allied Techniques 医学-心血管系统

CiteScore

2.40

自引率

6.70%

发文量

211

审稿时长

3-6 weeks

期刊介绍： Echocardiography: A Journal of Cardiovascular Ultrasound and Allied Techniques is the official publication of the International Society of Cardiovascular Ultrasound. Widely recognized for its comprehensive peer-reviewed articles, case studies, original research, and reviews by international authors. Echocardiography keeps its readership of echocardiographers, ultrasound specialists, and cardiologists well informed of the latest developments in the field.