{"title":"临时机械循环支持患者的无创超声心动图血流动力学:一个病例系列。","authors":"Govind Pandompatam, Rohan Goswami","doi":"10.1097/MAT.0000000000002550","DOIUrl":null,"url":null,"abstract":"<p><p>The aortic pulsatility index (API) (systolic blood pressure-diastolic blood pressure/pulmonary capillary wedge pressure [PCWP]) integrates ventricular output with left ventricular (LV) filling pressures. It offers a surrogate for ventricular-arterial coupling and is associated with the need for advanced therapies and outcomes in decompensated heart failure. However, its use in patients in cardiogenic shock requiring temporary mechanical circulatory support (tMCS) is limited and requires invasive measurement of PCWP. This case series evaluates the concept of echo-API as a noninvasive tool to estimate API using Doppler echocardiography, and its feasibility in patients with cardiogenic shock on tMCS.</p>","PeriodicalId":8844,"journal":{"name":"ASAIO Journal","volume":" ","pages":""},"PeriodicalIF":2.3000,"publicationDate":"2025-09-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Noninvasive Echocardiographic Hemodynamics in Patients on Temporary Mechanical Circulatory Support: A Case Series.\",\"authors\":\"Govind Pandompatam, Rohan Goswami\",\"doi\":\"10.1097/MAT.0000000000002550\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><p>The aortic pulsatility index (API) (systolic blood pressure-diastolic blood pressure/pulmonary capillary wedge pressure [PCWP]) integrates ventricular output with left ventricular (LV) filling pressures. It offers a surrogate for ventricular-arterial coupling and is associated with the need for advanced therapies and outcomes in decompensated heart failure. However, its use in patients in cardiogenic shock requiring temporary mechanical circulatory support (tMCS) is limited and requires invasive measurement of PCWP. This case series evaluates the concept of echo-API as a noninvasive tool to estimate API using Doppler echocardiography, and its feasibility in patients with cardiogenic shock on tMCS.</p>\",\"PeriodicalId\":8844,\"journal\":{\"name\":\"ASAIO Journal\",\"volume\":\" \",\"pages\":\"\"},\"PeriodicalIF\":2.3000,\"publicationDate\":\"2025-09-11\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"ASAIO Journal\",\"FirstCategoryId\":\"5\",\"ListUrlMain\":\"https://doi.org/10.1097/MAT.0000000000002550\",\"RegionNum\":3,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q2\",\"JCRName\":\"ENGINEERING, BIOMEDICAL\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"ASAIO Journal","FirstCategoryId":"5","ListUrlMain":"https://doi.org/10.1097/MAT.0000000000002550","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"ENGINEERING, BIOMEDICAL","Score":null,"Total":0}
Noninvasive Echocardiographic Hemodynamics in Patients on Temporary Mechanical Circulatory Support: A Case Series.
The aortic pulsatility index (API) (systolic blood pressure-diastolic blood pressure/pulmonary capillary wedge pressure [PCWP]) integrates ventricular output with left ventricular (LV) filling pressures. It offers a surrogate for ventricular-arterial coupling and is associated with the need for advanced therapies and outcomes in decompensated heart failure. However, its use in patients in cardiogenic shock requiring temporary mechanical circulatory support (tMCS) is limited and requires invasive measurement of PCWP. This case series evaluates the concept of echo-API as a noninvasive tool to estimate API using Doppler echocardiography, and its feasibility in patients with cardiogenic shock on tMCS.
期刊介绍:
ASAIO Journal is in the forefront of artificial organ research and development. On the cutting edge of innovative technology, it features peer-reviewed articles of the highest quality that describe research, development, the most recent advances in the design of artificial organ devices and findings from initial testing. Bimonthly, the ASAIO Journal features state-of-the-art investigations, laboratory and clinical trials, and discussions and opinions from experts around the world.
The official publication of the American Society for Artificial Internal Organs.