Application of pulse-indicated continuous cardiac output in patients with acute inferior wall myocardial infarction
10.3969/j.issn.1008-0074.2015.02
- VernacularTitle:经肺热稀释脉波指示连续心排血量监测在急性下壁心肌梗死患者的应用
- Author:
Gang WANG
;
Zhijun SUN
;
Bo JIANG
;
Bo YANG
;
Zhaoliang SHAN
- Publication Type:Journal Article
- Keywords:
Inferior wall myocardial infarction;
Cardiac output;
Echocardiography
- From:
Chinese Journal of cardiovascular Rehabilitation Medicine
2015;24(2):191-195
- CountryChina
- Language:English
-
Abstract:
Objective: To explore the guiding significance of transpulmonary thermodilution pulse-indicated continuous cardiac output (PiCCO) in treatment for patients with acute inferior wall myocardial infarction (AIMI). Methods: A total of 26 AIMI patients in intensive care unit of cardiology department in our hospital from Jul 2012 to Jan 2014 received PiCCO and ultrasonic cardiography (UCG) to monitor cardiac output (CO) and cardiac index (CI), and their correlation analysis. Results: When PiCCO placement and after placement 72h， PiCCO monitoring CI were （2.77±0.77）L•min-1•m-2, (3.17±0.39) L•min-1•m-2 respectively, there was significant difference（P＜0.01）, UCG measured CI were (2.49±0.64）L•min-1•m-2, (2.63±0.24) L•min-1•m-2, there was no significant difference（P＞0.05）; PiCCO monitoring CO were（4.78±1.06）L/min, (5.08±1.53) L/min respectively, there was significant difference（P＜0.05）, UCG measured CO were（4.51± 0.86）L/min, (4.57±0.91) L/min, there was no significant difference（P＞0.05）; and CI，CO measured by PiCCO were significantly higher than those of UCG group (P＜0.01 both) after PiCCO placement 72h. Conclusion: Pulse-indicated continuous cardiac output can offer more sensitive hemodynamic indexes compared with UCG, which possesses important treatment guiding significance in patients with acute inferior wall myocardial infarction and unstable hemodynamics.
- Full text:P020150619766811965101.doc
