کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
2962621 1178439 2006 9 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Noninvasive Calibration of Cardiac Pressure Transducers in Patients With Heart Failure: An Aid to Implantable Hemodynamic Monitoring and Therapeutic Guidance
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی کاردیولوژی و پزشکی قلب و عروق
پیش نمایش صفحه اول مقاله
Noninvasive Calibration of Cardiac Pressure Transducers in Patients With Heart Failure: An Aid to Implantable Hemodynamic Monitoring and Therapeutic Guidance
چکیده انگلیسی

BackgroundImplantable cardiac pressure monitors require assurance of calibration. This study evaluated if airway pressure responses during Valsalva maneuver (VM) can be used for calibrating intracardiac pressure transducers.Methods and ResultsThirty-eight heart failure patients performed VMs while cardiac and airway pressures were recorded. Patients were designated as Lower (L) if baseline PCW was <20 mm Hg (n = 17); otherwise, they were categorized as Higher (H) (n = 21). VMs were repeated in 9 H patients after nitroglycerin. Procedural success was 92% and there were no complications. Differences between filling pressure and airway pressure (effective pressure) were eliminated during VM (RAeff = −0.9 ± 1.3, RVEDeff = 1.2 ± 1.1, PCWeff = 2.1 ± 2.8, and LVEDeff = 0.9 ± 1.6 mm Hg), and filling pressures were highly correlated with airway pressure r = 0.94. On average, group H had higher PCWeff and LVEDeff than L patients by 1.8 and 2.5 mm Hg (P ≤ .002), respectively, but after nitrates their responses were identical.ConclusionThe relationships between cardiac filling pressure and airway pressure during the Valsalva maneuver are sufficiently reliable to be considered as a new, noninvasive method for establishing the calibration of cardiac pressure sensors in patients with heart failure.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Journal of Cardiac Failure - Volume 12, Issue 7, September 2006, Pages 568–576
نویسندگان
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