دورية أكاديمية

Accuracy of Doppler blood pressure measurement in HeartMate 3 ventricular assist device patients.

التفاصيل البيبلوغرافية
العنوان: Accuracy of Doppler blood pressure measurement in HeartMate 3 ventricular assist device patients.
المؤلفون: Li S; Division of Cardiology, Department of Medicine, University of Washington, Seattle, WA, 98195, USA., Beckman JA; Division of Cardiology, Department of Medicine, University of Washington, Seattle, WA, 98195, USA., Welch NG; Department of Statistics, University of Washington, Seattle, WA, USA., Cheng RK; Division of Cardiology, Department of Medicine, University of Washington, Seattle, WA, 98195, USA., Rockom SW; Division of Cardiology, Department of Medicine, University of Washington, Seattle, WA, 98195, USA., Levy WC; Division of Cardiology, Department of Medicine, University of Washington, Seattle, WA, 98195, USA., O'Brien KD; Division of Cardiology, Department of Medicine, University of Washington, Seattle, WA, 98195, USA., Dardas TF; Division of Cardiology, Department of Medicine, University of Washington, Seattle, WA, 98195, USA., Lin S; Division of Cardiology, Department of Medicine, University of Washington, Seattle, WA, 98195, USA., Leary PJ; Division of Pulmonary and Critical Care Medicine, Department of Medicine, University of Washington, Seattle, WA, USA., Kirkpatrick J; Division of Cardiology, Department of Medicine, University of Washington, Seattle, WA, 98195, USA., McCabe JM; Division of Cardiology, Department of Medicine, University of Washington, Seattle, WA, 98195, USA., Bjelkengren J; Division of Cardiology, Department of Medicine, University of Washington, Seattle, WA, 98195, USA., Chassagne F; Department of Mechanical Engineering, University of Washington, Seattle, WA, USA., Aliseda A; Department of Mechanical Engineering, University of Washington, Seattle, WA, USA., Zimpfer D; Division of Cardiothoracic Surgery, Department of Cardiac Surgery, University of Vienna, Vienna, Austria., Mahr C; Division of Cardiology, Department of Medicine, University of Washington, Seattle, WA, 98195, USA.
المصدر: ESC heart failure [ESC Heart Fail] 2020 Dec; Vol. 7 (6), pp. 4241-4246. Date of Electronic Publication: 2020 Oct 01.
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: John Wiley & Sons Ltd on behalf of the European Society of Cardiology Country of Publication: England NLM ID: 101669191 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 2055-5822 (Electronic) Linking ISSN: 20555822 NLM ISO Abbreviation: ESC Heart Fail Subsets: PubMed not MEDLINE; MEDLINE
أسماء مطبوعة: Original Publication: [Oxford] : John Wiley & Sons Ltd on behalf of the European Society of Cardiology, [2014]-
مستخلص: Aims: Optimal blood pressure (BP) control is imperative to reduce complications, especially strokes, in continuous flow ventricular assist device (VAD) patients. Doppler BP has been shown to be an accurate and reliable non-invasive BP measurement method in HeartMate II and HVAD patients. We examined whether Doppler BP is also accurate in patients with the HeartMate 3 VAD.
Methods and Results: In a prospective, longitudinal cohort of HeartMate 3 patients, arterial line BP and simultaneously measured Doppler opening pressure were obtained. Correlation and agreement between Doppler opening pressure and arterial line mean arterial pressure (MAP) versus systolic blood pressure (SBP) were analysed, as well as the effect of pulse pressure on the accuracy of Doppler opening pressure. A total of 589 pairs of simultaneous Doppler opening pressure and arterial line pressure readings were obtained in 43 patients. Doppler opening pressure had good correlation with intra-arterial MAP (r = 0.754) and more closely approximated MAP than SBP (mean error 2.0 vs. -8.6 mmHg). Pulse pressure did not have a clinically significant impact on the accuracy of the Doppler BP method. These results in HeartMate 3 patients are very similar to previous results in HeartMate II and HVAD patients.
Conclusions: Doppler BP method should be the default non-invasive BP measurement method in continuous flow VAD patients including patients implanted with the HeartMate 3.
(© 2020 The Authors. ESC Heart Failure published by John Wiley & Sons Ltd on behalf of the European Society of Cardiology.)
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فهرسة مساهمة: Keywords: Blood pressure; Heart failure; Ventricular assist device
تواريخ الأحداث: Date Created: 20201001 Latest Revision: 20221110
رمز التحديث: 20231215
مُعرف محوري في PubMed: PMC7754743
DOI: 10.1002/ehf2.13056
PMID: 33001579
قاعدة البيانات: MEDLINE