Pulmonary Artery Catheter Monitoring in Patients with Cardiogenic Shock: Time for a Reappraisal?
Cardiogenic shock represents one of the most dramatic scenarios to deal with in intensive cardiology care and is burdened by substantial short-term mortality. An integrated approach, including timely diagnosis and phenotyping, along with a well-established shock team and management protocol, may imp...
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| Format: | Article |
| Language: | English |
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Radcliffe Medical Media
2022-04-01
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| Series: | Cardiac Failure Review |
| Online Access: | https://www.cfrjournal.com/articleindex/cfr.2021.32 |
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| author | Maurizio Bertaina Alessandro Galluzzo Nuccia Morici Alice Sacco Fabrizio Oliva Serafina Valente Fabrizio D’Ascenzo Simone Frea Pierluigi Sbarra Elisabetta Petitti Silvia Brach Prever Giacomo Boccuzzi Paola Zanini Matteo Attisani Francesco Rametta Gaetano Maria De Ferrari Patrizia Noussan Mario Iannaccone |
| author_facet | Maurizio Bertaina Alessandro Galluzzo Nuccia Morici Alice Sacco Fabrizio Oliva Serafina Valente Fabrizio D’Ascenzo Simone Frea Pierluigi Sbarra Elisabetta Petitti Silvia Brach Prever Giacomo Boccuzzi Paola Zanini Matteo Attisani Francesco Rametta Gaetano Maria De Ferrari Patrizia Noussan Mario Iannaccone |
| author_sort | Maurizio Bertaina |
| collection | DOAJ |
| description | Cardiogenic shock represents one of the most dramatic scenarios to deal with in intensive cardiology care and is burdened by substantial short-term mortality. An integrated approach, including timely diagnosis and phenotyping, along with a well-established shock team and management protocol, may improve survival. The use of the Swan-Ganz catheter could play a pivotal role in various phases of cardiogenic shock management, encompassing diagnosis and haemodynamic characterisation to treatment selection, titration and weaning. Moreover, it is essential in the evaluation of patients who might be candidates for long-term heart-replacement strategies. This review provides a historical background on the use of the Swan-Ganz catheter in the intensive care unit and an analysis of the available evidence in terms of potential prognostic implications in this setting. |
| format | Article |
| id | doaj-art-9b81021f49ea46229ee980a5fac4524a |
| institution | OA Journals |
| issn | 2057-7540 2057-7559 |
| language | English |
| publishDate | 2022-04-01 |
| publisher | Radcliffe Medical Media |
| record_format | Article |
| series | Cardiac Failure Review |
| spelling | doaj-art-9b81021f49ea46229ee980a5fac4524a2025-08-20T02:37:47ZengRadcliffe Medical MediaCardiac Failure Review2057-75402057-75592022-04-01810.15420/cfr.2021.32Pulmonary Artery Catheter Monitoring in Patients with Cardiogenic Shock: Time for a Reappraisal?Maurizio Bertaina0Alessandro Galluzzo1Nuccia Morici2Alice Sacco3Fabrizio Oliva4Serafina Valente5Fabrizio D’Ascenzo6Simone Frea7Pierluigi Sbarra8Elisabetta Petitti9Silvia Brach Prever10Giacomo Boccuzzi11Paola Zanini12Matteo Attisani13Francesco Rametta14Gaetano Maria De Ferrari15Patrizia Noussan16Mario Iannaccone17Department of Cardiology, San Giovanni Bosco Hospital, ASL Città di Torino, Turin, ItalyDepartment of Cardiology, Sant’Andrea Hospital, Vercelli, ItalyIntensive Cardiac Care Unit and De Gasperis Cardio Center, ASST Grande Ospedale Metropolitano Niguarda, Milan, Italy; IRCCS S Maria Nascente – Fondazione Don Carlo Gnocchi ONLUS, Milan, ItalyIntensive Cardiac Care Unit and De Gasperis Cardio Center, ASST Grande Ospedale Metropolitano Niguarda, Milan, ItalyIntensive Cardiac Care Unit and De Gasperis Cardio Center, ASST Grande Ospedale Metropolitano Niguarda, Milan, ItalyDepartment of Cardiovascular Diseases, University of Siena, Siena, ItalyDivision of Cardiology, Department of Medical Sciences, University of Turin, Città della Salute e della Scienza Hospital, Turin, ItalyDivision of Cardiology, Department of Medical Sciences, University of Turin, Città della Salute e della Scienza Hospital, Turin, ItalyDepartment of Cardiology, San Giovanni Bosco Hospital, ASL Città di Torino, Turin, ItalyDepartment of Cardiology, San Giovanni Bosco Hospital, ASL Città di Torino, Turin, ItalyDepartment of Cardiology, San Giovanni Bosco Hospital, ASL Città di Torino, Turin, ItalyDepartment of Cardiology, San Giovanni Bosco Hospital, ASL Città di Torino, Turin, ItalyDepartment of Cardiology, San Giovanni Bosco Hospital, ASL Città di Torino, Turin, ItalyDepartment of Cardiac Surgery, San Giovanni Bosco Hospital, ASL Città di Torino, Turin, ItalyDepartment of Cardiology, Sant’Andrea Hospital, Vercelli, ItalyDivision of Cardiology, Department of Medical Sciences, University of Turin, Città della Salute e della Scienza Hospital, Turin, ItalyDepartment of Cardiology, San Giovanni Bosco Hospital, ASL Città di Torino, Turin, ItalyDepartment of Cardiology, San Giovanni Bosco Hospital, ASL Città di Torino, Turin, ItalyCardiogenic shock represents one of the most dramatic scenarios to deal with in intensive cardiology care and is burdened by substantial short-term mortality. An integrated approach, including timely diagnosis and phenotyping, along with a well-established shock team and management protocol, may improve survival. The use of the Swan-Ganz catheter could play a pivotal role in various phases of cardiogenic shock management, encompassing diagnosis and haemodynamic characterisation to treatment selection, titration and weaning. Moreover, it is essential in the evaluation of patients who might be candidates for long-term heart-replacement strategies. This review provides a historical background on the use of the Swan-Ganz catheter in the intensive care unit and an analysis of the available evidence in terms of potential prognostic implications in this setting.https://www.cfrjournal.com/articleindex/cfr.2021.32 |
| spellingShingle | Maurizio Bertaina Alessandro Galluzzo Nuccia Morici Alice Sacco Fabrizio Oliva Serafina Valente Fabrizio D’Ascenzo Simone Frea Pierluigi Sbarra Elisabetta Petitti Silvia Brach Prever Giacomo Boccuzzi Paola Zanini Matteo Attisani Francesco Rametta Gaetano Maria De Ferrari Patrizia Noussan Mario Iannaccone Pulmonary Artery Catheter Monitoring in Patients with Cardiogenic Shock: Time for a Reappraisal? Cardiac Failure Review |
| title | Pulmonary Artery Catheter Monitoring in Patients with Cardiogenic Shock: Time for a Reappraisal? |
| title_full | Pulmonary Artery Catheter Monitoring in Patients with Cardiogenic Shock: Time for a Reappraisal? |
| title_fullStr | Pulmonary Artery Catheter Monitoring in Patients with Cardiogenic Shock: Time for a Reappraisal? |
| title_full_unstemmed | Pulmonary Artery Catheter Monitoring in Patients with Cardiogenic Shock: Time for a Reappraisal? |
| title_short | Pulmonary Artery Catheter Monitoring in Patients with Cardiogenic Shock: Time for a Reappraisal? |
| title_sort | pulmonary artery catheter monitoring in patients with cardiogenic shock time for a reappraisal |
| url | https://www.cfrjournal.com/articleindex/cfr.2021.32 |
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