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Complete hemodynamic profiling tied to lower mortality from cardiogenic shock

Journal
JACC: Heart Failure
Reuters Health - 23/11/2020 - The use of pulmonary-artery catheters (PAC) for complete hemodynamic profiling is associated with lower in-hospital mortality in patients with cardiogenic shock, according to a new study. "To improve clinical outcomes, we must develop and implement algorithms that evaluate PAC data in a comprehensive manner inclusive of assessing right and left ventricular function, cardiac-filling pressures, and both systemic and pulmonary vascular resistance," Dr. Navin K. Kapur of Tufts Medical Center, in Boston, told Reuters Health by email. "These data can guide clinical decision making for our most critically ill patients." PAC monitoring allows clinicians to assess the relative contributions of right and left ventricular failure to guide medical therapy. Several studies have shown no benefit from PAC-guided treatment in patients with decompensated heart failure, but these studies typically excluded patients with cardiogenic shock. Dr. Kapu...


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