Phenotyping and hemodynamic A=assessment in cardiogenic shock: from physiology to clinical application.
Author
Lim, Hoong SernPublication date
2022-11-05Subject
Cardiology
Metadata
Show full item recordAbstract
There is growing interest in invasive hemodynamic assessment in cardiogenic shock, primarily due to the widespread adoption of mechanical circulatory support (MCS). Invasive hemodynamic assessment is central to two aspects of cardiogenic shock management: (1) the phenotyping of cardiogenic shock, and (2) the assessment of response to therapy. Phenotyping of cardiogenic shock serves to guide timely therapeutic intervention, and the assessment of hemodynamic response to therapy directs the escalation or de-escalation of therapy, including MCS. This review aims to discuss these two aspects of hemodynamic assessment in cardiogenic shock. Firstly, the physiologic underpinnings of a phenotyping schema, and the implication of the cardiogenic shock phenotype on the MCS strategy in cardiogenic shock will be discussed. Secondly, the concept of cardiac power output and 'effective' oxygen delivery will be discussed in relation to hemodynamic response to therapy in cardiogenic shock.Citation
Lim HS. Phenotyping and Hemodynamic Assessment in Cardiogenic Shock: From Physiology to Clinical Application. Cardiol Ther. 2022 Dec;11(4):509-522. doi: 10.1007/s40119-022-00286-2. Epub 2022 Nov 5Type
ArticleAdditional Links
https://link.springer.com/journal/40119https://www.ncbi.nlm.nih.gov/pmc/journals/2526/
PMID
36335176Journal
Cardiology and TherapyPublisher
Springerae974a485f413a2113503eed53cd6c53
10.1007/s40119-022-00286-2