Evidence map›Paper›PMID 24954709›Full record

ArticleHeart, lung & circulation2014

Use of pressure-volume conductance catheters in real-time cardiovascular experimentation.

Abraham E Wei, Mikhail Y Maslov, Matthew J Pezone, Elazer R Edelman, Mark A Lovich

Abstract read
In one paragraph

Article in Heart, lung & circulation, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

  1. Article
  2. Article
  3. Assessing Rodent Cardiac FunctionFrontiers in physiology · 2021
    Article
  4. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Abraham E WeiDepartment of Anesthesiology and Pain Medicine, Steward St. Elizabeth's Medical Center/Tufts University School of Medicine, Boston, MA, 02135, USA.
Mikhail Y MaslovDepartment of Anesthesiology and Pain Medicine, Steward St. Elizabeth's Medical Center/Tufts University School of Medicine, Boston, MA, 02135, USA. Electronic address: mikhail.maslov@steward.org.
Matthew J PezoneDepartment of Anesthesiology and Pain Medicine, Steward St. Elizabeth's Medical Center/Tufts University School of Medicine, Boston, MA, 02135, USA.
Elazer R EdelmanHarvard-MIT Division of Health Sciences and Technology, Massachusetts Institute of Technology, Cambridge, MA, 02139, USA.
Mark A LovichDepartment of Anesthesiology and Pain Medicine, Steward St. Elizabeth's Medical Center/Tufts University School of Medicine, Boston, MA, 02135, USA.

Funding

Vascular Drug Delivery - Supplement for EquipmentR01GM049039 · NIGMS · MASSACHUSETTS INSTITUTE OF TECHNOLOGY · PI EDELMAN, ELAZER R · 1994 to 2019
$8.9M
NIGMS NIH HHS R01 GM049039NIGMS NIH HHS R01 GM 49039
6 · The paper itself

Abstract

backgroundMost applications of pressure-volume conductance catheter measurements assess cardiovascular function at a single point in time after genetic, pharmacologic, infectious, nutritional, or toxicologic manipulation. Use of these catheters as a continuous monitor, however, is fraught with complexities and limitations.

methodsExamples of the limitations and optimal use of conductance catheters as a continuous, real-time monitor of cardiovascular function are demonstrated during inotropic drug infusion in anesthetised rats.

resultsInotropic drug infusion may alter ventricular dimensions causing relative movement of a well-positioned catheter, generating artifacts, including an abrupt pressure rise at end-systole that leads to over estimation of indices of contractility (max dP/dt) and loss of stroke volume signal. Simple rotation of the catheter, echocardiography-guided placement to the centre of the ventricle, or ventricular expansion through crystalloid infusion may correct for these artifacts. Fluid administration, however, alters left ventricular end-diastolic pressure and volume and therefore stroke volume, thereby obscuring continuous real-time haemodynamic measurements.

conclusionsPressure-volume artifacts during inotropic infusion are caused by physical contact of the catheter with endocardium. Repeated correction of catheter position may be required to use pressure volume catheters as a continuous real-time monitor during manipulations that alter ventricular dimensions, such as inotropic therapy.

Indexed as

Cardiac CatheterizationCardiac CathetersHeart VentriclesAnimalsCardiotonic AgentsHemodynamicsMaleMyocardial ContractionRatsRats, Sprague-DawleyVentricular FunctionCardiotonic AgentsDobutamine infusionEnd-systolic pressure volume relationshipMax dP/dtPressure-volume conductance catheterPressure volume loop

Identifiers

PMID24954709
PMCPMC4241179

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.