ArticleAnnals of intensive care2017
Validation of transpulmonary thermodilution variables in hemodynamically stable patients with heart diseases.
Article in Annals of intensive care, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.
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Who cites it
8 citing papers in PubMed.
- [The pulmonary artery catheter-Not a niche tool but often a must].Die Anaesthesiologie · 2026Review
- Radiographic assessment of lung edema (RALE) score is associated with clinical outcomes in patients with refractory cardiogenic shock and refractory cardiac arrest after percutaneous implantation of extracorporeal life support.Internal and emergency medicine · 2022Article
- Contemporary Review of Hemodynamic Monitoring in the Critical Care Setting.US cardiology · 2022Review
- Volumetric Monitoring and Extravascular Lung Water in Perioperative Setting and Critically Ill.Turkish journal of anaesthesiology and reanimation · 2021Article
- Aortic volume determines global end-diastolic volume measured by transpulmonary thermodilution.Intensive care medicine experimental · 2020Article
- Extravascular lung water measurements in acute respiratory distress syndrome: why, how, and when?Current opinion in critical care · 2018Review
- Alternatives to the Swan-Ganz catheter.Intensive care medicine · 2018Review
- Validation of transpulmonary thermodilution variables in hemodynamically stable patients with heart diseases.Annals of intensive care · 2017Article
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5 authors.
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Abstract
backgroundTranspulmonary thermodilution is recommended in the treatment of critically ill patients presenting with complex shock. However, so far it has not been validated in hemodynamically stable patients with heart disease.
methodsWe assessed the validity of cardiac output, global end-diastolic volume index (GEDVI), an established marker of preload thought to reflect the volume of all four heart chambers, global ejection fraction (GEF) and cardiac function index (CFI) as variables of cardiac function, and extravascular lung water index (EVLWI) as indicator of pulmonary edema in 29 patients undergoing elective left and right heart catheterization including left ventricular angiography with stable coronary heart disease and normal cardiac function (controls, n = 11), moderate-to-severe aortic valve stenosis (AS, n = 10), or dilated cardiomyopathy (DCM, n = 8).
resultsCardiac output was similar in controls, AS, and DCM, with good correlation between transpulmonary thermodilution and pulmonary artery catheter using the Fick method (r = 0.69, p < 0.0001). Left ventricular end-diastolic volume was normal in controls and AS, but significantly higher in DCM (104 ± 37 vs 135 ± 63 vs 234 ± 24 ml, p < 0.01). GEDVI did not differentiate between patients with normal and patients with enlarged left ventricular end-diastolic volume (848 ± 128 vs 882 ± 213 ml m
conclusionsCardiac output measurement by transpulmonary thermodilution is unaffected by differences in ventricular size and outflow obstruction. However, GEDVI did not identify markedly enlarged left ventricular end-diastolic volumes, and neither GEF nor CFI reflected the increased heart chamber volumes and markedly impaired left ventricular function in patients with DCM. In contrast, EVLWI is probably a sensitive marker of subclinical pulmonary edema particularly in patients with elevated left-ventricular-filling pressure irrespective of differences in left ventricular function.
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