ArticleEuropean heart journal supplements : journal of the European Society of Cardiology2023
Monitoring MCS patients on the intensive care unit: integrating haemodynamic assessment, laboratory data, and imaging techniques for timely detection of deterioration and recovery.
Article in European heart journal supplements : journal of the European Society of Cardiology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.
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Who cites it
7 citing papers in PubMed.
- Axial Flow Percutaneous Ventricular Assist Devices: Physiology, Procedural Considerations, and Clinical Applications-A State-of-the-Art Review.Structural heart : the journal of the Heart Team · 2026Review
- Invasive Hemodynamic Monitoring in Acute Heart Failure and Cardiogenic Shock.Reviews in cardiovascular medicine · 2025Review
- Unlocking opportunities to transform patient care: an expert insight on limitations and opportunities in patient monitoring.Intensive care medicine experimental · 2025Review
- Assessing the clinical impact of cardiac intensivists in cardiac intensivecare units: results from the RESCUE registry.BMC cardiovascular disorders · 2025Article
- Impella malrotation affects left ventricle unloading in cardiogenic shock patients.ESC heart failure · 2025Article
- Left ventricular unloading and venting in veno-arterial extracorporeal membrane oxygenation: the importance of cardiogenic shock aetiology in guiding treatment strategies.ESC heart failure · 2024Article
- Prolonged Impella 5.0/5.5 support within different pathways of care for cardiogenic shock: the experience of a referral center.Frontiers in cardiovascular medicine · 2024Article
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Authors and funding
9 authors.
Funding
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Abstract
Monitoring of the patient supported with a temporary mechanical circulatory support (tMCS) is crucial in achieving the best possible outcome. Monitoring is a continuous and labour-intensive process, as cardiogenic shock (CS) patients can rapidly deteriorate and may require new interventions within a short time period. Echocardiography and invasive haemodynamic monitoring form the cornerstone of successful tMCS support. During monitoring, it is particularly important to ensure that adequate end-organ perfusion is achieved and maintained. Here, we provide a comprehensive overview of best practices for monitoring the CS patient supported by a micro-axial flow pump, veno-arterial extracorporeal membrane oxygenation, and both devices simultaneously (ECMELLA approach). It is a complex process that encompasses device control, haemodynamic control and stabilization, monitoring of interventions, and assessment of end-organ function. The combined, continuous, and preferably protocol-based approach of echocardiography, evaluation of biomarkers, end-organ assessment, and haemodynamic parameters is crucial in assessing this critically ill CS patient population.
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