Phenotyping and hemodynamic A=assessment in cardiogenic shock: from physiology to clinical application.
Abstract
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.
Author
Citations
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Date
2022-11-05
Type
Article
Subject
Cardiology
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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 5
Journal / Source Title
Cardiology and Therapy
DOI
10.1007/s40119-022-00286-2
PMID
36335176
Publisher
Springer
Publisher’s URL
https://link.springer.com/journal/40119
https://www.ncbi.nlm.nih.gov/pmc/journals/2526/
https://www.ncbi.nlm.nih.gov/pmc/journals/2526/