Global end-diastolic volume an emerging preload marker vis-a-vis other markers - Have we reached our goal?
Global end-diastolic volume an emerging preload marker vis-a-vis other markers - Have we reached our goal?
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DOI：
10.4103/0971-9784.191554
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发表时间：
2016-10
影响因子：
0.9
通讯作者：
Kiran U
中科院分区：
文献类型：
--
作者：
Kapoor PM;Bhardwaj V;Sharma A;Kiran U
心脏预负荷的可靠估计有助于严重循环功能障碍的处理。心脏预负荷的估计已经从核血管造影、肺动脉导管置入术发展到超声心动图和经肺热稀释（TPTD）。舒张末期总容积（GEDV）是所有四个心室的舒张末期总容积。与传统使用的肺动脉导管压力预负荷参数相比，GEDV已被证明是一个可靠的预负荷指标。最近，一种名为EV1000™的新型TPTD系统被开发出来，并被引入到先进的血流动力学监测领域。GEDV已经成为比之前的常规标记物更好的预加载标记物。通过PiCCO™和新开发的EV1000™系统等微创方法测量的优势使其成为有前途的床边先进血液动力学参数。
A reliable estimation of cardiac preload is helpful in the management of severe circulatory dysfunction. The estimation of cardiac preload has evolved from nuclear angiography, pulmonary artery catheterization to echocardiography, and transpulmonary thermodilution (TPTD). Global end-diastolic volume (GEDV) is the combined end-diastolic volumes of all the four cardiac chambers. GEDV has been demonstrated to be a reliable preload marker in comparison with traditionally used pulmonary artery catheter-derived pressure preload parameters. Recently, a new TPTD system called EV1000™ has been developed and introduced into the expanding field of advanced hemodynamic monitoring. GEDV has emerged as a better preload marker than its previous conventional counterparts. The advantage of it being measured by minimum invasive methods such as PiCCO™ and newly developed EV1000™ system makes it a promising bedside advanced hemodynamic parameter.