Bedside assessment of left atrial pressure in critical care: a multifaceted gem.
Crit Care
; 26(1): 247, 2022 08 13.
Article
em En
| MEDLINE
| ID: mdl-35964098
ABSTRACT
Evaluating left atrial pressure (LAP) solely from the left ventricular preload perspective is a restrained approach. Accurate assessment of LAP is particularly relevant when pulmonary congestion and/or right heart dysfunction are present since it is the pressure most closely related to pulmonary venous pressure and thus pulmonary haemodynamic load. Amalgamation of LAP measurement into assessment of the 'transpulmonary circuit' may have a particular role in differentiating cardiac failure phenotypes in critical care. Most of the literature in this area involves cardiology patients, and gaps of knowledge in application to the bedside of the critically ill patient remain significant. Explored in this review is an overview of left atrial physiology, invasive and non-invasive methods of LAP measurement and their potential clinical application.
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Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Pressão Atrial
/
Insuficiência Cardíaca
Limite:
Humans
Idioma:
En
Ano de publicação:
2022
Tipo de documento:
Article