The Relationship Between Central Venous Pressure and Pulmonary Capillary Wedge Pressure in Patients with Aortic Stenosis / 대한마취과학회지
Korean Journal of Anesthesiology
;
: 52-57, 1996.
Artículo
en Coreano
| WPRIM
| ID: wpr-205685
ABSTRACT
BACKGROUND:
Hemodynamic monitoring during aortic valve replacement in patients with aortic stenosis is controversial and there are little prospective data on which to base an enlightened clinical decision. The relationship between central venous pressure (CVP) and pulmonary capillary wedge pressure (PCWP) was examined in patients with aortic stenosis.METHODS:
30 patients with aortic stenosis who underwent aortic valve replacement were examined. For each patient, simultaneous measurements of CVP, pulmonary artery diastolic pressure (PADP) and PCWP were made at pre-and post-cardiopulmonary bypass. After cardiopulmonary bypass, measurement of left atrial pressure(LAP) was made.RESULTS:
The PCWP correlated well with PADP(r=0.86 p0.05, r=0.45 p>0.05), PCWP(r=0.39 p0.05, r=0.51 p<0.05).CONCLUSIONS:
This study confirmed the disparities between CVP and PCWP which were anticipated in aortic stenosis. This disparity seems due to marked differences between either compliance or function of the two ventricles. Therefore, CVP monitoring in aortic stenosis is limited value and may mislead in management.
Texto completo:
Disponible
Índice:
WPRIM (Pacífico Occidental)
Asunto principal:
Válvula Aórtica
/
Estenosis de la Válvula Aórtica
/
Arteria Pulmonar
/
Presión Sanguínea
/
Puente Cardiopulmonar
/
Presión Venosa Central
/
Presión Esfenoidal Pulmonar
/
Adaptabilidad
/
Corazón
/
Hemodinámica
Tipo de estudio:
Estudio pronóstico
Límite:
Humanos
Idioma:
Coreano
Revista:
Korean Journal of Anesthesiology
Año:
1996
Tipo del documento:
Artículo
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