Pulmonary artery occlusion pressure estimation by transesophageal echocardiography is simpler better 英文参考文献.docVIP

Available online /content/12/2/127 Commentary Pulmonary artery occlusion pressure estimation by transesophageal echocardiography: is simpler better? Gorazd Voga Medical ICU, General Hospital Celje, Oblakova 5, 3000 Celje, Slovenia Corresponding author: Gorazd Voga, gorazd.voga@guest.arnes.si Published: 31 March 2008 Critical Care 2008, 12:127 (doi:10.1186/cc6831) This article is online at /content/12/2/127 ? 2008 BioMed Central Ltd See related research by Vignon et al., /content/12/1/R18 Abstract depressed left ventricular (LV) systolic function than in those with normal LV systolic function. PAOP could be predicted by E/A 1.4, EDT 100 ms, atrial filling fraction 31% and SFPVF 44%, with similar sensitivity and specificity and acceptable positive and negative predictive values. In a The measurement of pulmonary artery occlusion pressure (PAOP) is important for estimation of left ventricular filling pressure and for distinction between cardiac and non-cardiac etiology of pulmonary edema. Clinical assessment of PAOP, which relies on physical signs of pulmonary congestion, is uncertain. Reliable PAOP measurement can be performed by pulmonary artery catheter, but it is possible also by the use of echocardiography. Several Doppler variables show acceptable correlation with PAOP and can be used for its estimation in cardiac and critically ill patients. Noninvasive PAOP estimation should probably become an integral part of transthoracic and transesophageal echocardiographic evaluation in critically ill patients. However, the limitations of both methods should be taken into consideration, and in specific patients invasive PAOP measurement is still unavoidable, if the exact value of PAOP is needed. second group these cutoff values were prospectively evaluated for prediction of PAOP higher than 18 mmHg. Additionally, they measured maximal early diastolic velocit