Application of PICCO monitoring in patients with acute myocardial infarction complicating cardiogenic ;shock
LI Jin-shuang
CHEN Jun
CHENG Chun-qi
XU Ke
LIN Ai-hua
Abstract：Objective To investigate the application value of PICCO monitoring in patients with acute myocardial infarction (AMI) complicating cardiogenic shock (CGS). Methods The patients (n=56, male 35, female 21, aged from 28 to 75 and average age=56.5±2.3) were chosen because of AMI complicating CGS from Jan. 2012 to Jan. 2013. All patients were randomly divided into PICCO group (n=27) and control group (n=29). Blood pressure (BP), heart rate (HR), respiratory rate, oxyhemoglobin saturation (SpO2), ECG and body temperature were detected and recorded, and CVP was monitored after deep vein puncture in control group and PICCO group immediately after entering CCU, and additionally in PICCO group, the connection of deep vein cathetering+femoral cathetering+PICCO module was performed and changes of CI, EVLWI and serum NT-proBNP were observed. Results Compared with 24-h PICCO, after 48-h PICCO EVLWI [(8.85±0.73) mL/kg vs. (7.41±1.36) mL/kg] decreased, CI [(2.21±0.45) L/min.m2 vs (2.60±0.17) L/min.m2] increased, and NT-proBNP [(4069.48±65.32) pg/mL vs. (3721±20.32) pg/mL] decreased (P<0.05). As time going, EVLWI decreased, CI increased and NT-proBNP trended to decrease. EVLWI and NT-proBNP showed a positive linear correlation (r=0.78,P<0.05). The administration time of vasoactive agents, duration in CCU, mechanical ventilation time, mortality and NT-proBNP level at leaving hospital time were all significantly lower in PICCO group than those in control group (all P<0.05). Conclusion PICCO monitoring is significant to the treatment in the patients with AMI complicating CGS.
Keywords：PICCOAcute myocardial infarctionCardiogenic shock
Publication Date：2014-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：3( 545-547 )