Rehydration treatment guided by monitoring of pulse indicating continuous cardiac output and floating catheter in patients with acute inferior wall complicating right ventricular myocardial infarction
WANG Gang
SUN Zhi-jun
JIANG Bo
SHAN Zhao-liang
Abstract：Objective To investigate the effect of monitoring of pulse continuous cardiac output (PICCO) in indicating rehydration treatment in patients with acute inferior wall complicating right ventricular myocardial infarction (AF). Methods The patients [n=20, male 16, female 4, aged from 38 to 78 and average age=(66.2±4.0)] were chosen from Aug. 2012 to Apr. 2014. All patients were given PICCO and floating catheter (Swan-Ganz) for monitoring hemodynamic changes simultaneously. The changes of central venous pressure (CVP), pulmonary artery wedge pressure (PAWP), extravascular lung water index (EVLWI), cardiac output (CO) and mean arterial pressure (MAP) were compared before and after rehydration treatment. Results Among 20 cases, 4 were given temporary pacemaker for adjuvant treatment, and their conditions were improved and discharged from hospital after monitoring of PICCO and floating catheter. CVP, PAWP, EVLWI, CO and MAP were all improved after rehydration treatment (all P<0.05). Conclusion The monitoring of PAWP and EVLWI can improve hemodynamics in patients with acute inferior wall combining right ventricular AF, while PICCO has higher application value as it has minimally invasive, accurate, overall and continuous features in monitoring.
Keywords：Pulse indicating continuous cardiac outputFloating catheterExtravascular lung water indexPulmonary artery wedge pressure
Publication Date：2015-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：3( 38-40 )