Role of PiCCO in monitoring elderly acute myocardial infarction patients with cardiac shock
Abstract：Objective To study the role of PiCCO in monitoring elderly acute myocardial infarction (AMI) patients with cardiac shock (CS).Methods Fifty AMI patients with CS admitted to our hospital were divided into PiCCO group (n=25) and non-PiCCO group (n=25).Their blood pressure,heart rate,respiration rate,blood oxygen saturation,body temperature and central venous pressure were measured.The serum levels of NT proBNP and hs-cTnⅠ,APACHE Ⅱ score and mortality at 24 and 48 h were compared bwtween the two groups.The CI,GEDV and ELWI in PiCCO group were recorded.Results The CI was significantly higher while the GEDV and ELWI were significantly lower in PiCCO group at 24 and 48 h after treatment than at 0 h (3.43±0.49 L/min · m2 and 3.74± 0.51 L/min · m2 vs 3.06 ± 0.65 L/min · m2,812.40 ± 53.62 ml and 796.68±57.03 ml vs 860.16±63.08 ml,16.28±2.95 ml/kg and 13.40±2.48 ml/kg vs 19.84± 3.52 ml/kg,P＜0.001).The APACHE Ⅱ score was significantly lower in PiCCO group than in non-PiCCO group at 24 h after treatment (P＜0.05).The serum levels of hs-cTnⅠ and NT-proBNP,and the APACHE Ⅱ score were significantly lower in PiCCO group than in non-PiCCO group at 48 h after treatment (P＜0.05).Conclusion PiCCO plays a certain role in monitoring elderly AMI patients with CS.
Keywords：myocardial infarctionpulseshockcardiogenictroponin Ⅰcentral venous pressure
Publication Date：2017-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：4( 708-711 )