Abstract
Monitoring of Cardiac Output (CO) is of paramount importance in the critical patient. Established methods used to measure CO, such as oxygen Fick approach and thermodilution, are invasive and do not allow continuous monitoring. In addition, they are not reliable in the hemodynamically instable patient and suffer several technical drawbacks. Alternative methods are available, such as the Pulse Contour Method, but are dependent upon external calibration to evaluate cardiac activity. Recently, the Pressure Recording Analytical Method (PRAM) has been developed: it allows a more complete and detailed analysis of pressure morphology and "beat-to-beat" measurement of the stroke volume (SV) without external calibration. The basic principle of PRAM algorithm is the ability of detecting interactions between the cardiac and circulatory system, and therefore of calculating a new parameter, describing the work expenditure of cardiovascular system strictly correlated to SV, the Cardiac Cycle Efficiency (CCE). PRAM is becoming a promising alternative to traditional techniques, and may expand the potential applications of hemodynamic monitoring in clinical practice.
| Original language | English |
|---|---|
| Pages (from-to) | 37-39 |
| Number of pages | 3 |
| Journal | Current Cardiology Reviews |
| Volume | 2 |
| Issue number | 1 |
| Publication status | Published - Feb 2006 |
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Keywords
- Accelerated idioventricular rhythm (AIR)
- Aortic pressure
- Cardiac Cycle Efficiency (CCE)
- Pulse contour method (PCM)
- Thermodilution
ASJC Scopus subject areas
- Cardiology and Cardiovascular Medicine
Cite this
Minimally invasive and noninvasive hemodynamic monitoring of the cardiovascular system : Available options and future perspectives. / Romano, Salvatore M.; Olivotto, Iacopo; Chiostri, Marco; Giglioli, Cristina; Margheri, Massimo; Gensini, Gian Franco.
In: Current Cardiology Reviews, Vol. 2, No. 1, 02.2006, p. 37-39.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Minimally invasive and noninvasive hemodynamic monitoring of the cardiovascular system
T2 - Available options and future perspectives
AU - Romano, Salvatore M.
AU - Olivotto, Iacopo
AU - Chiostri, Marco
AU - Giglioli, Cristina
AU - Margheri, Massimo
AU - Gensini, Gian Franco
PY - 2006/2
Y1 - 2006/2
N2 - Monitoring of Cardiac Output (CO) is of paramount importance in the critical patient. Established methods used to measure CO, such as oxygen Fick approach and thermodilution, are invasive and do not allow continuous monitoring. In addition, they are not reliable in the hemodynamically instable patient and suffer several technical drawbacks. Alternative methods are available, such as the Pulse Contour Method, but are dependent upon external calibration to evaluate cardiac activity. Recently, the Pressure Recording Analytical Method (PRAM) has been developed: it allows a more complete and detailed analysis of pressure morphology and "beat-to-beat" measurement of the stroke volume (SV) without external calibration. The basic principle of PRAM algorithm is the ability of detecting interactions between the cardiac and circulatory system, and therefore of calculating a new parameter, describing the work expenditure of cardiovascular system strictly correlated to SV, the Cardiac Cycle Efficiency (CCE). PRAM is becoming a promising alternative to traditional techniques, and may expand the potential applications of hemodynamic monitoring in clinical practice.
AB - Monitoring of Cardiac Output (CO) is of paramount importance in the critical patient. Established methods used to measure CO, such as oxygen Fick approach and thermodilution, are invasive and do not allow continuous monitoring. In addition, they are not reliable in the hemodynamically instable patient and suffer several technical drawbacks. Alternative methods are available, such as the Pulse Contour Method, but are dependent upon external calibration to evaluate cardiac activity. Recently, the Pressure Recording Analytical Method (PRAM) has been developed: it allows a more complete and detailed analysis of pressure morphology and "beat-to-beat" measurement of the stroke volume (SV) without external calibration. The basic principle of PRAM algorithm is the ability of detecting interactions between the cardiac and circulatory system, and therefore of calculating a new parameter, describing the work expenditure of cardiovascular system strictly correlated to SV, the Cardiac Cycle Efficiency (CCE). PRAM is becoming a promising alternative to traditional techniques, and may expand the potential applications of hemodynamic monitoring in clinical practice.
KW - Accelerated idioventricular rhythm (AIR)
KW - Aortic pressure
KW - Cardiac Cycle Efficiency (CCE)
KW - Pulse contour method (PCM)
KW - Thermodilution
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UR - http://www.scopus.com/inward/citedby.url?scp=33746165591&partnerID=8YFLogxK
M3 - Article
VL - 2
SP - 37
EP - 39
JO - Current Cardiology Reviews
JF - Current Cardiology Reviews
SN - 1573-403X
IS - 1
ER -