Cardiogenic shock (CS) is a complex multisys-tem syndrome due to pump failure, associated with high mortality and morbidity. Its hemodynamic characteriza-tion is key to the diagnostic algorithm and management. Pulmonary artery catheterization is the gold standard for the left and right hemodynamic evaluation, but some concerns exist for invasivity and untoward mechanical and infective complications. Transthoracic echocardiog-raphy is a robust noninvasive diagnostic tool for hemody-namic multiparametric assessment that well applies to the management of CS. Its applications expand from eti-ology definition to the choice of therapeutic intervention and their monitoring. The present review aims at detail-ing the role of ultrasounds in CS emphasizing the clinical implications of combining cardiac and non-cardiac ultra-sounds examinations that may correlate with prognosis.

Use and Implications of Echocardiography in the Hemodynamic Assessment of Cardiogenic Shock / P.S. Simeoli, S. Moscardelli, A. Urbani, G. Santangelo, V. Battaglia, M. Guarino, F. Bursi, M. Guazzi. - In: CURRENT PROBLEMS IN CARDIOLOGY. - ISSN 0146-2806. - 48:11(2023 Nov), pp. 101928.1-101928.20. [10.1016/j.cpcardiol.2023.101928]

Use and Implications of Echocardiography in the Hemodynamic Assessment of Cardiogenic Shock

P.S. Simeoli
Primo
;
S. Moscardelli
Secondo
;
A. Urbani;F. Bursi
Penultimo
;
M. Guazzi
Ultimo
2023

Abstract

Cardiogenic shock (CS) is a complex multisys-tem syndrome due to pump failure, associated with high mortality and morbidity. Its hemodynamic characteriza-tion is key to the diagnostic algorithm and management. Pulmonary artery catheterization is the gold standard for the left and right hemodynamic evaluation, but some concerns exist for invasivity and untoward mechanical and infective complications. Transthoracic echocardiog-raphy is a robust noninvasive diagnostic tool for hemody-namic multiparametric assessment that well applies to the management of CS. Its applications expand from eti-ology definition to the choice of therapeutic intervention and their monitoring. The present review aims at detail-ing the role of ultrasounds in CS emphasizing the clinical implications of combining cardiac and non-cardiac ultra-sounds examinations that may correlate with prognosis.
Cardiogenic-Shock; Echocardiography; Heart failure; Hemodynamics; ventricular-arterial coupling;
Settore MED/11 - Malattie dell'Apparato Cardiovascolare
nov-2023
Article (author)
File in questo prodotto:
File Dimensione Formato  
Simeoli shock.pdf

accesso riservato

Descrizione: Article
Tipologia: Publisher's version/PDF
Dimensione 263.45 kB
Formato Adobe PDF
263.45 kB Adobe PDF   Visualizza/Apri   Richiedi una copia
Pubblicazioni consigliate

I documenti in IRIS sono protetti da copyright e tutti i diritti sono riservati, salvo diversa indicazione.

Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/2434/1006894
Citazioni
  • ???jsp.display-item.citation.pmc??? 0
  • Scopus 0
  • ???jsp.display-item.citation.isi??? 0
social impact