Hemodynamic measurements in a coronary care unit
Progress in Cardiovascular DiseasesPublished 1 July 1968
Rolf M. Gunnar, Henry S. Loeb, Raymond J. Pietras, John R. Tobin
Citations28
SJR quartileQ1
SJR score1.81
SNIP1.92
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TL;DR
It is the purpose to discuss the experience of the shock unit with such hemodynamic measurements in patients with acute myocardial infarction and in patients referred because they were thought to have myocardia infarctions.
Abstract
H YPOTENSION, shock, congestive heart failure or any other manifestation of present or impending circulatory collapse in a patient with acute myocardial infarction is indication for hemodynamie monitoring of his cardiovascular system. The measurements to be made include central venous pressure, intra-arterial pressure, cardiac output and central temperature. Such monitoring will soon assume importance equal to electrocardiographic monitoring of patients developing arrhythmias in this disease. Such measurements can be made clinically and should be available in most community hospitals when sufficient personnel are trained. Other measurements of value and available include arterial blood gases, pH, lactic acid and pyruvie acid. The potency of modem therapeutic agents and the impending development of mechanical circulatory assistance make necessary the perfection of routines for application of hemodynamic monitoring methods to patients with acute myocardial infarction. Although on-line computer analysis and correlation of data plus use of transponders to alter therapy may be an ultimate goal of developing more sophisticated methods for measurements of hemodynamic events in a coronary care unit, 1-s present methods provide information which may be crucial for patient care. It is our purpose to discuss the experience of our shock unit with such hemodynamic measurements in patients with acute myocardial infarction and in patients referred because they were thought to have myocardial infarction.
Keywords
MedicineEngineering
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