Echocardiography in a critical care unit: a contemporary review

Mohsin, Muhammad; Farooq, Muhammad Umar; Waheed, Abdul; Mustafa, W. A.; Rehman, Tanzeel U.; Malik, Jahanzeb; Zahid, Taimoor

doi:10.1080/14779072.2022.2036124

Cited by 5 publications

(3 citation statements)

References 76 publications

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“…Using cardiac POCUS, we can visually determine if the chambers of the heart are enlarged, which indicates the presence of a chronic cardiac condition. Prior to administering anesthesia, a rough estimate of the left ventricle ejection fraction (LVEF) is essential, either qualitatively by eyeballing 25 or quantitatively using Simpson´s biplane method 26 .…”

Section: Certain Clinical Settings In Which Preoperative Cardiac Pocu...mentioning

confidence: 99%

Exploring the Applicability of Pre-Anesthetic Cardiac POCUS in Unexpected Conditions: Could it be Helpful?

Sabogal

2023

pocus

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Formal preoperative echocardiography has traditionally been recommended when there is substantial cardiovascular disease without recent follow up, unexplained dyspnea, a functional class less than 4 METS or a Duke Activity Status Index less than 34. However, it is important to note that certain patients may present with a variety of cardiac abnormalities due to their preexisting condition or multiple treatments, and these individuals warrant consideration. The objective of pre-anesthetic cardiac POCUS is to provide clinical information in a timely manner. Although it does not aim to replace conventional echocardiography, cardiac POCUS can undoubtedly assist anesthesia practitioners in identifying asymptomatic and potentially hazardous conditions, allowing for more accurate risk allocation and individualized patient care.

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Section: Certain Clinical Settings In Which Preoperative Cardiac Pocu...mentioning

confidence: 99%

Exploring the Applicability of Pre-Anesthetic Cardiac POCUS in Unexpected Conditions: Could it be Helpful?

Sabogal

2023

pocus

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“…Depending on whether the ESC 21 or ESMO22 guidelines are used, respectively, 17% (1 patient with an absolute GLS drop ≥ 5% and 13 patients with a relative GLS drop ≥ 12%) and 7% (6 patients with a GLS drop > 15%) of patients manifested clinically significant GLS deterioration when the post-examination was used as a baseline.…”

Section: Global Longitudinal Strain Deterioration According To Curren...mentioning

confidence: 99%

“…Accurate assessment of cardiac function and hemodynamics is important in patients scheduled for sequential examinations, such as monitoring medical therapy in heart failure, and assessments prior to or during cancer treatment, such as chemotherapy or immunotherapy [5,[15][16][17]. Furthermore, TTE can play an important role in cardiovascular and hemodynamic assessment in a perioperative and intensive care setting, where it has the potential to reveal cardiovascular issues and guide fluid therapy [18][19][20][21].…”

Section: Introductionmentioning

confidence: 99%

The Influence of Food Intake and Preload Augmentation on Cardiac Functional Parameters: A Study Using Both Cardiac Magnetic Resonance and Echocardiography

Visby,

Møgelvang,

Grund

et al. 2023

JCM

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(1) Background: To investigate how food intake and preload augmentation affect the cardiac output (CO) and volumes of the left ventricle (LV) and right ventricle (RV) assessed using cardiac magnetic resonance (CMR) and trans-thoracic echocardiography (TTE). (2) Methods: Eighty-two subjects with (n = 40) and without (n = 42) cardiac disease were assessed using both CMR and TTE immediately before and after a fast infusion of 2 L isotonic saline. Half of the population had a meal during saline infusion (food/fluid), and the other half were kept fasting (fasting/fluid). We analyzed end-diastolic (EDV) and end-systolic (ESV) volumes and feature tracking (FT) using CMR, LV global longitudinal strain (GLS), and RV longitudinal strain (LS) using TTE. (3) Results: CO assessed using CMR increased significantly in both groups, and the increase was significantly higher in the food/fluid group: LV-CO (ΔLV-CO: +2.6 ± 1.3 vs. +0.7 ± 1.0 p < 0.001), followed by increased heart rate (HR) (ΔHR: +12 ± 8 vs. +1 ± 6 p < 0.001). LV and RV achieved increased stroke volume (SV) through different mechanisms. For the LV, through increased contractility, increased LV-EDV, decreased LV-ESV, increased LV-FT, and GLS were observed. For the RV, increased volumes, increased RV-EDV, increased RV-ESV, and at least for the fasting/fluid group, unchanged RV-FT and RV-LS were reported. (4) Conclusions: Preload augmentation and food intake have a significant impact on hemodynamic and cardiac functional parameters. This advocates for standardized recommendations regarding oral intake of fluid and food before cardiac assessment, for example, TTE, CMR, and right heart catheterization. We also demonstrate different approaches for the LV and RV to increase SV: for the LV by increased contractility, and for the RV by volume expansion.

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Delayed Ventricular Septal Rupture Repair After Myocardial Infarction: An Updated Review

Arsh,

Pahwani,

Arif Rasool Chaudhry

et al. 2023

Current Problems in Cardiology

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Echocardiography in a critical care unit: a contemporary review

Cited by 5 publications

References 76 publications

Exploring the Applicability of Pre-Anesthetic Cardiac POCUS in Unexpected Conditions: Could it be Helpful?

Exploring the Applicability of Pre-Anesthetic Cardiac POCUS in Unexpected Conditions: Could it be Helpful?

The Influence of Food Intake and Preload Augmentation on Cardiac Functional Parameters: A Study Using Both Cardiac Magnetic Resonance and Echocardiography

Delayed Ventricular Septal Rupture Repair After Myocardial Infarction: An Updated Review

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