Noninvasive Estimation of Blood Pressure in HeartMate 3 Patients

被引：0

作者：

Pinsino, Alberto ^{[1
,2
]}

Gaudig, Antonia ^{[3
]}

Castagna, Francesco ^{[2
,4
]}

Mondellini, Giulio M. ^{[2
,5
]}

Mcdonnell, Barry J. ^{[6
]}

Stoehr, Eric J. ^{[2
,7
]}

Cockcroft, John ^{[6
]}

Kormos, Robert L. ^{[8
]}

Sayer, Gabriel T. ^{[2
]}

Uriel, Nir ^{[2
]}

Naka, Yoshifumi ^{[9
]}

Takeda, Koji ^{[10
]}

Yuzefpolskaya, Melana ^{[2
]}

Colombo, Paolo C. ^{[2
,11
]}

机构：

[1] Montefiore Med Ctr, Div Crit Care Med, Bronx, NY USA

[2] Columbia Univ, Irving Med Ctr, Div Cardiol, New York, NY USA

[3] Westfal Wilhelms Univ Munster, Munster, Germany

[4] Montefiore Med Ctr, Div Cardiol, Bronx, NY USA

[5] Univ Milan, Milan, Italy

[6] Cardiff Metropolitan Univ, Sch Sport & Hlth Sci, Cardiff, Wales

[7] Leibniz Univ Hannover, Inst Sports Sci, COR HELIX Cardiovasc Regulat & Human Exercise Lab, Hannover, Germany

[8] Med Affairs, Austin, TX USA

[9] Weill Cornell Med, Div Heart Failure Heart Transplantat & Mech Circul, New York, NY USA

[10] Columbia Univ, Div Cardiothorac Surg, Irving Med Ctr, New York, NY USA

[11] Columbia Univ, Div Cardiol, Irving Med Ctr, 622 West 168th St,PH 12-134, New York, NY 10032 USA

来源：

ASAIO JOURNAL | 2024年 / 70卷 / 02期

关键词：

blood pressure; left ventricular assist device; Doppler; automated blood pressure monitor;

D O I：

10.1097/MAT.0000000000002012

中图分类号：

R318 [生物医学工程];

学科分类号：

0831 ;

摘要：

Blood pressure (BP) measurement is challenging among patients with continuous-flow left ventricular assist device (CF-LVAD) due to reduced pulse pressure (PP). Although Doppler opening BP (DOBP) is uniformly obtainable and provides an accurate measure of systolic BP (SBP), it routinely overestimates mean arterial pressure (MAP), particularly among CF-LVAD patients with higher PP.1,2 The success rate of traditional cuff-based automated BP (ABP) monitors ranges from 50% to 80%, and is highly dependent on PP.1–3 The HeartMate 3 (HM3, Abbott Labs) is the latest generation CF-LVAD with an improved pump design that resulted in significant reduction in mortality and hemocompatibility-related adverse events,4 and, eventually, in a monopoly of the market. The HM3 features an artificial pulse which occurs asynchronously from the native. © 2024 Lippincott Williams and Wilkins. All rights reserved.

引用

页码：e18 / e20

页数：3

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