Publications by authors named "R Camporotondo"
Echocardiographic parameters for weaning from Extracorporeal Membrane Oxygenation - the role of longitudinal function and cardiac time intervals.
Eur Heart J Cardiovasc Imaging
October 2024
Article Synopsis
- The study aimed to identify echocardiographic indicators that could predict the success of weaning patients from veno-arterial extracorporeal membrane oxygenation (V-A ECMO) and their survival after the procedure.
- It involved 76 patients undergoing V-A ECMO due to cardiogenic shock, measuring various echocardiographic parameters before and during the weaning process.
- Key findings highlighted that parameters like total isovolumic time (t-IVT), mitral annular plane systolic excursion (MAPSE), and left ventricular output velocity-time integral (LVOT VTI) were strong predictors of successful weaning and survival, whereas the left ventricular ejection fraction (LVEF) was not a reliable
Aims: To describe the use and the relation to outcome of different ventilation strategies in a contemporary, large, prospective registry of cardiogenic shock patients.
Methods And Results: Among 657 patients enrolled from March 2020 to November 2023, 198 (30.1%) received oxygen therapy (OT), 96 (14.
Article Synopsis
- Advanced heart failure (AdvHF) presents treatment difficulties, especially when options like mechanical support or transplants are not available, emphasizing a lack of solid medical management evidence.
- A study of 406 AdvHF patients receiving nightly sodium nitroprusside (SNP) infusions revealed no significant hypotension-related discontinuation, and a notable increase in blood pressure was observed after treatment.
- While the combination of SNP and dobutamine led to more weight loss, it also caused a higher rise in creatinine levels, suggesting a balance between effectiveness in improving patient outcomes and potential side effects.
Mortality for cardiogenic shock is still high despite optimal pharmacological therapy. Therefore, active mechanical circulatory support devices are increasingly used; venoarterial extracorporeal membrane oxygenation (VA-ECMO) enables full circulatory and respiratory support. However, recent data show that in patients with infarct-related shock unselected early use of VA-ECMO does not improve survival and is associated with major bleeding and peripheral ischemic complications.
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