Wybrane metody ciągłego monitorowania rzutu minutowego serca w pracowni hemodynamiki i na oddziale intensywnej opieki kardiologicznej

Abstract

In this review we presented the most common methods of continuous cardiac output (CCO) monitoring, which may be used in patients submitted to high-risk percutaneous coronary interventions in cath-labs or in patients with acute heart failure or shock states in intensive cardiac care units. Briefly, classical Swan-Ganz pulmonary artery catheter (PAC) was described with some of the newest technical developments (such as automatic CO and continuous oximetry measurements, right ventricular diastolic volume and systolic function assessment), as well as less invasive methods such as pulse contour analysis and transpulmonary termodilution, which allow to calculate some useful parameters to monitor and guide treatment according to the principle of goal directed therapy. Finally, we presented minimally invasive doppler transesophageal technique and completely non-invasive method of transthoracic bioimpedance.In this review the most common methods of continuous cardiacoutput monitoring, which may be used in patients submitted tohigh-risk percutaneous coronary interventions in the cathlabsor in patients with acute heart failure or shock in intensivecardiac care units were shown. Briefly, classical Swan-Ganzpulmonary artery catheter was described with some of thenewest technical developments (such as automatic cardiacoutput and continuous oximetry measurement, right ventriculardiastolic volume and systolic function assessment), as wellas less invasive methods such as pulse contour analysis andtranspulmonary termodilution, which allow to calculate someuseful parameters to monitor and guide treatment according tothe principle of goal directed therapy. Finally, minimally invasivedoppler transesophageal technique and completely non-invasivemethod of transthoracic bioimpedance were presented