Assessment of ideal timing and effectiveness of left heart unloading using invasive hemodynamic monitoring in patients with cardiogenic shock who treated with venoarterial extracorporeal membrane oxygenation

Chonnam National University Hospital0 个研究点目标入组 50 人开始时间: 待定最近更新: 2024年4月2日

适应症

试验速览

暂无简介。

•Inclusion criteria
•1) Age at or over 19 years old
•2) Patient in cardiogenic shock
•3) Successful implantation of venoarterial extracorporeal membrane oxygenation
•4) Successful implantation of right heart catheter
•All 1),2),3) and 4) should be met to be included in this study.
•* Definition of cardiogenic shock
•All 1),2) and 3) should be met.
•1) Systolic blood pressure lower than 90 mmHg or requires inotropic agent to maintain systolic blood pressure over 90mmHg more than 30 minutes
•2) Evidence of hypoperfusion including altered mental status, cool extremities, mottled skin appearance, renal dysfunction or elevated lactate level
•3) Evidence of cardiac dysfunction in invasive or echocardiographic exam

•1) Younger than 19 years old
•2) Noncardiogenic or mixed shock
•3) Extracorporeal membrane oxygenation with a configuration other than venoarterial
•4) Unwitnessed cardiac arrest
•5) Irreversible brain injury documented before or during treatment
•6) Clinical or anatomical factors which are not feasible for monitoring using right heart catheter
•Any one of 1),2),3),4),5) or 6)

发起方