PMID: 2107863Feb 1, 1990Paper

Optimal value of filling pressure in the right side of the heart in acute right ventricular infarction

British Heart Journal
S BerishaY Popa

Abstract

Haemodynamic monitoring was performed within the first 48 hours after the onset of symptoms in basal conditions, during volume loading, and during infusion of glyceryl trinitrate in 41 patients who fulfilled the diagnostic electrocardiographic and haemodynamic criteria of right ventricular infarction. In most patients an increase of mean right atrial pressure up to 10-14 mm Hg was followed by an increase in right ventricular stroke work index. But raising the mean right atrial pressure above 14 mm Hg was almost always accompanied by a reduction in right ventricular stroke work index. When the mean right atrial pressure was reduced by intravenous glyceryl trinitrate to less than 14 mm Hg the right ventricular stroke index increased. The same response was seen with cardiac and stroke index. The mean (SD) values of optimal right atrial and pulmonary capillary pressures were 11.7 (2.1) and 16.5 (2.7) mm Hg respectively. Thus cardiac and stroke index increased and the right ventricle reached its maximum stroke work index when the filling pressure was 10-14 mm Hg. These values may be regarded as the optimal level of right ventricular filling pressure in patients with right ventricular infarction.

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Citations

May 1, 1994·Cardiovascular Drugs and Therapy·J López-SendónJ L Delcán
Mar 21, 2012·Der Anaesthesist·S Rasche, C Georgi
Feb 1, 1991·British Heart Journal·J E CreamerP Nightingale
Mar 9, 2013·Herz·S Rasche, C Georgi
Jul 29, 2011·Heart Failure Reviews·Maya Guglin, Sameer Verma
Feb 15, 2008·Critical Care Medicine·Clifford R Greyson
May 10, 2008·La Revue de médecine interne·A Saberin, D R Wagner
Jun 22, 2010·Cardiovascular Therapeutics·Gan Hui-li
Aug 22, 2015·Journal of Investigative Medicine : the Official Publication of the American Federation for Clinical Research·Anurag BajajArjinder Sethi
Aug 15, 1994·The American Journal of Cardiology·M FerrarioC Montemartini
Oct 11, 1991·Journal of Cardiothoracic and Vascular Anesthesia·J E Calvin
Jun 15, 2018·Expert Review of Cardiovascular Therapy·Arif AlbulushiYiannis S Chatzizisis
Feb 6, 2008·Circulation·Harmony R Reynolds, Judith S Hochman
Mar 1, 2019·Clinical Cardiology·Ashish H ShahAnkur Kalra
Nov 30, 2019·European Heart Journal Supplements : Journal of the European Society of Cardiology·Andrew S P Sharp, Antonious Attallah
Aug 15, 2012·Current Opinion in Critical Care·Clifford R Greyson

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