Right Ventricle-Pulmonary Artery Coupling in Patients Undergoing Cardiac Interventions

IF 3.1 3区 医学 Q2 CARDIAC & CARDIOVASCULAR SYSTEMS Current Cardiology Reports Pub Date : 2024-04-06 DOI:10.1007/s11886-024-02052-3
Crosby Culp, Jon Andrews, Katherine Wang Sun, Kendall Hunter, Anne Cherry, Mihai Podgoreanu, Alina Nicoara
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Abstract

Purpose of Review

This review aims to summarize the fundamentals of RV-PA coupling, its non-invasive means of measurement, and contemporary understanding of RV-PA coupling in cardiac surgery, cardiac interventions, and congenital heart disease.

Recent Findings

The need for more accessible clinical means of evaluation of RV-PA coupling has driven researchers to investigate surrogates using cardiac MRI, echocardiography, and right-sided pressure measurements in patients undergoing cardiac surgery/interventions, as well as patients with congenital heart disease. Recent research has aimed to validate these alternative means against the gold standard, as well as establish cut-off values predictive of morbidity and/or mortality. This emerging evidence lays the groundwork for identifying appropriate RV-PA coupling surrogates and integrating them into perioperative clinical practice.

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接受心脏介入治疗的患者的右心室-肺动脉耦合情况
本综述旨在总结 RV-PA 耦合的基本原理、其无创测量方法,以及当代对心脏手术、心脏介入和先天性心脏病中 RV-PA 耦合的理解。最近的研究结果由于需要更方便的临床方法来评估 RV-PA 耦合,研究人员利用心脏核磁共振成像、超声心动图和右侧压力测量来研究心脏手术/介入患者以及先天性心脏病患者的替代方法。近期的研究旨在根据金标准验证这些替代方法,并确定可预测发病率和/或死亡率的临界值。这些新出现的证据为确定合适的 RV-PA 耦合替代物并将其纳入围手术期临床实践奠定了基础。
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来源期刊
Current Cardiology Reports
Current Cardiology Reports CARDIAC & CARDIOVASCULAR SYSTEMS-
CiteScore
6.20
自引率
2.70%
发文量
209
期刊介绍: The aim of this journal is to provide timely perspectives from experts on current advances in cardiovascular medicine. We also seek to provide reviews that highlight the most important recently published papers selected from the wealth of available cardiovascular literature. We accomplish this aim by appointing key authorities in major subject areas across the discipline. Section editors select topics to be reviewed by leading experts who emphasize recent developments and highlight important papers published over the past year. An Editorial Board of internationally diverse members suggests topics of special interest to their country/region and ensures that topics are current and include emerging research. We also provide commentaries from well-known figures in the field.
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