The Utility of Invasive Hemodynamics in the Management of Cardiogenic Shock

Zachary Singer; Dave Nagpal; Marat Slessarev; Daniel Durocher; Michael R. Ward

doi:10.1016/j.cjca.2023.02.002

Training/Practice Contemporary Issues in Cardiology Practice|Articles in Press

The Utility of Invasive Hemodynamics in the Management of Cardiogenic Shock

Zachary Singer, MD, FRCPC
Zachary Singer
Correspondence
Corresponding authors: Dr Zachary Singer, 339 Windermere Road, London, Ontario N6A5A5, Canada. Tel.: +1-519-685-8500.
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Division of Cardiology, Department of Medicine, Western University, London Health Sciences Centre, London, Ontario, Canada
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Dave Nagpal, MD, FRCSC
Dave Nagpal
Affiliations
Division of Cardiac Surgery, Department of Surgery, Western University, London Health Sciences Centre, London, Ontario, Canada
Division of Critical Care, Department of Medicine, Western University, London Health Sciences Centre London, Ontario, Canada
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Marat Slessarev, MD, PhD, FRCPC
Marat Slessarev
Affiliations
Division of Critical Care, Department of Medicine, Western University, London Health Sciences Centre London, Ontario, Canada
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Daniel Durocher, MD, FRCPC
Daniel Durocher
Affiliations
Division of Cardiology, Department of Medicine, Western University, London Health Sciences Centre, London, Ontario, Canada
Division of Critical Care, Department of Medicine, Western University, London Health Sciences Centre London, Ontario, Canada
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Michael R. Ward, MD, PhD, FRCPC
Michael R. Ward
Correspondence
Dr Michael Ward, 339 Windermere Road, London, Ontario N6A5A5, Canada. Tel.: +1-519-685-8500.
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Division of Cardiology, Department of Medicine, Western University, London Health Sciences Centre, London, Ontario, Canada
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Published:February 07, 2023DOI:https://doi.org/10.1016/j.cjca.2023.02.002

There is growing interest in the role and use of pulmonary artery catheters (PACs) in cardiogenic shock (CS). Observational evidence supports an association between use of PACs and improved survival, and specialty societies increasingly advocate for its use. The PAC is useful for early diagnosis, decisions surrounding escalation of care, and daily management. Despite this, its use in Canada is variable. Registries and trials collecting prospective data mandate invasive hemodynamics, and forthcoming evidence-based treatment strategies are likely to be tailored to hemodynamic phenotypes. Herein, we present the case for the routine use of PACs in the management of CS.

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Published online: February 07, 2023

Accepted: February 3, 2023

Received: December 8, 2022

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DOI: https://doi.org/10.1016/j.cjca.2023.02.002

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The Utility of Invasive Hemodynamics in the Management of Cardiogenic Shock

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