scholarly journals Continuous long‐term wireless measurement of right ventricular pressures and estimated diastolic pulmonary artery pressure in patients with severe COVID‐19 acute respiratory distress syndrome

2021 ◽  
Author(s):  
Matthias Gaertner ◽  
Raymond Glocker ◽  
Felix Glocker ◽  
Hans‐Bernd Hopf
Keyword(s):  
Acute Respiratory Distress Syndrome ◽  
Pulmonary Artery ◽  
Respiratory Distress Syndrome ◽  
Respiratory Distress ◽  
Right Ventricular ◽  
Pulmonary Artery Pressure ◽  
Distress Syndrome ◽  
Artery Pressure ◽  
Wireless Measurement

scholarly journals Predictors of Long-term Right Ventricular Dysfunction in Acute Respiratory Distress Syndrome Survivors

2021 ◽  
Author(s):  
Siddharth Dugar ◽  
Ryota Sato ◽  
Hari Om Joshi ◽  
Xiaozhen Han ◽  
Xiaofeng Wang ◽  
...  
Keyword(s):  
Acute Respiratory Distress Syndrome ◽  
Respiratory Distress Syndrome ◽  
Respiratory Distress ◽  
Right Ventricular ◽  
Distress Syndrome ◽  
Cleveland Clinic ◽  
Right Ventricular Dysfunction ◽  
Left Ventricular ◽  
Post Discharge

Abstract Background: Right ventricular (RV) dysfunction develops frequently in patients with acute respiratory distress syndrome and is associated with short-term mortality. However, the incidence of long-term RV dysfunction and risk factor associated with it in ARDS survivors remains unknown. The aim of the study was to assess the prevalence and risk factors of long-term RV dysfunction in ARDS survivors. Method: This is a single-center retrospective cohort study including adult patients with ARDS admitted to the medical intensive care unit (MICU) at Cleveland Clinic between 1/1/2010–12/31/2017. We included patients with ARDS, who had echocardiography performed within 72 hours of MICU admission, survived 90 days from onset of ARDS with post-discharge echocardiography performed between 30-365 days after hospital discharge. RV dysfunction was defined based on the American Society of Echocardiography guidelines. Results: Of the 689 patients who were admitted to Cleveland Clinic for ARDS during the study period, 67 (14.07%) patients met the study criteria. A total of 34 patients (50. 7%) had RV dysfunction on post-discharge echocardiogram. In the multivariate logistic regression analyses, the incidence of long-term RV dysfunction was associated only with RVEDA/LVEDA [odds ratio (OR): 589, 95% confidence interval (CI): 71.17-48,400, p=0.005]. Conclusion: More than half of ARDS survivors had developed long-term RV dysfunction at post-discharge echocardiogram. Increased ratio of right-to-left ventricular end-diastolic area (RVEDA/LVEDA) ratio during ARDS was the significantly associated with development of long-term RV dysfunction in ARDS survivors. Trial registration: This study was approved by the Institutional Review Committee of Cleveland Clinic (IRB#19-1200) .

Shunts in Patients With Respiratory Distress Syndrome

PEDIATRICS ◽  
1993 ◽  
Vol 92 (5) ◽  
pp. 737-738
Author(s):  
JONATHAN R. SKINNER ◽  
EDMUND N. HEY
Keyword(s):  
Pulmonary Artery ◽  
Respiratory Distress Syndrome ◽  
Respiratory Distress ◽  
Pressure Gradient ◽  
Disease Severity ◽  
Pulmonary Artery Pressure ◽  
Distress Syndrome ◽  
Artery Pressure ◽  
Relationship Of ◽  
The Relationship

To the Editor.— We enjoyed this recent paper from Walther et al1 assessing pressure gradient across the arterial duct in neonates with respiratory distress syndrome. However, the initial statement that there have been no previous studies relating severity of respiratory distress syndrome to pulmonary artery pressure is incorrect. The conclusions of this study need to be related to the three earlier studies of Halliday et al,2 Evans and Archer,3 and Skinner et al,4 all of which studied the relationship of pulmonary artery pressure to disease severity.

Sign in / Sign up

Export Citation Format

Share Document