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Pulse pressure variation is not a valid predictor of fluid responsiveness in patients with elevated left ventricular filling pressure

DC FieldValueLanguage
dc.contributor.author곽영란-
dc.contributor.author송영-
dc.contributor.author송종욱-
dc.contributor.author심재광-
dc.date.accessioned2015-01-06T17:28:49Z-
dc.date.available2015-01-06T17:28:49Z-
dc.date.issued2014-
dc.identifier.issn0883-9441-
dc.identifier.urihttps://ir.ymlib.yonsei.ac.kr/handle/22282913/100057-
dc.description.abstractPURPOSE: The purpose of this study was to test the hypothesis that the predictive ability of pulse pressure variation (PPV) for fluid responsiveness would be altered in patients with elevated left ventricular (LV) filling pressure. MATERIALS AND METHODS: According to the preoperative echocardiographic assessment of the ratio of early transmitral flow velocity to early diastolic velocity of the mitral annulus (E/E'), patients undergoing surgical coronary revascularization were classified into normal (n=34, E/E'<8) and high (n=34, E/E'>15) LV filling pressure group. After anesthetic induction, PPV and hemodynamic data were measured before and after 6 mL/kg of colloid administration. Fluid responsiveness was defined as 12% or more increase in stroke volume index assessed by pulmonary artery catheter and tested by the area under the receiver operating characteristic curve (AUROC). RESULTS: The AUROCs of PPV in the normal and high filling pressure group were 0.829 (95% confidence interval [CI], 0.661-0.963; P<.001) and 0.583 (95% CI, 0.402-0.749; P=.110), respectively. The AUROCs of cardiac filling pressures and right ventricular end-diastolic volume index did not show statistical significance in both groups. CONCLUSIONS: None of the assessed preload indices including PPV were able to predict fluid responsiveness in patients with elevated LV filling pressure.-
dc.description.statementOfResponsibilityopen-
dc.format.extent987~991-
dc.relation.isPartOfJOURNAL OF CRITICAL CARE-
dc.rightsCC BY-NC-ND 2.0 KR-
dc.rights.urihttps://creativecommons.org/licenses/by-nc-nd/2.0/kr/-
dc.subject.MESHAged-
dc.subject.MESHBlood Pressure/physiology*-
dc.subject.MESHColloids/administration & dosage-
dc.subject.MESHCoronary Artery Bypass, Off-Pump-
dc.subject.MESHFemale-
dc.subject.MESHFluid Therapy*-
dc.subject.MESHHeart Ventricles/physiopathology-
dc.subject.MESHHemodynamics/physiology-
dc.subject.MESHHumans-
dc.subject.MESHMale-
dc.subject.MESHMiddle Aged-
dc.subject.MESHPredictive Value of Tests-
dc.subject.MESHProspective Studies-
dc.subject.MESHPulse-
dc.subject.MESHROC Curve-
dc.subject.MESHStroke Volume/physiology*-
dc.titlePulse pressure variation is not a valid predictor of fluid responsiveness in patients with elevated left ventricular filling pressure-
dc.typeArticle-
dc.contributor.collegeCollege of Medicine (의과대학)-
dc.contributor.departmentDept. of Anesthesiology (마취통증의학)-
dc.contributor.googleauthorJae-Kwang Shim-
dc.contributor.googleauthorJong-Wook Song-
dc.contributor.googleauthorYoung Song-
dc.contributor.googleauthorJi-Ho Kim-
dc.contributor.googleauthorHye-Min Kang-
dc.contributor.googleauthorYoung-Lan Kwak-
dc.identifier.doi10.1016/j.jcrc.2014.07.005-
dc.admin.authorfalse-
dc.admin.mappingfalse-
dc.contributor.localIdA00172-
dc.contributor.localIdA02036-
dc.contributor.localIdA02060-
dc.contributor.localIdA02205-
dc.relation.journalcodeJ01358-
dc.identifier.eissn1557-8615-
dc.identifier.pmid25216949-
dc.identifier.urlhttp://www.sciencedirect.com/science/article/pii/S0883944114002809-
dc.subject.keywordFilling pressure-
dc.subject.keywordFluid responsiveness-
dc.subject.keywordLeft ventricle-
dc.subject.keywordPulse pressure variation-
dc.contributor.alternativeNameKwak, Young Lan-
dc.contributor.alternativeNameSong, Young-
dc.contributor.alternativeNameSong, Jong Wook-
dc.contributor.alternativeNameShim, Jae Kwang-
dc.contributor.affiliatedAuthorKwak, Young Lan-
dc.contributor.affiliatedAuthorSong, Young-
dc.contributor.affiliatedAuthorSong, Jong Wook-
dc.contributor.affiliatedAuthorShim, Jae Kwang-
dc.rights.accessRightsfree-
dc.citation.volume29-
dc.citation.number6-
dc.citation.startPage987-
dc.citation.endPage991-
dc.identifier.bibliographicCitationJOURNAL OF CRITICAL CARE, Vol.29(6) : 987-991, 2014-
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Anesthesiology and Pain Medicine (마취통증의학교실) > 1. Journal Papers

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