A Noninvasive Method of Predicting Pulmonary-Capillary Wedge Pressure
THE pulmonary-capillary wedge pressure (PCWP) is an important indicator of cardiac function and intravascular and pulmonary venous volume. Clinical and radiographic methods of detecting congestive heart failure are insensitive to increases in the PCWP, 1 , 2 and hemodynamic monitoring of this pressu...
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| Veröffentlicht in: | The New England journal of medicine 1992-12, Vol.327 (24), p.1715-1720 |
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| container_title | The New England journal of medicine |
| container_volume | 327 |
| creator | McIntyre, Kevin M Vita, Joseph A Lambrew, Costas T Freeman, Jonathan Loscalzo, Joseph |
| description | THE pulmonary-capillary wedge pressure (PCWP) is an important indicator of cardiac function and intravascular and pulmonary venous volume. Clinical and radiographic methods of detecting congestive heart failure are insensitive to increases in the PCWP,
1
,
2
and hemodynamic monitoring of this pressure with use of a balloon-tipped, flow-directed catheter has therefore become commonplace in acutely ill patients.
3
Because it is an invasive procedure and occasionally causes serious complications, pulmonary-artery catheterization is not an acceptable alternative either for screening or as a guide to routine therapy for congestive heart failure.
4
5
6
A noninvasive method of estimating the PCWP could contribute to the early detection . . . |
| doi_str_mv | 10.1056/NEJM199212103272404 |
| format | Article |
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1
,
2
and hemodynamic monitoring of this pressure with use of a balloon-tipped, flow-directed catheter has therefore become commonplace in acutely ill patients.
3
Because it is an invasive procedure and occasionally causes serious complications, pulmonary-artery catheterization is not an acceptable alternative either for screening or as a guide to routine therapy for congestive heart failure.
4
5
6
A noninvasive method of estimating the PCWP could contribute to the early detection . . .</description><identifier>ISSN: 0028-4793</identifier><identifier>EISSN: 1533-4406</identifier><identifier>DOI: 10.1056/NEJM199212103272404</identifier><identifier>PMID: 1435916</identifier><identifier>CODEN: NEJMAG</identifier><language>eng</language><publisher>Boston, MA: Massachusetts Medical Society</publisher><subject>Biological and medical sciences ; Blood Pressure ; Cardiology ; Cardiology. Vascular system ; Cardiovascular disease ; Cardiovascular Diseases - diagnosis ; Catheters ; Chronic cor pulmonale ; Coronary vessels ; Furosemide ; Heart ; Heart failure ; Hemodynamics - physiology ; Humans ; Intubation ; Medical sciences ; Methods ; Mortality ; Nitroglycerin ; Patients ; Personal computers ; Pneumology ; Prospective Studies ; Pulmonary arteries ; Pulmonary artery ; Pulmonary hypertension. Acute cor pulmonale. Pulmonary embolism. Pulmonary vascular diseases ; Pulmonary Wedge Pressure ; R&D ; Regression Analysis ; Research & development ; Valsalva Maneuver ; Vasoactive agents ; Veins & arteries ; Veterans</subject><ispartof>The New England journal of medicine, 1992-12, Vol.327 (24), p.1715-1720</ispartof><rights>1993 INIST-CNRS</rights><rights>Copyright Massachusetts Medical Society Dec 10, 1992</rights><rights>Copyright Massachusetts Medical Society, Publishing Division Dec 10, 1992</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c504t-ae52b0aee18f6173992a5d9b0f8aa8cc04daeb9491e5735240163598116c37b43</citedby><cites>FETCH-LOGICAL-c504t-ae52b0aee18f6173992a5d9b0f8aa8cc04daeb9491e5735240163598116c37b43</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.nejm.org/doi/pdf/10.1056/NEJM199212103272404$$EPDF$$P50$$Gmms$$H</linktopdf><linktohtml>$$Uhttps://www.nejm.org/doi/full/10.1056/NEJM199212103272404$$EHTML$$P50$$Gmms$$H</linktohtml><link.rule.ids>314,776,780,2746,2747,26080,27901,27902,52357,54039</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=4469220$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/1435916$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>McIntyre, Kevin M</creatorcontrib><creatorcontrib>Vita, Joseph A</creatorcontrib><creatorcontrib>Lambrew, Costas T</creatorcontrib><creatorcontrib>Freeman, Jonathan</creatorcontrib><creatorcontrib>Loscalzo, Joseph</creatorcontrib><title>A Noninvasive Method of Predicting Pulmonary-Capillary Wedge Pressure</title><title>The New England journal of medicine</title><addtitle>N Engl J Med</addtitle><description>THE pulmonary-capillary wedge pressure (PCWP) is an important indicator of cardiac function and intravascular and pulmonary venous volume. Clinical and radiographic methods of detecting congestive heart failure are insensitive to increases in the PCWP,
1
,
2
and hemodynamic monitoring of this pressure with use of a balloon-tipped, flow-directed catheter has therefore become commonplace in acutely ill patients.
3
Because it is an invasive procedure and occasionally causes serious complications, pulmonary-artery catheterization is not an acceptable alternative either for screening or as a guide to routine therapy for congestive heart failure.
4
5
6
A noninvasive method of estimating the PCWP could contribute to the early detection . . .</description><subject>Biological and medical sciences</subject><subject>Blood Pressure</subject><subject>Cardiology</subject><subject>Cardiology. Vascular system</subject><subject>Cardiovascular disease</subject><subject>Cardiovascular Diseases - diagnosis</subject><subject>Catheters</subject><subject>Chronic cor pulmonale</subject><subject>Coronary vessels</subject><subject>Furosemide</subject><subject>Heart</subject><subject>Heart failure</subject><subject>Hemodynamics - physiology</subject><subject>Humans</subject><subject>Intubation</subject><subject>Medical sciences</subject><subject>Methods</subject><subject>Mortality</subject><subject>Nitroglycerin</subject><subject>Patients</subject><subject>Personal computers</subject><subject>Pneumology</subject><subject>Prospective Studies</subject><subject>Pulmonary arteries</subject><subject>Pulmonary artery</subject><subject>Pulmonary hypertension. Acute cor pulmonale. Pulmonary embolism. Pulmonary vascular diseases</subject><subject>Pulmonary Wedge Pressure</subject><subject>R&D</subject><subject>Regression Analysis</subject><subject>Research & development</subject><subject>Valsalva Maneuver</subject><subject>Vasoactive agents</subject><subject>Veins & arteries</subject><subject>Veterans</subject><issn>0028-4793</issn><issn>1533-4406</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1992</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>BEC</sourceid><sourceid>BENPR</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><recordid>eNp9kUtrG0EMx4fQ4LpOP0EpLG3pJWw7mtfOHINxH8FxfGjpcZid1aZr9uHM7Br67TPBJoXSVhcJ9JP0l0TIK6AfgEr1cbO6vgFjGDCgnBVMUHFG5iA5z4Wg6hmZU8p0LgrDn5MXMe5oMhBmRmYguDSg5mR1lW2GvukPLjYHzG5w_DlU2VBn24BV48emv8u2U9sNvQu_8qXbN22bouwHVnf4CMU4Bbwg57VrI748-QX5_mn1bfklX99-_rq8WudeUjHmDiUrqUMEXSsoeNLuZGVKWmvntPdUVA5LIwygLLhMC4FKOjWA8rwoBV-Q98e--zDcTxhH2zXRY5LU4zBFW3AOhmmVwDd_gLthCn3SZhnjRoKSLEFv_wWB0VwIzbVOFD9SPgwxBqztPjRduoEFah__YP_yh1T1-tR7KjusftccD5_y7055F71r6-B638QnTAhlGKMJuzxiXRdtj7vuv0MfAE2hmNQ</recordid><startdate>19921210</startdate><enddate>19921210</enddate><creator>McIntyre, Kevin M</creator><creator>Vita, Joseph A</creator><creator>Lambrew, Costas T</creator><creator>Freeman, Jonathan</creator><creator>Loscalzo, Joseph</creator><general>Massachusetts Medical Society</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>0TZ</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>8AO</scope><scope>8C1</scope><scope>8FE</scope><scope>8FH</scope><scope>8FI</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AN0</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BEC</scope><scope>BENPR</scope><scope>BHPHI</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>HCIFZ</scope><scope>K0Y</scope><scope>LK8</scope><scope>M0R</scope><scope>M0T</scope><scope>M1P</scope><scope>M2M</scope><scope>M2O</scope><scope>M2P</scope><scope>M7P</scope><scope>MBDVC</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>PSYQQ</scope><scope>Q9U</scope><scope>7X8</scope></search><sort><creationdate>19921210</creationdate><title>A Noninvasive Method of Predicting Pulmonary-Capillary Wedge Pressure</title><author>McIntyre, Kevin M ; Vita, Joseph A ; Lambrew, Costas T ; Freeman, Jonathan ; Loscalzo, Joseph</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c504t-ae52b0aee18f6173992a5d9b0f8aa8cc04daeb9491e5735240163598116c37b43</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1992</creationdate><topic>Biological and medical sciences</topic><topic>Blood Pressure</topic><topic>Cardiology</topic><topic>Cardiology. Vascular system</topic><topic>Cardiovascular disease</topic><topic>Cardiovascular Diseases - diagnosis</topic><topic>Catheters</topic><topic>Chronic cor pulmonale</topic><topic>Coronary vessels</topic><topic>Furosemide</topic><topic>Heart</topic><topic>Heart failure</topic><topic>Hemodynamics - physiology</topic><topic>Humans</topic><topic>Intubation</topic><topic>Medical sciences</topic><topic>Methods</topic><topic>Mortality</topic><topic>Nitroglycerin</topic><topic>Patients</topic><topic>Personal computers</topic><topic>Pneumology</topic><topic>Prospective Studies</topic><topic>Pulmonary arteries</topic><topic>Pulmonary artery</topic><topic>Pulmonary hypertension. Acute cor pulmonale. Pulmonary embolism. Pulmonary vascular diseases</topic><topic>Pulmonary Wedge Pressure</topic><topic>R&D</topic><topic>Regression Analysis</topic><topic>Research & development</topic><topic>Valsalva Maneuver</topic><topic>Vasoactive agents</topic><topic>Veins & arteries</topic><topic>Veterans</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>McIntyre, Kevin M</creatorcontrib><creatorcontrib>Vita, Joseph A</creatorcontrib><creatorcontrib>Lambrew, Costas T</creatorcontrib><creatorcontrib>Freeman, Jonathan</creatorcontrib><creatorcontrib>Loscalzo, Joseph</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Pharma and Biotech Premium PRO</collection><collection>Nursing & Allied Health Database</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>ProQuest Pharma Collection</collection><collection>Public Health Database</collection><collection>ProQuest SciTech Collection</collection><collection>ProQuest Natural Science Collection</collection><collection>Hospital Premium Collection</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>British Nursing Database</collection><collection>ProQuest Central Essentials</collection><collection>Biological Science Collection</collection><collection>eLibrary</collection><collection>ProQuest Central</collection><collection>Natural Science Collection</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>Research Library Prep</collection><collection>SciTech Premium Collection</collection><collection>New England Journal of Medicine</collection><collection>ProQuest Biological Science Collection</collection><collection>Consumer Health Database</collection><collection>Healthcare Administration Database</collection><collection>Medical Database</collection><collection>ProQuest Psychology</collection><collection>Research Library</collection><collection>Science Database</collection><collection>Biological Science Database</collection><collection>Research Library (Corporate)</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>ProQuest One Psychology</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><jtitle>The New England journal of medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>McIntyre, Kevin M</au><au>Vita, Joseph A</au><au>Lambrew, Costas T</au><au>Freeman, Jonathan</au><au>Loscalzo, Joseph</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>A Noninvasive Method of Predicting Pulmonary-Capillary Wedge Pressure</atitle><jtitle>The New England journal of medicine</jtitle><addtitle>N Engl J Med</addtitle><date>1992-12-10</date><risdate>1992</risdate><volume>327</volume><issue>24</issue><spage>1715</spage><epage>1720</epage><pages>1715-1720</pages><issn>0028-4793</issn><eissn>1533-4406</eissn><coden>NEJMAG</coden><abstract>THE pulmonary-capillary wedge pressure (PCWP) is an important indicator of cardiac function and intravascular and pulmonary venous volume. Clinical and radiographic methods of detecting congestive heart failure are insensitive to increases in the PCWP,
1
,
2
and hemodynamic monitoring of this pressure with use of a balloon-tipped, flow-directed catheter has therefore become commonplace in acutely ill patients.
3
Because it is an invasive procedure and occasionally causes serious complications, pulmonary-artery catheterization is not an acceptable alternative either for screening or as a guide to routine therapy for congestive heart failure.
4
5
6
A noninvasive method of estimating the PCWP could contribute to the early detection . . .</abstract><cop>Boston, MA</cop><pub>Massachusetts Medical Society</pub><pmid>1435916</pmid><doi>10.1056/NEJM199212103272404</doi><tpages>6</tpages><oa>free_for_read</oa></addata></record> |
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| ispartof | The New England journal of medicine, 1992-12, Vol.327 (24), p.1715-1720 |
| issn | 0028-4793 1533-4406 |
| language | eng |
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| source | MEDLINE; EZB-FREE-00999 freely available EZB journals; New England Journal of Medicine |
| subjects | Biological and medical sciences Blood Pressure Cardiology Cardiology. Vascular system Cardiovascular disease Cardiovascular Diseases - diagnosis Catheters Chronic cor pulmonale Coronary vessels Furosemide Heart Heart failure Hemodynamics - physiology Humans Intubation Medical sciences Methods Mortality Nitroglycerin Patients Personal computers Pneumology Prospective Studies Pulmonary arteries Pulmonary artery Pulmonary hypertension. Acute cor pulmonale. Pulmonary embolism. Pulmonary vascular diseases Pulmonary Wedge Pressure R&D Regression Analysis Research & development Valsalva Maneuver Vasoactive agents Veins & arteries Veterans |
| title | A Noninvasive Method of Predicting Pulmonary-Capillary Wedge Pressure |
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