HVAD Flow Waveform Estimates Left Ventricular Filling Pressure. (Record no. 4918)

MARC details
000 -LEADER
fixed length control field 03249nam a22005057a 4500
008 - FIXED-LENGTH DATA ELEMENTS--GENERAL INFORMATION
fixed length control field 200210s20202020 xxu||||| |||| 00| 0 eng d
022 ## - INTERNATIONAL STANDARD SERIAL NUMBER
International Standard Serial Number 1071-9164
024 ## - OTHER STANDARD IDENTIFIER
Standard number or code 10.1016/j.cardfail.2020.01.012 [doi]
024 ## - OTHER STANDARD IDENTIFIER
Standard number or code S1071-9164(19)31407-1 [pii]
040 ## - CATALOGING SOURCE
Original cataloging agency Ovid MEDLINE(R)
099 ## - LOCAL FREE-TEXT CALL NUMBER (OCLC)
PMID 31981696
245 ## - TITLE STATEMENT
Title HVAD Flow Waveform Estimates Left Ventricular Filling Pressure.
251 ## - Source
Source Journal of Cardiac Failure. 26(4):342-348, 2020 Apr.
252 ## - Abbreviated Source
Abbreviated source J Card Fail. 26(4):342-348, 2020 Apr.
252 ## - Abbreviated Source
Former abbreviated source J Card Fail. 2020 Jan 22
253 ## - Journal Name
Journal name Journal of cardiac failure
260 ## - PUBLICATION, DISTRIBUTION, ETC.
Year 2020
260 ## - PUBLICATION, DISTRIBUTION, ETC.
Manufacturer FY2020
265 ## - SOURCE FOR ACQUISITION/SUBSCRIPTION ADDRESS [OBSOLETE]
Publication status aheadofprint
265 ## - SOURCE FOR ACQUISITION/SUBSCRIPTION ADDRESS [OBSOLETE]
Publication status ppublish
266 ## - Date added to catalog
Date added to catalog 2020-02-10
268 ## - Previous citation
-- Journal of Cardiac Failure. 2020 Jan 22
501 ## - WITH NOTE
Local holdings Available online from MWHC library: 1995 - present
520 ## - SUMMARY, ETC.
Abstract BACKGROUND: HVAD left ventricular assist device (LVAD) flow waveforms provides graphical real-time information linking device performance with invasive hemodynamics. Previous studies have demonstrated a good correlation between the slopes of the ventricular filling phase (VFPS) and directly measured pulmonary capillary wedge pressure (PCWP). We aimed to validate the utility of VFPS to estimate PCWP and predict clinical outcomes.
520 ## - SUMMARY, ETC.
Abstract CONCLUSIONS: VFPS of the HVAD flow waveform is a novel noninvasive parameter that can estimate PCWP. Copyright (c) 2020 Elsevier Inc. All rights reserved.
520 ## - SUMMARY, ETC.
Abstract METHODS: In this prospective blinded study, screenshots from the HVAD monitor and simultaneous invasive hemodynamic measurements were obtained. Each screenshot was digitized and the VFPS was calculated by two independent readers who were blinded to the hemodynamic results. The equation PCWP=7.053 +1.365x(VFPS) was derived from a previously published data set and the estimated PCWP was correlated to the actually measured PCWP.
520 ## - SUMMARY, ETC.
Abstract RESULTS: 131 sets of simultaneous measurements (VFPS and PCWP) were obtained from 27 HVAD patients (mean age 55 years, 47% male). A previously proposed cutoff of VFPS >=5.8 L/min/sec predicted PCWP >=18 mmHg with 91.5% sensitivity and 95.2% specificity with the area under curve of 0.987. The estimated PCWP significantly correlated with measured PCWP (R2=0.65, p <0.001) and showed acceptable agreement with measured PCWP. Patients with VFPS >=5.8 L/min/sec experienced significantly higher heart failure readmission rates than those without (0.24 vs. 0.05 events/year, p <0.001).
546 ## - LANGUAGE NOTE
Language note English
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM
Topical term or geographic name entry element *Heart Failure
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM
Topical term or geographic name entry element *Heart-Assist Devices
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM
Topical term or geographic name entry element Female
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM
Topical term or geographic name entry element Heart Failure/di [Diagnosis]
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM
Topical term or geographic name entry element Heart Ventricles/dg [Diagnostic Imaging]
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM
Topical term or geographic name entry element Humans
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM
Topical term or geographic name entry element Male
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM
Topical term or geographic name entry element Middle Aged
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM
Topical term or geographic name entry element Prospective Studies
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM
Topical term or geographic name entry element Pulmonary Wedge Pressure
651 ## - SUBJECT ADDED ENTRY--GEOGRAPHIC NAME
Institution MedStar Heart & Vascular Institute
657 ## - INDEX TERM--FUNCTION
Medline publication type Journal Article
700 ## - ADDED ENTRY--PERSONAL NAME
Local Authors Grinstein, Jonathan
790 ## - Authors
All authors Fujino T, Grinstein J, Imamura T, Jeevanandam V, Kim G, Narang N, Nguyen A, Nitta D, Rodgers D, Sayer G, Uriel N
856 ## - ELECTRONIC LOCATION AND ACCESS
DOI <a href="https://dx.doi.org/10.1016/j.cardfail.2020.01.012">https://dx.doi.org/10.1016/j.cardfail.2020.01.012</a>
Public note https://dx.doi.org/10.1016/j.cardfail.2020.01.012
942 ## - ADDED ENTRY ELEMENTS (KOHA)
Koha item type Journal Article
Item type description Article
Holdings
Withdrawn status Lost status Damaged status Not for loan Collection Home library Current library Date acquired Total Checkouts Full call number Barcode Date last seen Price effective from Koha item type
          MedStar Authors Catalog MedStar Authors Catalog 02/10/2020   31981696 31981696 02/10/2020 02/10/2020 Journal Article

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