학술논문
Accuracy of Doppler blood pressure measurement in continuous‐flow left ventricular assist device patients
Document Type
article
Author
Song Li; Jennifer A. Beckman; Nathan G. Welch; Jason Bjelkengren; Sofia Carolina Masri; Elina Minami; April Stempien‐Otero; Wayne C. Levy; Kevin D. O'Brien; Shin Lin; Stephen D. Farris; Richard K. Cheng; Gregory Wood; Kevin Koomalsingh; James Kirkpatrick; James McCabe; Peter J. Leary; Fanette Chassagne; Venkat Keshav Chivukula; Alberto Aliseda; Claudius Mahr
Source
ESC Heart Failure, Vol 6, Iss 4, Pp 793-798 (2019)
Subject
Language
English
ISSN
2055-5822
Abstract
Abstract Aims Accurate blood pressure (BP) measurement in continuous‐flow ventricular assist device (CF‐VAD) patients is imperative to reduce stroke risk. This study assesses the accuracy of the Doppler opening pressure method compared with the gold standard arterial line method in CF‐VAD patients. Methods and results In a longitudinal cohort of HeartMate II and HVAD patients, arterial line BP and simultaneously measured Doppler opening pressure were obtained. Overall correlation, agreement between Doppler opening pressure and arterial line mean vs. systolic pressure, and the effect of arterial pulsatility on the accuracy of Doppler opening pressure were analysed. A total of 1933 pairs of Doppler opening pressure and arterial line pressure readings within 1 min of each other were identified in 154 patients (20% women, mean age 55 ± 15, 50% HeartMate II and 50% HVAD). Doppler opening pressure had good correlation with invasive mean arterial pressure (r = 0.742, P