Optimizing Heart Function in Myocardial Dysfunction: Strategies and Monitoring Techniques
This article discusses the challenges in optimizing cardiac function in patients with poor myocardial performance even under optimal filling conditions. It highlights the use of echocardiography for monitoring cardiac output and the potential need for inotropes or balloon pumps. Furthermore, it underlines the importance of maintaining mean blood pressure to achieve target urine output of 1 ml/kg/h and normalizing lactate concentrations, crucial for enhancing patient outcomes in cardiogenic situations.
Optimizing Heart Function in Myocardial Dysfunction: Strategies and Monitoring Techniques
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Presentation Transcript
Optimising organ functionHeart Poor myocardial function despite optimal filling: Echocardiography Cardiac output monitoring Inotropes and/or balloon pump Mean blood pressure to achieve: Urine output of 1 ml kg-1 h-1 Normalising lactate concentration