Pulmonary Artery Diastolic Pressure as a Surrogate for Pulmonary Capillary Wedge Pressure in Cardiogenic Shock

Pulmonary artery catheter (PAC) derived invasive hemodynamics are used to guide care in approximately one out of every ten cardiac intensive care unit (CICU) admissions, and one in three patients with cardiogenic shock (CS)1. In the day-to-day care of those with indwelling PACs, it is common for clinicians to use the pulmonary artery diastolic pressure (PADP) as a surrogate for the pulmonary capillary wedge pressure (PCWP). The value of this approach is that it can be both timesaving and potentially safer given that the PADP measurement is continuously available and doesn't require PAC balloon inflation.

Source: Journal of Cardiac Failure - March 19, 2024 Category: Cardiology Authors: Alexander I. Papolos, Benjamin B. Kenigsberg, Narayana Sarma V. Singam, David D. Berg, Jianping Guo, Erin A. Bohula, Jason N. Katz, Sean van Diepen, David A. Morrow, Critical Care Cardiology Trials Network Investigators Tags: Brief Report Source Type: research