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Cardiac Preload Responsiveness in Children With Cardiovascular Dysfunction or Dilated Cardiomyopathy: A Multicenter Observational Study*
Conclusions: This study provides “normal” values for global end-diastolic volume index and limits of cardiac preload responsiveness in pediatric patients with cardiovascular dysfunction and dilated cardiomyopathy: 1.33 times normal global end-diastolic volume index represents the upper limit of patent cardiac preload responsiveness, with the highest expected responsiveness being below 0.67 times normal global end-diastolic volume index. The maximum response of the Frank-Starling relationship and therefore the level of no additional preload reserve is 1.33 to 1.51 times normal global end-diastolic volume index. Above 1....
Source: Pediatric Critical Care Medicine - January 1, 2015 Category: Pediatrics Tags: Cardiac Intensive Care Source Type: research

Predictors of Mortality in Pediatric Patients on Venoarterial Extracorporeal Membrane Oxygenation*
Objectives: Currently, there are no established echocardiographic or hemodynamic predictors of mortality after weaning venoarterial extracorporeal membrane oxygenation in children. We wished to determine which measurements predict mortality. Design: Over 3 years, we prospectively assessed six echo and six hemodynamic variables at 3–5 circuit rates while weaning extracorporeal membrane oxygenation flow. Hemodynamic measurements were heart rate, inotropic score, arteriovenous oxygen difference, pulse pressure, oxygenation index, and lactate. Echo variables included shortening/ejection fraction, outflow tract Doppler-derive...
Source: Pediatric Critical Care Medicine - November 1, 2014 Category: Pediatrics Tags: Extracorporeal Support Source Type: research

Dilated cardiomyopathy and right middle cerebral artery stroke.
PMID: 24996599 [PubMed - as supplied by publisher]
Source: Anales de Pediatria - July 1, 2014 Category: Pediatrics Authors: San Martín García I, Rives Ferreiro M, Martínez Olorón P, Aguilera Albesa S, Herranz Aguirre M Tags: An Pediatr (Barc) Source Type: research