The Experts below are selected from a list of 360 Experts worldwide ranked by ideXlab platform
Christophe Vandenbriele - One of the best experts on this subject based on the ideXlab platform.
-
Pulsus alternans as a sign of right ventricular failure after left ventricular assist device implantation
Journal of Cardiac Failure, 2020Co-Authors: Tim Balthazar, Tom Adriaenssens, Filip Rega, Christophe VandenbrieleAbstract:Temporary left ventricular assist devices such as the ImpellaTM are increasingly used in patients with cardiogenic shock. The right ventricle remains the Achilles heel of left ventricular assist device-supported circulation. However, right ventricular failure after implantation of a left ventricular assist device remains incompletely defined and understood. We describe the first case of Pulsus paradoxus emerging after the initiation of circulatory support using a left ventricular ImpellaTM device, which is an early sign of right ventricular failure, that was completely abolished after the addition of a temporary right ventricular assist device.
Tim Balthazar - One of the best experts on this subject based on the ideXlab platform.
-
Pulsus alternans as a sign of right ventricular failure after left ventricular assist device implantation
Journal of Cardiac Failure, 2020Co-Authors: Tim Balthazar, Tom Adriaenssens, Filip Rega, Christophe VandenbrieleAbstract:Temporary left ventricular assist devices such as the ImpellaTM are increasingly used in patients with cardiogenic shock. The right ventricle remains the Achilles heel of left ventricular assist device-supported circulation. However, right ventricular failure after implantation of a left ventricular assist device remains incompletely defined and understood. We describe the first case of Pulsus paradoxus emerging after the initiation of circulatory support using a left ventricular ImpellaTM device, which is an early sign of right ventricular failure, that was completely abolished after the addition of a temporary right ventricular assist device.
Tom Adriaenssens - One of the best experts on this subject based on the ideXlab platform.
-
Pulsus alternans as a sign of right ventricular failure after left ventricular assist device implantation
Journal of Cardiac Failure, 2020Co-Authors: Tim Balthazar, Tom Adriaenssens, Filip Rega, Christophe VandenbrieleAbstract:Temporary left ventricular assist devices such as the ImpellaTM are increasingly used in patients with cardiogenic shock. The right ventricle remains the Achilles heel of left ventricular assist device-supported circulation. However, right ventricular failure after implantation of a left ventricular assist device remains incompletely defined and understood. We describe the first case of Pulsus paradoxus emerging after the initiation of circulatory support using a left ventricular ImpellaTM device, which is an early sign of right ventricular failure, that was completely abolished after the addition of a temporary right ventricular assist device.
Filip Rega - One of the best experts on this subject based on the ideXlab platform.
-
Pulsus alternans as a sign of right ventricular failure after left ventricular assist device implantation
Journal of Cardiac Failure, 2020Co-Authors: Tim Balthazar, Tom Adriaenssens, Filip Rega, Christophe VandenbrieleAbstract:Temporary left ventricular assist devices such as the ImpellaTM are increasingly used in patients with cardiogenic shock. The right ventricle remains the Achilles heel of left ventricular assist device-supported circulation. However, right ventricular failure after implantation of a left ventricular assist device remains incompletely defined and understood. We describe the first case of Pulsus paradoxus emerging after the initiation of circulatory support using a left ventricular ImpellaTM device, which is an early sign of right ventricular failure, that was completely abolished after the addition of a temporary right ventricular assist device.
James R Sheller - One of the best experts on this subject based on the ideXlab platform.
-
use of pulse oximetry to recognize severity of airflow obstruction in obstructive airway disease correlation with Pulsus paradoxus
Chest, 1999Co-Authors: Tina V Hartert, Arthur P Wheeler, James R ShellerAbstract:Study objectives The purpose of this cross-sectional study was to confirm the observation that pulse oximetry tracing correlates with Pulsus paradoxus, and is therefore a measure of the severity of air trapping in obstructive airway disease. Design Cross-sectional survey. Setting The ICU in a tertiary care academic hospital. Patients Twenty-six patients consecutively admitted to the ICU with obstructive airway disease, either asthma or COPD. Measurements and results Forty-six percent of the study patients required mechanical ventilation, and 69% had an elevated Pulsus paradoxus. We defined the altered pulse oximetry baseline tracing as the respiratory waveform variation (RWV). The RWV was measured in numerical form as the change in millimeters from the baseline. Pulsus paradoxus was significantly correlated with the RWV of the pulse oximetry tracing (p Conclusions We describe the characteristic alterations in the pulse oximetry tracings that occur in the presence of Pulsus paradoxus and auto-PEEP. Since pulse oximetry is available universally in ICUs and emergency departments, it may be a useful noninvasive means of continually assessing Pulsus paradoxus and air trapping severity in obstructive airway disease patients.
