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Heart Failure as a Co-Morbidity in the ICU

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Intensive Care Medicine
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Abstract

We often treat patients with heart failure in the intensive care unit (ICU) setting, and clearly, severe heart failure carries a very high mortality rate. However, non-fatal heart failure commonly accompanies processes that cause patients to become critically ill. In these cases, heart failure becomes a co-morbidity. Although intuitively obvious that one needs forward blood flow to sustain life, it is not clear to what extent decreased cardiac reserve impairs outcome from acute illness other than acute coronary syndrome. It is important, therefore, to consider the impact that heart failure may have on outcome from critical illness.

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References

  1. De Backer D, Creteur J, Dubois MJ, Sakr Y, Vincent JL (2004) Microvascular alterations in patients with acute severe heart failure and cardiogenic shock. Am Heart J 147:91–99

    Article  PubMed  Google Scholar 

  2. Bland RD, Shoemaker WC, Abraham E, Cobo JC (1985) Hemodynamic and oxygen transport patterns in surviving and nonsurviving postoperative patients. Crit Care Med 13:85–90

    Article  PubMed  CAS  Google Scholar 

  3. Weil MH, Afifi AA (1970) Experimental and clinical studies on lactate and pyruvate as indicators of the severity of acute circulatory failure (shock). Circulation 41:989–1001

    PubMed  CAS  Google Scholar 

  4. Rush BF (1971) Irreversibility in post-transfusion phase of hemorrhagic shock. Adv Exp Med Biol 23:215–221

    PubMed  Google Scholar 

  5. Hayes MA, Timmins AC, Yau EH, Palazzo M, Hindo CJ, Watson D (1994) Evaluation of systemic oxygen delivery in the treatment of the critically ill. N Engl J Med 330:1717–1722

    Article  PubMed  CAS  Google Scholar 

  6. Uusaro A, Russell JA, Walley KR, Takala J (2000) Gastric-arterial PCO2 gradient does not reflect systemic and splanchnic hemodynamics or oxygen transport after cardiac surgery. Shock 14:13–17

    Article  PubMed  CAS  Google Scholar 

  7. Banks RO (1988) Vasoconstrictor-induced changes in renal blood flow: role of prostaglandins and histamine. Am J Physiol 254:F470–F476

    PubMed  CAS  Google Scholar 

  8. Rivers E, Nguyen B, Havstad S, et al (2001) Early goal-directed therapy in the treatment of severe sepsis and septic shock. N Engl J Med 345:1368–1377

    Article  PubMed  CAS  Google Scholar 

  9. Shoemaker WC, Appel PL, Kram HB, Waxman K, Lee TS (1988) Prospective trial of supra-normal values of survivors as therapeutic goals in high-risk surgical patients. Chest 94:1176–1186

    Article  PubMed  CAS  Google Scholar 

  10. Tuchschmidt J, Fried J, Astiz M, Rackow E (1992) Elevation of cardiac output and oxygen delivery improves outcome in septic shock. Chest 102:216–220

    Article  PubMed  CAS  Google Scholar 

  11. Gattinoni L, Brazzi L, Pelosi P, et al (1995) A trial of goal-oriented hemodynamic therapy in critically ill patients. N Engl J Med 333:1025–1032

    Article  PubMed  CAS  Google Scholar 

  12. Boyd O, Grounds RM, Bennett DE (1993) A randomized clinical trial of the effect of deliberate perioperative increases in oxygen delivery and mortality in high-risk surgical patients. JAMA 270:2691–2707

    Article  Google Scholar 

  13. Lobo SM, Salgado PF, Castillo VG, et al (2000) Maximizing O2 delivery in high-risk elderly surgery patients improves survivorship without altering O2 consumption. Crit Care Med 28:3396–3404

    Article  PubMed  CAS  Google Scholar 

  14. Breslow MJ, Miller CF, Parker SD, Walman AT, Traystman RJ (1987) Effect of vasopressors on organ blood flow during endotoxin shock in pigs. Am J Physiol 252:H291–H300

    PubMed  CAS  Google Scholar 

  15. Klabunde RE, Ritger RC (1991) NG-monomethyl-1-arginine (NMA) restores arterial blood pressure but reduces cardiac output in a canine model of endotoxic shock. Biochem Biophys Res Commun 178:1135–1140

    Article  PubMed  CAS  Google Scholar 

  16. Kilbourn RG, Fonseca GA, Griffith OW, et al (1995) NG-methyl-L-arginine, an inhibitor of nitric oxide synthase, reverses interleukin-2-induced hypotension. Crit Care Med 23:1018–1024

    Article  PubMed  CAS  Google Scholar 

  17. Nilsson J, Algotsson L, Hoglund L, Luhrs C, Brandt J (2004) EuroSCORE predicts intensive care unit stay and costs of open heart surgery. Ann Thorac Surg 78:1528–1534

    Article  PubMed  Google Scholar 

  18. Aubier M, Viires N, Syllie G, et al (1982) Respiratory muscle contribution to lactic acidosis in low cardiac output. Am Rev Respir Dis 126:648–652

    PubMed  CAS  Google Scholar 

  19. Wise RA, Robotham JL, Summer WR (1981) Effects of spontaneous ventilation on the circulation. Lung 159:175–186

    Article  PubMed  CAS  Google Scholar 

  20. Roussos C, Macklem PT (1982) The respiratory muscles. N Engl J Med 307:786–797

    Article  PubMed  CAS  Google Scholar 

  21. Aubier M, Viires N, Syllie G, et al (1982) Respiratory muscle contribution to lactic acidosis in low cardiac output. Am Rev Respir Dis 126:648–652

    PubMed  CAS  Google Scholar 

  22. Baratz DM, Westbrook PR, Shah PK, et al (1992) Effect of nasal continuous positive airway pressure on cardiac output and oxygen delivery in patients with congestive heart failure. Chest 102:1397–1401

    Article  PubMed  CAS  Google Scholar 

  23. Viires N, Silley G, Rassidakis A, et al (1980) Effect of mechanical ventilation on respiratory muscle blood flow during shock. Physiologist 23:1–23 (abst)

    Google Scholar 

  24. Lemaire F, Teboul JL, Cinotti L, et al (1988) Acute left ventricular dysfunction during unsuccessful weaning from mechanical ventilation. Anesthesiology 69:171–179

    Article  PubMed  CAS  Google Scholar 

  25. Hurford WE, Lynch KE, Strauss HW, et al (1991) Myocardial perfusion as assessed by thallium-201 scintigraphy during the discontinuation of mechanical ventilation in ventilator-dependent patients. Anesthesiology 74:1007–1016

    Article  PubMed  CAS  Google Scholar 

  26. Srivastava S, Chatila W, Amoateng-Adjepong Y, et al (1999) Myocardial ischemia and weaning failure in patients with coronary artery disease: an update. Crit Care Med 27:2109–2112

    Article  PubMed  CAS  Google Scholar 

  27. Mohsenifar Z, Hay A, Hay J, Lewis MI, Koerner SK (1993) Gastric intramural pH as a predictor of success or failure in weaning patients from mechanical ventilation. Ann Intern Med 119:794–798

    PubMed  CAS  Google Scholar 

  28. Jubran A, Mathru M, Dries D, et al (1998) Continuous recordings of mixed venous oxygen saturation during weaning from mechanical ventilation and the ramifications thereof. Am J Respir Crit Care Med 158:1763–1769

    PubMed  CAS  Google Scholar 

  29. Rasanen J, Vaisanen IT, Heikkila J, et al (1985) Acute myocardial infarction complicated by left ventricular dysfunction and respiratory failure. The effects of continuous positive airway pressure. Chest 87:158–162

    CAS  Google Scholar 

  30. Schuster S, Erbel R, Weilemann LS, et al (1990) Hemodynamics during PEEP ventilation in patients with severe left ventricular failure studied by transesophageal echocardiography. Chest 97:1181–1189

    Article  PubMed  CAS  Google Scholar 

  31. Dhainaut JF, Devaux JY, Monsallier JF, Brunet F, Villemant D, Huyghebaert MF (1986) Mechanisms of decreased left ventricular preload during continuous positive pressure ventilation in ARDS. Chest 90:74–80

    Article  PubMed  CAS  Google Scholar 

  32. Huemer G, Kolev N, Kurz A, Zimpfer N (1994) Influence of positive end-expiratory pressure on right and left ventricular performance assessed by Doppler two-dimensional echocardiography. Chest 106:67–73

    Article  PubMed  CAS  Google Scholar 

  33. Naughton MT, Rahman MA, Hara K, Floras JS, Bradley TD (1995) Effect of continuous positive airway pressure on intrathoracic and left ventricular transmural pressures in patients with congestive heart failure. Circulation 91:1725–1731

    PubMed  CAS  Google Scholar 

  34. Lin M, Yang YF, Chiang HT, Chang MS, Chiang BN, Cheitlin MD (1995) Reappraisal of continuous positive airway pressure therapy in acute cardiogenic pulmonary edema. Short-term results and long-term follow-up. Chest 107:1379–1386

    PubMed  CAS  Google Scholar 

  35. Buckle P, Millar T, Kryger M (1992) The effect of short-term nasal CPAP on Cheyne-Stokes respiration in congestive heart failure. Chest 102:31–35

    Article  PubMed  CAS  Google Scholar 

  36. Kaneko Y, Floras JS, Usui K, et al (2003) Cardiovascular effects of continuous positive airway pressure in patients with heart failure and obstructive sleep apnea. N Engl J Med 348:1233–1241

    Article  PubMed  Google Scholar 

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Pinsky, M.R. (2006). Heart Failure as a Co-Morbidity in the ICU. In: Vincent, JL. (eds) Intensive Care Medicine. Springer, New York, NY. https://doi.org/10.1007/0-387-35096-9_11

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  • DOI: https://doi.org/10.1007/0-387-35096-9_11

  • Publisher Name: Springer, New York, NY

  • Print ISBN: 978-0-387-30156-3

  • Online ISBN: 978-0-387-35096-7

  • eBook Packages: MedicineMedicine (R0)

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