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ARTICLE |

Echocardiography and Nuclear Cardiac Imaging in the Critical Care Unit FREE

Margaret M. Parker, MD; Robert E. Cunnion, MD; Joseph E. Parrillo, MD
[+] Author Affiliations

Reprint requests to Critical Care Medicine Department, Bldg 10, Room 10D-48, National Institutes of Health, Bethesda, MD 20205 (Dr Parker).


JAMA. 1985;254(20):2935-2939. doi:10.1001/jama.1985.03360200087035
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AN ESSENTIAL function of the intensive care unit (ICU) is to couple immediate diagnosis with rapid therapeutic reversal of acute abnormalities of vital organ function. Much of conventional ICU technology monitors rapid changes in the cardiovascular system. Continuous electrocardiographic monitoring facilitates immediate detection and reversal of arrhythmias. Indwelling arterial catheters provide continuous measurement of arterial pressure. The balloon-tipped, flow-directed thermodilution pulmonary artery catheter permits frequent assessment of ventricular filling pressure and cardiac output, as well as calculation of vascular resistance in the systemic and pulmonary circulations. The major purpose of this cardiovascular monitoring is to allow recognition and correction of major derangements in cardiovascular function before serious compromise of vital organ systems can develop.

During the past few years, the diagnostic and therapeutic capabilities of cardiovascular medicine have become more and more sophisticated. This enhanced diagnostic capability stems in part from the application of ultrasound and nuclear-medicine techniques to image

REFERENCES

Parisi AF, Tow DE, Felix WR, et al:  Noninvasive cardiac diagnosis . N Engl J Med 1977;;296:316-320.
Bacharach SL, Green MV, Borer JS, et al:  A real-time system for multi-image gated cardiac studies . J Nucl Med 1977;;18-79-84.
Hinshaw LC, Cox BG: The Fundamental Mechanisms of Shock . New York, Plenum Press, 1972;, pp 13-23.
Mintz GS, Victor MF, Kotler MN, et al:  Two-dimensional echocardiographic identification of surgically correctable complications of acute myocardial infarction . Circulation 1981;; 64:91-96.
Singh S, Wann LS, Schuchard GH, et al:  Right ventricular and right atrial collapse in patients with cardiac tamponade: A combined echocardiographic and hemodynamic study . Circulation 1984;;70:966-971.
Parker MM, Shelhamer JH, Bacharach SL, et al:  Profound but reversible myocardial depression in patients with septic shock . Ann Intern Med 1984;;100:483-490.
Mellow E, Parker MM, Cunnion RE, et al:  Usefulness of two-dimensional echocardiography to follow reversible myocardial dysfunction in humans with septic shock , abstracted. Clin Res 1985;;33:294A.
Visser CA, Kan G, David GK, et al:  Echocardiographic-cineangiographic correlation in detecting left ventricular aneurysm: A prospective study of 422 patients . Am J Cardiol 1982;; 50:337-341.
Roy P, Tajik AJ, Giuliani ER, et al:  Spectrum of echocardiographic findings in bacterial endocarditis . Circulation 1976;;53:474-482.

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Parisi AF, Tow DE, Felix WR, et al:  Noninvasive cardiac diagnosis . N Engl J Med 1977;;296:316-320.
Bacharach SL, Green MV, Borer JS, et al:  A real-time system for multi-image gated cardiac studies . J Nucl Med 1977;;18-79-84.
Hinshaw LC, Cox BG: The Fundamental Mechanisms of Shock . New York, Plenum Press, 1972;, pp 13-23.
Mintz GS, Victor MF, Kotler MN, et al:  Two-dimensional echocardiographic identification of surgically correctable complications of acute myocardial infarction . Circulation 1981;; 64:91-96.
Singh S, Wann LS, Schuchard GH, et al:  Right ventricular and right atrial collapse in patients with cardiac tamponade: A combined echocardiographic and hemodynamic study . Circulation 1984;;70:966-971.
Parker MM, Shelhamer JH, Bacharach SL, et al:  Profound but reversible myocardial depression in patients with septic shock . Ann Intern Med 1984;;100:483-490.
Mellow E, Parker MM, Cunnion RE, et al:  Usefulness of two-dimensional echocardiography to follow reversible myocardial dysfunction in humans with septic shock , abstracted. Clin Res 1985;;33:294A.
Visser CA, Kan G, David GK, et al:  Echocardiographic-cineangiographic correlation in detecting left ventricular aneurysm: A prospective study of 422 patients . Am J Cardiol 1982;; 50:337-341.
Roy P, Tajik AJ, Giuliani ER, et al:  Spectrum of echocardiographic findings in bacterial endocarditis . Circulation 1976;;53:474-482.
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