You are seeing this message because your Web browser does not support basic Web standards. Find out more about why this message is appearing and what you can do to make your experience on this site better.


ABOUT JAMA
Advanced Search

Welcome   | My Account | E-mail Alerts | Access Rights | Sign In


  Vol. 295 No. 10, March 8, 2006 TABLE OF CONTENTS
  JAMA
  •  Online Features
  Letters
 This Article
 •Full text
 •PDF
 •Send to a friend
 • Save in My Folder
 •Save to citation manager
 •Permissions
 Citing Articles
 •Contact me when this article is cited
 Related Content
 •Related articles
 •Similar articles in JAMA
 Topic Collections
 •Congestive Heart Failure/ Cardiomyopathy
 •Alert me on articles by topic

Pulmonary Artery Catheter Effectiveness in Congestive Heart Failure—Reply

Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

In Reply: Drs Won and Kuschner emphasize the utility of tailoring therapy to an estimate of right-sided filling pressures during management of acutely decompensated heart failure. They suggest that monitoring of CVP could have provided useful information to supplement clinical assessment. In the ESCAPE trial, however, the clinical assessment strategy included only symptoms and physical examination to estimate right-sided pressures; there was no invasive venous monitoring in patients who did not receive a PAC.

High correlation of right-sided pressure with pulmonary capillary wedge (PCW) pressure in chronic heart failure has been demonstrated by Drazner et al.1 Recent analysis of patients receiving PACs in the ESCAPE trial confirmed that estimated jugular venous pressure provided the most reliable clinical evidence for elevated PCW pressure in this population,2 although some estimates were incorrect, and lower accuracy has been described in general intensive care unit populations.3 Other physical signs in the ESCAPE trial had . . . [Full Text of this Article]

Lynne W. Stevenson, MD
lstevenson@partners.org
Cardiovascular Division
Brigham and Women's Hospital
Boston, Mass

Christopher M. O’Connor, MD
Division of Cardiology
Duke University Medical Center
Durham, NC

Robert M. Califf, MD
Division of Cardiology
Duke Clinical Research Institute
Durham, NC


RELATED ARTICLES

Pulmonary Artery Catheter Effectiveness in Congestive Heart Failure
Christine Won and Ware G. Kuschner
JAMA. 2006;295(10):1121.
EXTRACT | FULL TEXT  

Evaluation Study of Congestive Heart Failure and Pulmonary Artery Catheterization Effectiveness: The ESCAPE Trial
The ESCAPE Investigators and ESCAPE Study Coordinators*
JAMA. 2005;294(13):1625-1633.
ABSTRACT | FULL TEXT  






HOME | CURRENT ISSUE | PAST ISSUES | TOPIC COLLECTIONS | CME | SUBMIT | SUBSCRIBE | HELP
CONDITIONS OF USE | PRIVACY POLICY | CONTACT US | SITE MAP
 
© 2006 American Medical Association. All Rights Reserved.