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Hemodynamic Monitoring in Patients With Acute Myocardial Infarction
James S. Forrester, MD;
Kanu Chatterjee, MRCP;
H. Jeremy C. Swan, MB, PhD
JAMA. 1973;226(1):60-61.
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| Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings. |
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Although treatment of many commonly encountered disorders has changed in the past decade, none has evolved more dramatically than that of acute myocardial infarction. Ten years ago, a new era began with arrhythmia monitoring in coronary care units. In the past few years, another has been entered with the development of methods for more precisely monitoring cardiac function during acute infarction.
Hemodynamic monitoring in critically ill patients employs a specially designed double-lumen catheter that can be advanced at the bedside via a peripheral vein to the pulmonary artery without the use of fluoroscopy. Pulmonary artery pressure is monitored through the major lumen that leads to the tip. The minor lumen leads to an inflatable balloon proximal to the catheter tip, which serves to guide the catheter in the direction of blood flow through the right ventricle into the pulmonary artery. Since the balloon can be placed in a position so
. . . [Full Text PDF of this Article]
Author Affiliations
From the Department of Cardiology, Cedars-Sinai Medical Center, Los Angeles.
Footnotes
This article is one of a series sponsored by the American Heart Association and edited by Burton E. Sobel, MD.
Reprint requests to 4833 Fountain Ave, Los Angeles 90029 (Dr. Forrester).
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