In the present study, cardiac dysfunction in nonalcoholic cirrhosis has been studied in detail, which shows QTc interval prolongation in 47 patients (67.1%), systolic dysfunction in 37 patients (52.9%), diastolic dysfunction in 57 patients (81.4%), decreased cardiac output and decreased
cardiac index in 18 patients (25.7%) and increased serum proBNP in 20 patients (28.6%) out of 70 patients of the study, which is statistically significantly associated with severity of cirrhosis.
Abbreviations PAC: Pulmonary artery catheter EC: Electrical cardiometry CO: Cardiac output CI:
Cardiac index ICU: Intensive care unit T: Time point SPSS: Statistical package for social science SD: Standard deviation B-A: Bland and Altman.
"
Cardiac index is not typically calculated in annual physical examinations or routine medical visits," says Dr.
The FloTrac system was used to maintain a
cardiac index greater than 2.5 L/min/[m.sup.2] using either dobutamine or colloid boluses, depending on stroke volume index and stroke volume variation.
Strong negative predictors of one year survival include use of extracorporeal membrane oxygenation, renal failure, age, total bilirubin > 2.0 mg/dL,
cardiac index < 2 L/min, steroid dependence, smoking, and bodymass index[4-6].
Non-invasive assessment of
cardiac index (CI) was performed by echocardiography and transthoracic impedance cardiography (ICG)(Bioz, Cardiodynamics International Corporation, San Diego, CA).
Furthermore, in last month's Journal of Urology, Duty and colleagues published a comprehensive review on the debate of positioning for PCNL.[sup.6] According to this review, advantages of sPCNL over prone PCNL included a greater
cardiac index, decreased risk of colon injury during lower pole access, decreased radiation exposure to surgeon, improved spontaneous stone drainage through sheath and shorter OR time.
The following hemodynamic parameters were estimated: heart rate (HR), mean arterial pressure (MAP),
cardiac index (CI), stroke index (SI) and total peripheral resistance (TPR).
"The observation that nearly a third of the entire sample has low
cardiac index and that lower
cardiac index is related to smaller brain volume is concerning and requires further study." The participants with smaller brain volumes on magnetic resonance imaging did not show obvious clinical signs of reduced brain function.
Decreased
cardiac index, the amount of blood that pumps from the heart in relation to a person's body size, was associated with decreased brain volume using magnetic resonance imaging (MRI).
Low
cardiac index (defined as less than 2.5 L/min per [m.sup.2]) was identified in 415 individuals (28%) after the exclusion of 112 individuals with prevalent cardiovascular disease.
It was also noted that
cardiac index was pathologically decreased.
