Online ISSN: 2187-2988 Print ISSN: 0911-1794
特定非営利活動法人日本小児循環器学会 Japanese Society of Pediatric Cardiology and Cardiac Surgery
Pediatric Cardiology and Cardiac Surgery 36(3): 192-201 (2020)


循環生理をわかって評価と治療循環不全の管理Hemodynamic Analysis-Based Therapeutic Intervention for Circulatory Failure in Pediatric Patients

岩手医科大学小児科学講座Department of Pediatrics and Pediatric Cardiology, Iwate Medical University School of Medicine ◇ Iwate, Japan

発行日:2020年10月1日Published: October 1, 2020


Circulatory failure is a life threating condition for which every pediatric cardiologist should be prepared to perform physiological analyses, make optimal therapeutic decisions, and secure the best outcome. The correct approach for determining the cause of circulatory failure can accelerate the patients’ recovery from a critical condition, as well as mitigate in allowing their outcome, whereas patients can rapidly deteriorate if their management is inadequate. The integrated concept of cardio-vascular interactions, the pressure-volume relationship, is not novel, but it is vital in allowing clinicians to understand the underlying physiology of circulatory failure. Furthermore, the pressure-volume relationship has the advantage of describing both cardiac function and its loading condition in the same dimension. Accordingly, the pressure-volume relationship can help clinicians to determine the best available therapeutic intervention. This review aimes to convey the initial steps involved in assessing hemodynamic issues in children with circulatory failure.

Key words: circulatory failure; heart failure; Fontan circulation

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