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dc.contributor.author | Martínez Solano, Jorge | |
dc.contributor.author | Sousa Casasnovas, Iago | |
dc.contributor.author | Bellón Cano, José María | |
dc.contributor.author | García Carreño, Jorge | |
dc.contributor.author | Juárez Fernández, Miriam | |
dc.contributor.author | Díez Delhoyo, Felipe | |
dc.contributor.author | Sanz Ruiz, Ricardo | |
dc.contributor.author | Devesa Cordero, Carolina | |
dc.contributor.author | Elízaga Corrales, Jaime | |
dc.contributor.author | Fernández Avilés, Francisco | |
dc.contributor.author | Martínez Sellés Oliveria Soares, Manuel | |
dc.date.accessioned | 2022-07-27T18:02:26Z | |
dc.date.available | 2022-07-27T18:02:26Z | |
dc.date.issued | 2022 | |
dc.identifier.citation | Martínez-Solano, J., Sousa-Casasnovas, I., Bellón-Cano, J. M., García-Carreño, J., Juárez-Fernández, M., Díez-Delhoyo, F., Sanz-Ruiz, R., Devesa-Cordero, C., Elízaga-Corrales, J., Fernández-Avilés, F., & Martínez-Sellés, M. (2022). Lactate levels as a prognostic predict in cardiogenic shock under venoarterial extracorporeal membrane oxygenation support. Revista Española de Cardiología (English Edition), 75(7), 595-603. https://doi.org/10.1016/j.rec.2021.08.020 | spa |
dc.identifier.issn | 1885-5857 | |
dc.identifier.uri | http://hdl.handle.net/11268/11538 | |
dc.description.abstract | Introduction and objectives: Lactate and its evolution are associated with the prognosis of patients in shock, although there is little evidence in those assisted with an extracorporeal venoarterial oxygenation membrane (VA-ECMO). Our objective was to evaluate its prognostic value in cardiogenic shock assisted with VA-ECMO. Methods: Study of patients with cardiogenic shock treated with VA-ECMO for medical indication between July 2013 and April 2021. Lactate clearance was calculated: [(initial lactate - 6 h lactate) / initial lactate × exact time between both determinations]. Results: From 121 patients, 44 had acute myocardial infarction (36.4%), 42 implant during cardiopulmonary resuscitation (34.7%), 14 pulmonary embolism (11.6%), 14 arrhythmic storm (11.6%), and 6 fulminant myocarditis (5.0%). After 30 days, 60 patients (49.6%) died, mortality was higher for implant during cardiopulmonary resuscitation than for implant in spontaneous circulation (30 of 42 [71.4%] vs 30 of 79 [38.0%], P=.030). Preimplantation GPT and lactate (both baseline, at 6hours, and clearance) were independently associated with 30-day mortality. The regression models that included lactate clearance had a better predictive capacity for survival than the ENCOURAGE and ECMO-ACCEPTS scores, with the area under the ROC curve being greater in the model with lactate at 6 h. Conclusions: Lactate (at baseline, 6h, and clearance) is an independent predictor of prognosis in patients in cardiogenic shock supported by VA-ECMO, allowing better risk stratification and predictive capacity. | spa |
dc.description.sponsorship | Sin financiación | spa |
dc.language.iso | eng | spa |
dc.subject.other | Choque cardiogénico | spa |
dc.subject.other | Ácido láctico | spa |
dc.subject.other | Signos y síntomas | spa |
dc.title | Lactate levels as a prognostic predict in cardiogenic shock under venoarterial extracorporeal membrane oxygenation support | spa |
dc.type | article | spa |
dc.description.impact | No data JCR 2021 | spa |
dc.description.impact | 0.385 SJR (2021) Q3, 1499/2489 Medicine (miscellaneous) | spa |
dc.description.impact | No data IDR 2021 | spa |
dc.identifier.doi | 10.1016/j.rec.2021.08.020 | |
dc.rights.accessRights | closedAccess | spa |
dc.subject.unesco | Enfermedad cardiovascular | spa |
dc.subject.unesco | Bioquímica | spa |
dc.subject.unesco | Efectos fisiológicos | spa |
dc.description.filiation | UEM | spa |
dc.relation.publisherversion | https://doi.org/10.1016/j.rec.2021.08.020 | spa |
dc.peerreviewed | Si | spa |
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