A real-time cardiovascular computer simulation may provide a valid and clinically applicable method to monitor complex cardiac loading conditions in patients on VA ECMO.
Simulation may enable real-time VA ECMO loading assessment; leaves open whether it improves outcomes in cardiogenic shock.
Veno-arterial extracoporeal membrane oxygenation (VA ECMO) is increasingly used for acute and refractory cardiogenic shock. Yet, in clinical practice, monitoring of cardiac loading conditions during VA ECMO can be cumbersome. To this end, we illustrate the validity and clinical applicability of a real-time cardiovascular computer simulation, which allows to integrate hemodynamics, cardiac dimensions and the corresponding degree of VA ECMO support and ventricular loading in individual patients over time.
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Broomé et al. (2016) studied this question.
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