Baseline | Cardiogenic shock | MCS 1 h | MCS 2 h | MCS 3 h | MCS 4 h | |||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|
ECMELLA | ECMO | ECMELLA | ECMO | ECMELLA | ECMO | ECMELLA | ECMO | ECMELLA | ECMO | ECMELLA | ECMO | |
Cardiac output (L/min) | 5.4 (5.2–5.6) | 6.0 (5.6–6.3) | 2.2 (1.8–2.4) | 2.5 (2.3–3.3) | ||||||||
Heart rate (beats per minute) | 75 (66–82) | 83 (78–84) | 70 (66–72) | 78 (75–80) | 60 (58–64) | 70 (67–86) | 57 (53–58) | 64 (59–68) | 53 (47–58) | 65 (63–80) | 50 (43–58) | 63 (61–72) |
Mean arterial pressure (mmHg) | 72 (64–88) | 73 (62–79) | 36 (33–44) | 43 (36–48) | 71 (66–77) | 57 (45–62) | 82 (72–88) | 65 (64–74) | 84 (72–91) | 69 (57–82) | 72 (60–83) | 63 (56–72) |
Pulse pressure (mmHg) | 47 (32–53) | 39 (32–40) | 9 (8–10) | 10 (10–14) | 6 (6–6) | 10 (6–12) | 6 (4–10) | 8 (8–8) | 6 (6–10) | 9 (8–12) | 6 (5–6) | 11 (9–12) |
Cardiac power output (W) | 0.9 (0.7–1.0) | 1.0 (0.8–1.1) | 0.1 (0.1–0.2) | 0.3 (0.2–0.3) | ||||||||
Mean pulmonary artery pressure (mmHg) | 26 (26–30) | 23 (20–26) | 31 (26–32) | 26 (23–28) | 26 (18–30) | 24 (18–29) | 27 (17–28) | 24 (21–29) | 28 (20–30) | 27 (24–33) | 31 (23–33) | 27 (22–32) |
Pulmonary artery diastolic pressure (mmHg) | 24 (21–27) | 16 (15–19) | 28 (22–30) | 21 (20–22) | 23 (23–28) | 22 (18–26) | 23 (16–23) | 22 (19–25) | 25 (23–28) | 26 (20–30) | 28 (21–28) | 19 (18–30) |
Left ventricle end-diastolic pressure (mmHg) | 18 (17–19) | 21 (20–22) | 22 (21–22) | 24 (20–26) | 14 (11–15) | 24 (20–27) | 15 (13–18) | 27 (24–29) | 12 (11–14) | 24 (23–28) | 11 (10–15) | 22 (18–28) |
Mixed venous saturation (%) | 62 (51–65) | 65 (54–66) | 28 (22–30) | 36 (32–41) | 67 (64–75) | 60 (41–69) | 71 (65–80) | 59 (56–70) | 75 (68–83) | 58 (47–72) | 72 (66–80) | 75 (55–81) |
Carotid artery flow (ml/min) | 248 (226–261) | 278 (249–301) | 57 (24–86) | 122 (98–144) | 154 (116–271) | 174 (162–211) | 123 (116–268) | 186 (174–222) | 171 (141–248) | 224 (176–248) | 250 (134–316) | 248 (208–297) |
Renal venous pressure (mmHg) | 6 (6–9) | 10 (10–11) | 7 (6–10) | 13 (10–16) | 6 (5–7) | 8 (7–10) | 6 (5–6) | 11 (8–12) | 7 (6–8) | 10 (8–12) | 7 (6–7) | 11 (8–12) |
Renal venous saturation (%) | 82 (69–85) | 75 (71–76) | 39 (26–51) | 30 (30–59) | 87 (83–91) | 77 (61–93) | 87 (73–88) | 57 (50–97) | 86 (86–91) | 84 (51–96) | 74 (56–83) | 71 (62–96) |
Urine output (ml/h) | – | – | – | – | 285 (185–475) | 160 (85–270) | 110 (57–330) | 60 (49–72) | 65 (40–272) | 82 (62–102) | 105 (42–273) | 50 (16–144) |
Norepinephrine (µg/kg/min) | 0 (0–0) | 0 (0–0) | 0 (0–0.02) | 0 (0–0) | 0 (0–0) | 0 (0–0) | 0 (0–0) | 0 (0–0) | 0 (0–0) | 0 (0–0.07) | 0 (0–0) | 0 (0–0.04) |
V-A ECMO flow (L/min) | – | – | 3.4 (3.4–3.4) | 3.3 (3.2–3.4) | 3.3 (3.1–3.4) | 3.4 (3.4–3.7) | 3.3 (3.0–3.5) | 3.5 (3.4–3.8) | 3.3 (3.1–3.6) | 3.6 (3.4–4.0) | 3.5 (3.0–3.7) | 3.5 (3.4–4.1) |
Impella flow (L/min) | – | – | – | – | 1.0 (0.9–2.0) | – | 1.8 (1.0–2.3) | – | 1.9 (1.4–2.3) | – | 1.7 (1.3–2.4) | – |
Blood lacate (mmol/L) | 1.3 (0.8–2.3) | 0.9 (0.9–1.1) | 2.5 (2.2–2.9) | 2.1 (1.0–2.6) | 3.4 (3.0–3.6) | 2.7 (2.6–4.4) | 3.7 (3.4–4.3) | 3.5 (2.7–4.4) | 3.4 (3.2–4.1) | 4.6 (3.5–5.9) | 3.5 (2.8–4.0) | 4.4 (3.6–5.4) |