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Decreased cardiac index

MedGen UID:
636290
•Concept ID:
C0520870
•
Finding
SNOMED CT: Decreased cardiac index (29781006)
 
HPO: HP:0033531

Definition

A reduced cardiac index, defined as cardiac output divided by body surface area. [from HPO]

Term Hierarchy

CClinical test,  RResearch test,  OOMIM,  GGeneReviews,  VClinVar  
  • CROGVDecreased cardiac index

Professional guidelines

PubMed

Arginine vasopressin is an ideal drug after cardiac surgery for the management of low systemic vascular resistant hypotension concomitant with pulmonary hypertension.
Tayama E, Ueda T, Shojima T, Akasu K, Oda T, Fukunaga S, Akashi H, Aoyagi S
Interact Cardiovasc Thorac Surg 2007 Dec;6(6):715-9. Epub 2007 Aug 17 doi: 10.1510/icvts.2007.159624. PMID: 17704123
Predictors of primary atrial fibrillation and concomitant clinical and hemodynamic changes in patients with chronic heart failure: a prospective study in 344 patients with baseline sinus rhythm.
Pozzoli M, Cioffi G, Traversi E, Pinna GD, Cobelli F, Tavazzi L
J Am Coll Cardiol 1998 Jul;32(1):197-204. doi: 10.1016/s0735-1097(98)00221-6. PMID: 9669270
Selected treatment strategies for septic shock based on proposed mechanisms of pathogenesis.
Natanson C, Hoffman WD, Suffredini AF, Eichacker PQ, Danner RL
Ann Intern Med 1994 May 1;120(9):771-83. doi: 10.7326/0003-4819-120-9-199405010-00009. PMID: 8147551

Recent clinical studies

Etiology

Risk Factors for Left Ventricular Dysfunction Following Surgical Management of Cardiac Fibroma.
Beroukhim RS, Geva T, Del Nido P, Sleeper LA, Lu M, Muter A, Harrild DM, Walsh EP, Nathan M
Circ Cardiovasc Imaging 2021 Feb;14(2):e011748. Epub 2021 Feb 1 doi: 10.1161/CIRCIMAGING.120.011748. PMID: 33517672
Hemodynamic and anti-inflammatory effects of early esmolol use in hyperkinetic septic shock: a pilot study.
Levy B, Fritz C, Piona C, Duarte K, Morelli A, Guerci P, Kimmoun A, Girerd N
Crit Care 2021 Jan 7;25(1):21. doi: 10.1186/s13054-020-03445-w. PMID: 33413583Free PMC Article
Atrial Reservoir Strain is Associated with Decreased Cardiac Index and Adverse Outcomes Post Fontan Operation.
Peck D, Alsaied T, Pradhan S, Hill G
Pediatr Cardiol 2021 Feb;42(2):307-314. Epub 2020 Oct 13 doi: 10.1007/s00246-020-02484-y. PMID: 33051698
Intra-abdominal pressure, Cardiac Index and vascular resistance during hyperthermic intraperitoneal chemotherapy: a prospective observational study.
Schluermann CN, Hoeppner J, Benk C, Schmidt R, Loop T, Kalbhenn J
Minerva Anestesiol 2016 Feb;82(2):160-9. Epub 2015 May 14 PMID: 25971283
Survival in patients with primary pulmonary hypertension. Results from a national prospective registry.
D'Alonzo GE, Barst RJ, Ayres SM, Bergofsky EH, Brundage BH, Detre KM, Fishman AP, Goldring RM, Groves BM, Kernis JT
Ann Intern Med 1991 Sep 1;115(5):343-9. doi: 10.7326/0003-4819-115-5-343. PMID: 1863023

Diagnosis

Risk Factors for Left Ventricular Dysfunction Following Surgical Management of Cardiac Fibroma.
Beroukhim RS, Geva T, Del Nido P, Sleeper LA, Lu M, Muter A, Harrild DM, Walsh EP, Nathan M
Circ Cardiovasc Imaging 2021 Feb;14(2):e011748. Epub 2021 Feb 1 doi: 10.1161/CIRCIMAGING.120.011748. PMID: 33517672
Esophageal Doppler Can Predict Fluid Responsiveness Through End-Expiratory and End-Inspiratory Occlusion Tests.
Dépret F, Jozwiak M, Teboul JL, Alphonsine JE, Richard C, Monnet X
Crit Care Med 2019 Feb;47(2):e96-e102. doi: 10.1097/CCM.0000000000003522. PMID: 30379670
Presence of Kidney Disease as an Outcome Predictor in Patients with Pulmonary Arterial Hypertension.
Bitker L, Sens F, Payet C, Turquier S, Duclos A, Cottin V, Juillard L
Am J Nephrol 2018;47(2):134-143. Epub 2018 Feb 22 doi: 10.1159/000487198. PMID: 29471290
Cardiac dysfunction and cognition in older adults with heart failure.
Hoth KF, Poppas A, Moser DJ, Paul RH, Cohen RA
Cogn Behav Neurol 2008 Jun;21(2):65-72. doi: 10.1097/WNN.0b013e3181799dc8. PMID: 18541980
Survival in patients with primary pulmonary hypertension. Results from a national prospective registry.
D'Alonzo GE, Barst RJ, Ayres SM, Bergofsky EH, Brundage BH, Detre KM, Fishman AP, Goldring RM, Groves BM, Kernis JT
Ann Intern Med 1991 Sep 1;115(5):343-9. doi: 10.7326/0003-4819-115-5-343. PMID: 1863023

Therapy

Hemodynamic and anti-inflammatory effects of early esmolol use in hyperkinetic septic shock: a pilot study.
Levy B, Fritz C, Piona C, Duarte K, Morelli A, Guerci P, Kimmoun A, Girerd N
Crit Care 2021 Jan 7;25(1):21. doi: 10.1186/s13054-020-03445-w. PMID: 33413583Free PMC Article
Atrial Reservoir Strain is Associated with Decreased Cardiac Index and Adverse Outcomes Post Fontan Operation.
Peck D, Alsaied T, Pradhan S, Hill G
Pediatr Cardiol 2021 Feb;42(2):307-314. Epub 2020 Oct 13 doi: 10.1007/s00246-020-02484-y. PMID: 33051698
Intra-abdominal pressure, Cardiac Index and vascular resistance during hyperthermic intraperitoneal chemotherapy: a prospective observational study.
Schluermann CN, Hoeppner J, Benk C, Schmidt R, Loop T, Kalbhenn J
Minerva Anestesiol 2016 Feb;82(2):160-9. Epub 2015 May 14 PMID: 25971283
The effect of phenylephrine and norepinephrine in patients with chronic pulmonary hypertension*.
Kwak YL, Lee CS, Park YH, Hong YW
Anaesthesia 2002 Jan;57(1):9-14. doi: 10.1046/j.1365-2044.2002.02324.x. PMID: 11843735
Haemodynamic studies in eight cases of acute colchicine poisoning.
Sauder P, Kopferschmitt J, Jaeger A, Mantz JM
Hum Toxicol 1983 Apr;2(2):169-73. doi: 10.1177/096032718300200201. PMID: 6862460

Prognosis

Risk Factors for Left Ventricular Dysfunction Following Surgical Management of Cardiac Fibroma.
Beroukhim RS, Geva T, Del Nido P, Sleeper LA, Lu M, Muter A, Harrild DM, Walsh EP, Nathan M
Circ Cardiovasc Imaging 2021 Feb;14(2):e011748. Epub 2021 Feb 1 doi: 10.1161/CIRCIMAGING.120.011748. PMID: 33517672
Atrial Reservoir Strain is Associated with Decreased Cardiac Index and Adverse Outcomes Post Fontan Operation.
Peck D, Alsaied T, Pradhan S, Hill G
Pediatr Cardiol 2021 Feb;42(2):307-314. Epub 2020 Oct 13 doi: 10.1007/s00246-020-02484-y. PMID: 33051698
Independent and interactive effects of blood pressure and cardiac function on brain volume and white matter hyperintensities in heart failure.
Alosco ML, Brickman AM, Spitznagel MB, Griffith EY, Narkhede A, Raz N, Cohen R, Sweet LH, Hughes J, Rosneck J, Gunstad J
J Am Soc Hypertens 2013 Sep-Oct;7(5):336-43. Epub 2013 Jun 2 doi: 10.1016/j.jash.2013.04.011. PMID: 23735419Free PMC Article
Selected treatment strategies for septic shock based on proposed mechanisms of pathogenesis.
Natanson C, Hoffman WD, Suffredini AF, Eichacker PQ, Danner RL
Ann Intern Med 1994 May 1;120(9):771-83. doi: 10.7326/0003-4819-120-9-199405010-00009. PMID: 8147551
Survival in patients with primary pulmonary hypertension. Results from a national prospective registry.
D'Alonzo GE, Barst RJ, Ayres SM, Bergofsky EH, Brundage BH, Detre KM, Fishman AP, Goldring RM, Groves BM, Kernis JT
Ann Intern Med 1991 Sep 1;115(5):343-9. doi: 10.7326/0003-4819-115-5-343. PMID: 1863023

Clinical prediction guides

Risk Factors for Left Ventricular Dysfunction Following Surgical Management of Cardiac Fibroma.
Beroukhim RS, Geva T, Del Nido P, Sleeper LA, Lu M, Muter A, Harrild DM, Walsh EP, Nathan M
Circ Cardiovasc Imaging 2021 Feb;14(2):e011748. Epub 2021 Feb 1 doi: 10.1161/CIRCIMAGING.120.011748. PMID: 33517672
Atrial Reservoir Strain is Associated with Decreased Cardiac Index and Adverse Outcomes Post Fontan Operation.
Peck D, Alsaied T, Pradhan S, Hill G
Pediatr Cardiol 2021 Feb;42(2):307-314. Epub 2020 Oct 13 doi: 10.1007/s00246-020-02484-y. PMID: 33051698
Intra-abdominal pressure, Cardiac Index and vascular resistance during hyperthermic intraperitoneal chemotherapy: a prospective observational study.
Schluermann CN, Hoeppner J, Benk C, Schmidt R, Loop T, Kalbhenn J
Minerva Anestesiol 2016 Feb;82(2):160-9. Epub 2015 May 14 PMID: 25971283
Independent and interactive effects of blood pressure and cardiac function on brain volume and white matter hyperintensities in heart failure.
Alosco ML, Brickman AM, Spitznagel MB, Griffith EY, Narkhede A, Raz N, Cohen R, Sweet LH, Hughes J, Rosneck J, Gunstad J
J Am Soc Hypertens 2013 Sep-Oct;7(5):336-43. Epub 2013 Jun 2 doi: 10.1016/j.jash.2013.04.011. PMID: 23735419Free PMC Article
Selected treatment strategies for septic shock based on proposed mechanisms of pathogenesis.
Natanson C, Hoffman WD, Suffredini AF, Eichacker PQ, Danner RL
Ann Intern Med 1994 May 1;120(9):771-83. doi: 10.7326/0003-4819-120-9-199405010-00009. PMID: 8147551

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