Discordance between lactic acidemia and hemodynamics in patients with advanced heart failure.
Nikhil NarangMark Dela CruzTeruhiko ImamuraBen ChungAnn B NguyenLuise HolzhauserBryan A SmithSara KalantariJayant RaikhelkarNitasha SarswatGene H KimValluvan JeevanandamDaniel BurkhoffGabriel SayerNir UrielPublished in: Clinical cardiology (2021)
In patients presenting with ADHF, normal LA levels do not exclude the presence of depressed CI (a hemodynamic criteria for cardiogenic shock) and may not offer accurate risk stratification. Invasive hemodynamics should not be delayed based on normal LA levels alone.