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Table 3 Time course of echocardiographic parameters during the study protocol

From: Ultraprotective ventilation allowed by extracorporeal CO2 removal improves the right ventricular function in acute respiratory distress syndrome patients: a quasi-experimental pilot study

Parameter

ECCO2R

Analysis of variance p

VT 6 mL/kg (n = 18)

VT 6 mL/kg (n = 18)

VT 4 mL/kg (n = 18)

VT 4 mL/kg (n = 16)

VT 6 mL/kg (n = 17)

Day 0

Day 1

Left ventricular function

 LVEF at baseline

57.5 (50–60.8)

     

 VTIAo (cm)

18.3 (15.7–22.1)

20.3 (16.6–22.9)

21.9 (16.2–24)

22.1 (19–25.4)*

20.8 (16.5–24.9)

0.03

 LV end-diastolic diameter (cm)

4.8 (3.8–5.9)

4.7 (4–5.4)

4.8 (4–5.9)

4.4 (4–4.7)

4.5 (4–5.6)

0.6

 LV end-systolic diameter(cm)

3.3 (2.9–4.2)

3.2 (2.8–4.3)

3.7 (2.9–4.2)

2.9 (2.8–3.5)

3.5 (2.8–4.1)

0.6

Left ventricular filling pressures estimation

 E velocity (m/s)

77.6 (61.4–91.5)

73.7 (64.9–101.3)

79.7 (69.8–100.8)

78.6 (66.9–95.4)

78 (63.6–96.6)

0.9

 E/A ratio

1.02 (0.95–1.24)

1.04 (0.89–1.24)

1.11 (0.94–1.43)

1 (0.89–1.18)

0.98 (0.86–1.25)

0.7

 E’ velocity (m/s)

8.43 (7.92–9.86)

10 (7.67–12.3)

9.72 (8.04–11.7)

9.63 (6.91–11.2)

9.32 (7.47–10.7)

0.9

 E/E’ ratio

8.47 (7.28–11.05)

8.51 (7.28–11.3)

8.58 (6.74–11.12)

7.49 (7.15–9.47)

8.19 (7.13–9.88)

0.9

Right ventricular function

 S’ velocity (cm/s)

13.8 (12.5–15.3)

13.1 (12–14.2)

14.8 (12–15.9)

15.1 (14.3–17.2)*

14.7 (11.5–16.6)

0.1

 TAPSE (mm)

22.9 (19.2–24.3)

25 (19.8–27)

25.4 (21.4–27.9)*

24.1 (21.4–26.9)

23.8 (20.8–26)

0.02

 Paradoxical septal motion (n)

0

0

0

0

0

 Tricuspid regurgitation gradient (mmHg)

27 (24–34)

29 (24–33)

33 (28–37)

30 (27–40)

29 (24–37)

0.7

 sPAP estimation (mmHg)

44 (40–52)

43 (38–49)

42 (38–51)

46 (40–56)

44 (42–53)

0.7

Right ventricular preload

 RV/LV ratio

0.74 (0.57–0.79)

0.71 (0.61–0.77)

0.68 (0.62–0.74)

0.64 (0.59–0.81)

0.73 (0.61–0.79)

0.8

 RA pressure estimation (mmHg)

15 (15–19)

15 (10–19)

15 (10–15)

15 (14–15)

15 (15–20)

0.2

 Distensibility index

11.2 (5.2–20.8)

12.4 (5.4–25.1)

10.7 (6.8–22.3)

10.6 (6.5–16.9)

9.5 (6.1–14)

0.6

  1. LVEF left ventricular ejection fraction, VTIAo aortic velocity time integral, E early diastolic mitral inflow velocity; E’ early diastolic septal mitral annular velocity, A: atrial contraction mitral inflow velocity, S’ right ventricle systolic excursion velocity, TAPSE tricuspid annular plane systolic excursion, sPAP systolic pulmonary arterial pressure, RV/LV ratio right/left ventricular end-diastolic diameter (RV/LV) ratio, RA right atrial
  2. *p < 0.05 vs baseline