Clinical Report: Exploring the Role of MAPSE as a Bedside Indicator for VA Coupling

Background

Ventriculoarterial coupling is crucial for assessing cardiac efficiency and optimizing hemodynamics in critically ill patients. Current monitoring techniques for VA coupling are complex and time-consuming, necessitating simpler, more practical alternatives. MAPSE, a measure of left ventricular function, has been recognized in critical care guidelines, making it a candidate for further exploration as a bedside indicator.

Data Highlights

No numerical data provided in the source material.

Key Findings

• VA coupling responses in critically ill patients are unpredictable and correlate weakly with cardiac output and stroke volume.
• Correlations between MAPSE and non-invasive VA coupling estimates were found, with rho values of -0.73 and -0.61 for manual and automated MAPSE measurements, respectively.
• Clinical implementation of MAPSE requires further investigation to determine its effectiveness in directing and tracking therapeutic effects.
• Monitoring VA coupling may be important for preventing cardiac decompensation in patients with heart failure.

Clinical Implications

The exploration of MAPSE as a surrogate for VA coupling could simplify bedside monitoring in critical care settings. Establishing its correlation with VA coupling may enhance hemodynamic optimization strategies.

Conclusion

MAPSE presents a promising avenue for improving the assessment of VA coupling in critically ill patients, warranting further investigation to validate its clinical utility.

Related Resources & Content

1. Valenzuela et al., Critical Care, 2026 -- Exploring the Role of MAPSE in Critical Illness
2. Cavefors et al., Critical Care, 2026 -- The Role of MAPSE in Critical Illness: Exploring Prognostic Links and Clinical Applications
3. Surviving Sepsis Campaign: International Guidelines for Management of Sepsis and Septic Shock 2026
4. Intensive Care Medicine — Do Differences in Venous and Arterial Carbon Dioxide Levels Indicate Microcirculatory Changes in Septic Shock Patients?
5. Critical Care (Springer) — Ventricular septum curvature ratio: a novel imaging marker to predict clinical deterioration in normotensive acute pulmonary embolism
6. Frontiers in Medicine — Early Perfusion Phenotyping Using Landmark Approaches for Prognostic Assessment in Septic Shock: Development in MIMIC-IV and Evaluation of External Transportability in eICU
7. Heterogeneous cardiovascular responses to acute mean arterial pressure augmentation in septic shock
8. Echocardiographic assessment of left ventricular longitudinal function in critically ill patients
9. Surviving Sepsis Campaign: International Guidelines for Management of Sepsis and Septic Shock 2026