Whole Body Bioimpedance Monitoring for Outpatient Chronic Heart Failure Follow up
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概要
- 論文の詳細を見る
Background: Although cardiac output index (CI), stroke volume index (SVI), and total systemic vascular resistance (TSVR) are important hemodynamic parameters for the prognosis of chronic heart failure (CHF), they are difficult to measure in an outpatient setting. Whole body bioimpedance monitoring using a Non-Invasive Cardiac System (NICaS) allows for easy, non-invasive estimation of these parameters. Here, whether NICaS-derived hemodynamic parameters are clinically significant was investigated by relating them to other conventional cardiovascular functional indices, and by evaluating their predictive accuracy for CHF readmission. Methods and Results: Study subjects of 68 patients with CHF were enrolled in the study immediately upon discharge from the hospital. NICaS-derived CI, -SVI, and -TSVR values obtained at an outpatient clinic were significantly related with left ventricular ejection fraction (LVEF) measured by echocardiography, serum B-type natriuretic peptide (BNP), and exercise tolerance. During the 100 ±98 days follow-up, 15 patients were readmitted to our hospital for CHF recurrence. Multivariate analysis indicated that LVEF, NICaS-derived CI, NICaS-derived SVI, and plasma BNP were significant indicators (receiver operating characteristic curve cut-off point, LVEF: 37%, NICaS-derived CI: 2.49 L · min-1 · m-2, NICaS-derived SVI: 27.2 ml/m2, plasma BNP: 344 pg/ml) for readmission. Conclusions: Hemodynamic parameters derived by NICaS are applicable for the non-invasive assessment of cardiac function in outpatient CHF follow up.
- 社団法人 日本循環器学会の論文
- 2009-05-20
著者
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MIYOSHI Naoki
Division of Cardiovascular Medicine, Department of Internal Medicine, Kobe University Graduate Schoo
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SHITE Junya
Division of Cardiovascular Medicine, Department of Internal Medicine, Kobe University Graduate Schoo
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SHINKE Toshiro
Division of Cardiovascular Medicine, Department of Internal Medicine, Kobe University Graduate Schoo
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TANINO Yusuke
Division of Cardiovascular Medicine, Department of Internal Medicine, Kobe University Graduate Schoo
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OGASAWARA Daisuke
Division of Cardiovascular Medicine, Department of Internal Medicine, Kobe University Graduate Schoo
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SAWADA Takahiro
Division of Cardiovascular Medicine, Department of Internal Medicine, Kobe University Graduate Schoo
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KAWAMORI Hiroyuki
Division of Cardiovascular Medicine, Department of Internal Medicine, Kobe University Graduate Schoo
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KATO Hiroki
Division of Cardiovascular Medicine, Department of Internal Medicine, Kobe University Graduate Schoo
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YOSHINO Naoki
Division of Cardiovascular Medicine, Department of Internal Medicine, Kobe University Graduate Schoo
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HIRATA Ken-ichi
Division of Cardiovascular Medicine, Department of Internal Medicine, Kobe University Graduate Schoo
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Hirata K
Division Of Cardiovascular Medicine Department Of Internal Medicine Kobe University Graduate School
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Oscar Paredes
Division Of Cardiovascular Medicine Department Of Internal Medicine Kobe University Graduate School
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PAREDES Oscar
Division of Cardiovascular Medicine, Department of Internal Medicine, Kobe University Graduate Schoo
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Miyoshi Naoki
Division Of Cardiovascular Medicine Department Of Internal Medicine Kobe University Graduate School
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Yoshino Naoki
Division Of Cardiovascular Medicine Department Of Internal Medicine Kobe University Graduate School
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Shinke Toshirou
Division Of Cardiovascular Medicine Department Of Internal Medicine Kobe University Graduate School
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Shinke Toshiro
Division Of Cardiovascular Medicine Department Of Internal Medicine Kobe University Graduate School
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Shinke Toshiro
Kobe University Graduate School Of Medicine Division Of Cardiovascular Medicine Department Of Intern
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Shinke Toshiro
Division Of Cardiovascular And Respiratory Medicine Department Of Internal Medicine Kobe University
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Kawamori Hiroyuki
Division Of Cardiovascular Medicine Department Of Internal Medicine Kobe University Graduate School
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Hirata Ken-ichi
Division Of Cardiovascular Medicine Department Of Internal Medicine Kobe University Graduate School
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Tanino Yusuke
Division Of Cardiovascular Medicine Department Of Internal Medicine Kobe University Graduate School
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Hirata K
Division Of Cardiovascular Medicine Kobe University Graduate School Of Medicine
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Hirata Kenichi
First Department Of Internal Medicine Kobe University School Of Medicine
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Ogasawara Daisuke
Division Of Cardiovascular Medicine Department Of Internal Medicine Kobe University Graduate School
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Sawada Takahiro
Division Of Cardiovascular Medicine Department Of Internal Medicine Kobe University Graduate School
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Hirata Ken-ichi
Department Cardiology Kobe University Graduate School Of Medicine
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Shite Junya
Division Of Cardiovascular Medicine Department Of Internal Medicine Kobe University Graduate School
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Hirata Kenichi
Division Cardiovascular And Respiratory Medicine Kobe University Graduate School Of Medicine
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Teramukai Satoshi
Translational Research Center Kyoto University Hospital
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Hattori Kunihiro
Department Cardiology Kobe University Graduate School Of Medicine
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Hirata Kenichi
Division Of Cardiovascularmedicine Kobe University Graduate School Of Medicine
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Shite Junya
Division Of Cardiovascular Medicine Department Of Internal Medicine Kobe University Graduate School
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Hirata Ken-ichi
Division Of Cardiovascular Medicine Department Of Internal Medicine Kobe University Graduate School
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Shinke Toshiro
Division Of Cardiovascular And Respiratory Medicine Department Of Internal Medicine Kobe University
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Hirata Kenichi
Division Of Cardiovascular Medicine Department Of Internal Medicine Kobe University Graduate School
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Shinke Toshiro
Division Of Cardiovascular And Respiratory Medicine Department Of Internal Medicine Kobe University
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Shinke Toshiro
Division Of Cardiovascular And Respiratory Medicine Department Of Internal Medicine Kobe University
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Shinke Toshiro
Division Of Cardiovascular And Respiratory Medicine Department Of Internal Medicine Kobe University
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Shite Junya
Division Of Cardiovascular Medicine Department Of Internal Medicine Kobe University Graduate School
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Miyoshi Naoki
Division Of Cardiovascular And Respiratory Medicine Department Of Internal Medicine Kobe University Graduate School Of Medicine
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Kawamori Hiroyuki
Division Of Cardiovascular And Respiratory Medicine Department Of Internal Medicine Kobe University Graduate School Of Medicine
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Shite Junya
Division Of Cardiovascular And Respiratory Medicine Department Of Internal Medicine Kobe University Graduate School Of Medicine
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Hirata Ken-ichi
Division of Cardiovascular Medicine, Department of Internal Medicine, Kobe University Graduate School of Medicine
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OGASAWARA Daisuke
Division of Cardiology, Sanda City Hospital
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Miyoshi Naoki
Division of Cardiovascular Medicine, Department of Internal Medicine, Kobe University Graduate School of Medicine
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TANINO Yusuke
Division of Cardiovascular and Respiratory Medicine, Department of Internal Medicine, Kobe University Graduate School of Medicine
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SAWADA Takahiro
Division of Cardiovascular and Respiratory Medicine, Department of Internal Medicine, Kobe University Graduate School of Medicine
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HIRATA Ken-ichi
Division of Cardiovascular and Respiratory Medicine, Department of Internal Medicine, Kobe University Graduate School of Medicine
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