PMID- 26116208
OWN - NLM
STAT- MEDLINE
DCOM- 20161031
LR  - 20181202
IS  - 1876-4738 (Electronic)
IS  - 0914-5087 (Linking)
VI  - 67
IP  - 4
DP  - 2016 Apr
TI  - Abdominal admittance helps to predict the amount of fluid accumulation in 
      patients with acute heart failure syndromes.
PG  - 352-7
LID - S0914-5087(15)00165-3 [pii]
LID - 10.1016/j.jjcc.2015.04.018 [doi]
AB  - BACKGROUND: Predicting fluid volume that needs to be removed in acute heart 
      failure syndromes (AHFS) patients remains challenging. Thoracic admittance (TA), 
      the reciprocal of thoracic impedance measured by bioelectrical impedance, 
      reflects the amount of fluid in the thorax. Abdominal organs play an important 
      role in AHFS as systemic fluid reservoirs. We investigated the relationship 
      between abdominal admittance (AA) at the time of admission for AHFS and net fluid 
      loss (NFL) during hospitalization. METHODS: Sixty-two consecutive patients 
      hospitalized for AHFS [age 71+/-10 years, left ventricular ejection fraction (LVEF) 
      39+/-17%] were studied. The admittance values, i.e. the reciprocals of the 
      impedance values, were derived using a BioZ((R)) (CardioDynamics, San Diego, CA, 
      USA). The change in weight from admission to discharge was used as a surrogate of 
      amount of NFL. RESULTS: At the time of admission, a significant correlation was 
      detected between TA and AA (r=0.46, p=0.0001). TA at admission was significantly 
      correlated with the LV structural variables (end-diastolic dimension and 
      end-systolic dimension), and serum sodium level. AA at admission was 
      significantly correlated with New York Heart Association (NYHA) class and plasma 
      BNP, and also correlated with LVEF and variables related to systemic congestion 
      [minimal inferior vena cava (IVC) diameter and tricuspid regurgitation grade]. 
      Neither TA nor AA values were significantly correlated with weight at admission. 
      During hospitalization, TA and AA declined from 44+/-8kOmega(-1) to 36+/-6kOmega(-1) 
      (p<0.0001) and from 74+/-25kOmega(-1) to 56+/-17kOmega(-1) (p<0.0001), respectively. Weight 
      fell from 60.1+/-10.8kg to 54.5+/-9.4kg (p<0.0001), while NFL was 5.8kg (range, 
      0.1-17.5kg). In univariate analyses, the admission NYHA class, TA, AA, weight, 
      and IVC diameter correlated with NFL. Multivariate analysis demonstrated that 
      only admission weight [standardized partial regression coefficient (SPRC)=0.596], 
      AA (SPRC=0.529), and NYHA class (SPRC=0.277) were independent predictors of NFL. 
      CONCLUSION: Abdominal admittance measurement helps to predict the amount of fluid 
      volume to be removed in patients with AHFS.
CI  - Copyright (c) 2015 Japanese College of Cardiology. Published by Elsevier Ltd. All 
      rights reserved.
FAU - Taniguchi, Tatsunori
AU  - Taniguchi T
AD  - Department of Cardiology, National Hospital Organization Osaka National Hospital, 
      Osaka, Japan; Department of Cardiovascular Medicine, Osaka University Graduate 
      School of Medicine, Suita, Japan.
FAU - Hamano, Go
AU  - Hamano G
AD  - Department of Cardiology, National Hospital Organization Osaka National Hospital, 
      Osaka, Japan.
FAU - Koide, Masao
AU  - Koide M
AD  - Department of Cardiology, National Hospital Organization Osaka National Hospital, 
      Osaka, Japan.
FAU - Hirooka, Keiji
AU  - Hirooka K
AD  - Department of Cardiology, National Hospital Organization Osaka National Hospital, 
      Osaka, Japan.
FAU - Koretsune, Yukihiro
AU  - Koretsune Y
AD  - Department of Cardiology, National Hospital Organization Osaka National Hospital, 
      Osaka, Japan.
FAU - Kusuoka, Hideo
AU  - Kusuoka H
AD  - Department of Cardiology, National Hospital Organization Osaka National Hospital, 
      Osaka, Japan.
FAU - Ohtani, Tomohito
AU  - Ohtani T
AD  - Department of Cardiovascular Medicine, Osaka University Graduate School of 
      Medicine, Suita, Japan.
FAU - Sakata, Yasushi
AU  - Sakata Y
AD  - Department of Cardiovascular Medicine, Osaka University Graduate School of 
      Medicine, Suita, Japan.
FAU - Yasumura, Yoshio
AU  - Yasumura Y
AD  - Department of Cardiology, National Hospital Organization Osaka National Hospital, 
      Osaka, Japan. Electronic address: yasumu@oph.gr.jp.
LA  - eng
PT  - Journal Article
DEP - 20150623
PL  - Netherlands
TA  - J Cardiol
JT  - Journal of cardiology
JID - 8804703
RN  - 9NEZ333N27 (Sodium)
SB  - IM
MH  - Abdomen/physiopathology
MH  - Acute Disease
MH  - Aged
MH  - Body Fluid Compartments/*physiology
MH  - Body Fluids/*physiology
MH  - Body Weight
MH  - Female
MH  - Heart Failure/*physiopathology
MH  - Hospitalization
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - Patient Discharge
MH  - Sodium/blood
MH  - Stroke Volume
MH  - Syndrome
MH  - Thorax/physiopathology
MH  - Vena Cava, Inferior/physiopathology
MH  - Ventricular Function, Left
OTO - NOTNLM
OT  - Abdominal admittance
OT  - Acute decompensated heart failure
OT  - Fluid accumulation
EDAT- 2015/06/28 06:00
MHDA- 2016/11/01 06:00
CRDT- 2015/06/28 06:00
PHST- 2014/12/10 00:00 [received]
PHST- 2015/04/05 00:00 [revised]
PHST- 2015/04/30 00:00 [accepted]
PHST- 2015/06/28 06:00 [entrez]
PHST- 2015/06/28 06:00 [pubmed]
PHST- 2016/11/01 06:00 [medline]
AID - S0914-5087(15)00165-3 [pii]
AID - 10.1016/j.jjcc.2015.04.018 [doi]
PST - ppublish
SO  - J Cardiol. 2016 Apr;67(4):352-7. doi: 10.1016/j.jjcc.2015.04.018. Epub 2015 Jun 
      23.