当前位置： SCI文献检索 > JOURNAL OF CARDIAC FAILURE期刊下所有文献 > Peripheral Intravenous Volume Analysis (PIVA) for Quantitating Volume Overload in Patients Hospitalized With Acute Decompensated Heart Failure-A Pilot Study.

Peripheral Intravenous Volume Analysis (PIVA) for Quantitating Volume Overload in Patients Hospitalized With Acute Decompensated Heart Failure-A Pilot Study.

Abstract：

BACKGROUND:To determine the feasibility of peripheral intravenous volume analysis (PIVA) of venous waveforms for assessing volume overload in patients admitted to the hospital with acute decompensated heart failure (ADHF). METHODS:Venous waveforms were captured from a peripheral intravenous catheter in subjects admitted for ADHF and healthy age-matched controls. Admission PIVA signal, brain natriuretic peptide, and chest radiographic measurements were related to the net volume removed during diuresis. RESULTS:ADHF patients had a significantly greater PIVA signal on admission compared with the control group (P = .0013, n = 18). At discharge, ADHF patients had a PIVA signal similar to the control group. PIVA signal, not brain natriuretic peptide or chest radiographic measures, accurately predicted the amount of volume removed during diuresis (R2 = 0.781, n = 14). PIVA signal at time of discharge greater than 0.20, demonstrated 83.3% 120-day readmission rate. CONCLUSIONS:This study demonstrates the feasibility of PIVA for assessment of volume overload in patients admitted to the hospital with ADHF.

journal_name

J Card Fail

journal_title

Journal of cardiac failure

authors

Miles M,Alvis BD,Hocking K,Baudenbacher F,Guth C,Lindenfeld J,Brophy C,Eagle S

doi

10.1016/j.cardfail.2018.05.003

subject

Has Abstract

pub_date

2018-08-01 00:00:00

pages

525-532

issue

8

eissn

1071-9164

issn

1532-8414

pii

S1071-9164(18)30187-8

journal_volume

24

pub_type

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