Use of a Non-invasive Cardiac Output Measurement in a Patient with Low-output Dilated Cardiomyopathy
Use of a Non-invasive Cardiac Output Measurement in a Patient with Low-output Dilated Cardiomyopathy
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DOI：
10.2169/internalmedicine.4271-19
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发表时间：
2020-01-01
影响因子：
1.2
通讯作者：
Komuro, Issei
中科院分区：
文献类型：
--
作者：
Nakayama, Atsuko;Iwama, Kentaro;Komuro, Issei
一名49岁的男子被诊断为急性心功能不全的基础上充血性心力衰竭的证据。使用AESCULON无创测量心输出量。mini显示低心输出量（CO，3.9 L/min）。我们给他静脉注射利尿剂治疗心脏水肿，滴注多巴酚丁胺治疗低心排血量。开始使用多巴酚丁胺3.2.（μ g/kg/min）时，CO改善至6.8 L/min。利尿剂和多巴酚丁胺联合治疗解决了心力衰竭。通过AESCULON进行CO测量。mini安全、划算、方便。数据输出与Swan-Ganz导管法测定的CO相关。CO的非侵入性测量允许该患者顺利恢复而无复发。
A 49-year-old man was diagnosed with acute cardiac insufficiency based on evidence of congestive heart failure. The non-invasive measurement of the cardiac output using an AESCULON. mini showed low cardiac output (CO, 3.9 L/min). We administered an intravenous diuretic for cardiac edema and dobutamine drip for low cardiac output. Soon after starting dobutamine at 3.2. (microg/kg/min), the CO improved to 6.8 L/min. Combination therapy of diuretic and dobutamine resolved the heart failure. CO measurement by an AESCULON. mini was safe, cost-effective, and convenient. Data output correlates with the CO by Swan-Ganz catheterization. The non-invasive measurement of the CO permitted a smooth recovery without recurrence in this patient.