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Non-invasive home lung impedance monitoring in early post-acute heart failure discharge: Three case reports
Vilnius Univ, Lithuania; Vilnius Univ Hosp, Lithuania.
Vilnius Univ, Lithuania; Vilnius Univ Hosp, Lithuania.
Univ Oslo, Norway; Oslo Univ Hosp, Norway.
Univ Oslo, Norway.
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2019 (English)In: WORLD JOURNAL OF CLINICAL CASES, ISSN 2307-8960, Vol. 7, no 8, p. 951-960Article in journal (Refereed) Published
Abstract [en]

BACKGROUND Patients discharged after hospitalization for acute heart failure (AHF) are frequently readmitted due to an incomplete decongestion, which is difficult to assess clinically. Recently, it has been shown that the use of a highly sensitive, non-invasive device measuring lung impedance (LI) reduces hospitalizations for heart failure (HF); it has also been shown that this device reduces the cardiovascular and all-cause mortality of stable HF patients when used in long-term out-patient follow-ups. The aim of these case series is to demonstrate the potential additive role of non-invasive home LI monitoring in the early post-discharge period. CASE SUMMARY We present a case series of three patients who had performed daily LI measurements at home using the edema guard monitor (EGM) during 30 d after an episode of AHF. All patients had a history of chronic ischemic HF with a reduced ejection fraction and were hospitalized for 6-17 d. LI measurements were successfully made at home by patients with the help of their caregivers. The patients were carefully followed up by HF specialists who reacted to the values of LI measurements, blood pressure, heart rate and clinical symptoms. LI reduction was a more frequent trigger to medication adjustments compared to changes in symptoms or vital signs. Besides, LI dynamics closely tracked the use and dose of diuretics. CONCLUSION Our case series suggests non-invasive home LI monitoring with EGM to be a reliable and potentially useful tool for the early detection of congestion or dehydration and thus for the further successful stabilization of a HF patient after a worsening episode.

Place, publisher, year, edition, pages
BAISHIDENG PUBLISHING GROUP INC , 2019. Vol. 7, no 8, p. 951-960
Keywords [en]
Heart failure; Home monitoring; Lung impedance; Case report; Pulmonary congestion
National Category
Cardiac and Cardiovascular Systems
Identifiers
URN: urn:nbn:se:liu:diva-157551DOI: 10.12998/wjcc.v7.i8.951ISI: 000466142400005PubMedID: 31119140OAI: oai:DiVA.org:liu-157551DiVA, id: diva2:1328656
Note

Funding Agencies|NordForsk "Nordic Programme on Health and Welfare" [76015]

Available from: 2019-06-22 Created: 2019-06-22 Last updated: 2019-06-27

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Strömberg, AnnaJaarsma, Tiny
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Division of Nursing ScienceFaculty of Medicine and Health SciencesDepartment of Cardiology in LinköpingDivision of Nursing Science
Cardiac and Cardiovascular Systems

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