Use of a Non-invasive Cardiac Output Measurement in a Patient with Low-output Dilated Cardiomyopathy

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 dobuta...

Descripción completa

Detalles Bibliográficos
Autores principales: Nakayama, Atsuko, Iwama, Kentaro, Makise, Naohiro, Domoto, Yukako, Ishida, Junichi, Morita, Hiroyuki, Komuro, Issei
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The Japanese Society of Internal Medicine 2020
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7364242/
https://www.ncbi.nlm.nih.gov/pubmed/32132339
http://dx.doi.org/10.2169/internalmedicine.4271-19
Descripción
Sumario: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 γ (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.

Ejemplares similares