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...

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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
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author Nakayama, Atsuko
Iwama, Kentaro
Makise, Naohiro
Domoto, Yukako
Ishida, Junichi
Morita, Hiroyuki
Komuro, Issei
author_facet Nakayama, Atsuko
Iwama, Kentaro
Makise, Naohiro
Domoto, Yukako
Ishida, Junichi
Morita, Hiroyuki
Komuro, Issei
author_sort Nakayama, Atsuko
collection PubMed
description 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.
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spelling pubmed-73642422020-07-30 Use of a Non-invasive Cardiac Output Measurement in a Patient with Low-output Dilated Cardiomyopathy Nakayama, Atsuko Iwama, Kentaro Makise, Naohiro Domoto, Yukako Ishida, Junichi Morita, Hiroyuki Komuro, Issei Intern Med Case Report 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. The Japanese Society of Internal Medicine 2020-03-05 2020-06-15 /pmc/articles/PMC7364242/ /pubmed/32132339 http://dx.doi.org/10.2169/internalmedicine.4271-19 Text en Copyright © 2020 by The Japanese Society of Internal Medicine https://creativecommons.org/licenses/by-nc-nd/4.0/ The Internal Medicine is an Open Access journal distributed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License. To view the details of this license, please visit (https://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Case Report
Nakayama, Atsuko
Iwama, Kentaro
Makise, Naohiro
Domoto, Yukako
Ishida, Junichi
Morita, Hiroyuki
Komuro, Issei
Use of a Non-invasive Cardiac Output Measurement in a Patient with Low-output Dilated Cardiomyopathy
title Use of a Non-invasive Cardiac Output Measurement in a Patient with Low-output Dilated Cardiomyopathy
title_full Use of a Non-invasive Cardiac Output Measurement in a Patient with Low-output Dilated Cardiomyopathy
title_fullStr Use of a Non-invasive Cardiac Output Measurement in a Patient with Low-output Dilated Cardiomyopathy
title_full_unstemmed Use of a Non-invasive Cardiac Output Measurement in a Patient with Low-output Dilated Cardiomyopathy
title_short Use of a Non-invasive Cardiac Output Measurement in a Patient with Low-output Dilated Cardiomyopathy
title_sort use of a non-invasive cardiac output measurement in a patient with low-output dilated cardiomyopathy
topic Case Report
url 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
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