1. Body composition analysis in patients with acute heart failure: the Scale Heart Failure trial
- Author
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Fiorangelo De Ieso, Markus Reinhold Mutke, Noe Karl Brasier, Christina Janitha Raichle, Bettina Keller, Celine Sucker, Khaled Abdelhamid, Tiziano Bloch, Pamela Reissenberger, Ladina Schönenberg, Sandro Kevin Fischer, Jonas Saboz, Nora Weber, Sabine Schädelin, Nicole Bruni, Patrick R. Wright, and Jens Eckstein
- Subjects
Acute heart failure ,Diuretic therapy ,eHealth ,Body composition analysis ,Bioelectrical impedance vector analysis ,Impedance ,Diseases of the circulatory (Cardiovascular) system ,RC666-701 - Abstract
Abstract Aims In this study, we aimed to investigate whether body composition analysis (BCA) derived from bioelectrical impedance vector analysis (BIVA) could be used to monitor the hydration status of patients with acute heart failure (AHF) during intensified diuretic therapy. Methods and results This observational, single‐centre study involved a novel, validated eight‐electrode segmental body composition analyser to perform BCA derived from BIVA with an alternating current of 100 μA at frequencies of 5, 7.5, 50, and 75 kHz. The BCA‐derived and BIVA‐derived parameters were estimated and compared with daily body weight measurements in hospitalized patients with AHF. A total of 867 BCA and BIVA assessments were conducted in 142 patients (56.3% men; age 76.8 ± 10.7 years). Daily changes in total body water (TBW) and extracellular water (ECW) were significantly associated with changes in body weight in 62.2% and 89.1% of all measurements, respectively (range, ±1 kg). Repeated measures correlation coefficients between weight loss and TBW loss resulted with rho 0.43, P 0.01, CI [0.67, 0.75] for ECW loss. Between the first and last assessments, the mean weight loss was −2.5 kg, compared with the −2.6 L mean TBW loss and −1.7 L mean ECW loss. BIVA revealed an increase in mean Resistance R and mean Reactance Xc across all frequencies, with the subsequent reduction in body fluid (including corresponding body weight) between the first and last assessments. Conclusions Body composition analysis derived from BIVA with a focus on ECW is a promising approach to detect changes in hydration status in patients undergoing intensified diuretic therapy. Defining personalized BIVA reference values using bioelectrical impedance devices is a promising approach to monitor hydration status.
- Published
- 2021
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