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Bioelectrical impedance analysis in the management of heart failure in adult patients with congenital heart disease
- Source :
- Congenital Heart Disease. 14:167-175
- Publication Year :
- 2018
- Publisher :
- Computers, Materials and Continua (Tech Science Press), 2018.
-
Abstract
- The recognition of fluid retention is critical in treating heart failure (HF). Bioelectrical impedance analysis (BIA) is a well-known noninvasive method; however, data on its role in managing patients with congenital heart disease (CHD) are limited. Here, we aimed to clarify the correlation between BIA and HF severity as well as the prognostic value of BIA in adult patients with CHD.This prospective single-center study included 170 patients with CHD admitted between 2013 and 2015. We evaluated BIA parameters (intra- and extracellular water, protein, and mineral levels, edema index [EI, extracellular water-to-total body water ratio]), laboratory values, and HF-related admission prevalence.Patients with New York Heart Association (NYHA) functional classes III-IV had a higher EI than those with NYHA classes I-II (mean ± SD, 0.398 ± 0.011 vs 0.384 ± 0.017, P .001). EI was significantly correlated with brain natriuretic peptide level (r = 0.51, P .001). During the mean follow-up period of 7.1 months, Kaplan-Meier analysis showed that a discharge EI 0.386, the median value in the present study, was significantly associated with a future increased risk of HF-related admission (HR = 4.15, 95% CI = 1.70-11.58, P .001). A body weight reduction during hospitalization was also related to EI reduction.EI determined using BIA could be a useful marker for HF severity that could predict future HF-related admissions in adult patients with CHD.
- Subjects :
- Adult
Heart Defects, Congenital
Male
Cardiac Catheterization
medicine.medical_specialty
Adolescent
Heart disease
Body water
Management of heart failure
030204 cardiovascular system & hematology
Severity of Illness Index
Young Adult
03 medical and health sciences
0302 clinical medicine
030225 pediatrics
Edema
Internal medicine
Electric Impedance
medicine
Humans
Radiology, Nuclear Medicine and imaging
Prospective Studies
Heart Failure
Adult patients
business.industry
Body Weight
Disease Management
General Medicine
Prognosis
medicine.disease
Echocardiography, Doppler
Hospitalization
Increased risk
Heart failure
Pediatrics, Perinatology and Child Health
Cardiology
Female
Surgery
medicine.symptom
Cardiology and Cardiovascular Medicine
business
Bioelectrical impedance analysis
Echocardiography, Transesophageal
Follow-Up Studies
Subjects
Details
- ISSN :
- 17470803 and 1747079X
- Volume :
- 14
- Database :
- OpenAIRE
- Journal :
- Congenital Heart Disease
- Accession number :
- edsair.doi.dedup.....73db4133066dd5297a5dde28ff7951ee