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

Use of a Non-invasive Cardiac Output Measurement in a Patient with Low-output Dilated Cardiomyopathy. Intern Med. 2020 Mar 05;: Authors: Nakayama A, Iwama K, Makise N, Domoto Y, Ishida J, Morita H, Komuro I Abstract 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-Gantz catheterization. The non-invasive measurement of the CO permitted a smooth recovery without recurrence in this patient. PMID: 32132339 [PubMed - as supplied by publisher]
Source: Internal Medicine - Category: Internal Medicine Tags: Intern Med Source Type: research