. 9999; 0: 0-0

Thoracic Fluid Content Measurement: Diagnostic Value of Suspected Pulmonary Edema in Acute Decompensate Heart Failure

Ali Avcı1, Mustafa Korkut3, Firat Bektas2, Secgin Soyuncu2
1Department of Emergency Medicine, Karaman State Hospital, Karaman, Turkey.
2Department of Emergency Medicine, Akdeniz University, Antalya, Turkey.
3Department of Emergency Medicine, Science University Antalya Training and Research Hospital, Antalya, Turkey.

Background
One of the non-invasive methods to monitor changes in cardiovascular hemodynamic is the measurement of Transthoracic Impedance (TTI). The most important features of this method is that it does not require catheterization, no risk of complications as well as being cost-effective and easily applicable.
Objective
The aim of this study was to determine the diagnostic value of thoracic fluid content (TFC), in particular, which is one the parameters obtained from TTI measurement in patients presented to the emergency department with dyspnea and suspected of Pulmonary Edema (PE) due to Acute decompensate heart failure (ADHF).
Methods
This single-center, prospective, cohort clinical study was conducted on patients older than 18 years of age who presented with acute dyspnea who were suspected of PE due to ADHF to the tertiary care university Emergency Department (ED). The primary outcome measure was to determine the diagnostic value of TFC measurement in patients presented to the ED with dyspnea, who were suspected of PE due to ADHF.
Results
113 patients were included in the study. BNP value was accepted as the gold standard in the diagnosis of PE due to ADHF, sensitivity – specificity of PE associated with ADHF was 64.3%, 31.4%, and 14.3% - 88.4%, 60.5% and 83.7% for TFC, CI, SI, respectively. Among these, only TFC was statistically significant difference to diagnose PE. (p<0.001)
Conclusion
TFC measured by TTI in patients suspected of PE due to ADHF could also be a better alternative for exclusion tests.

Keywords: Thoracic fluid content, transthoracic impedance, pulmonary edema, emergency, stroke index, cardiac index


Ali Avcı, Mustafa Korkut, Firat Bektas, Secgin Soyuncu. Thoracic Fluid Content Measurement: Diagnostic Value of Suspected Pulmonary Edema in Acute Decompensate Heart Failure. . 9999; 0: 0-0

Corresponding Author: Firat Bektas, Türkiye


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