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

Overview

Journal Intern Med

Specialty General Medicine

Date 2020 Mar 6

PMID 32132339

Citations 5

Authors

Atsuko Nakayama

Kentaro Iwama

Naohiro Makise

Yukako Domoto

Junichi Ishida

Hiroyuki Morita

Issei Komuro

Affiliations

Soon will be listed here.

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-Ganz catheterization. The non-invasive measurement of the CO permitted a smooth recovery without recurrence in this patient.

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