精确的CorV发ueTM肺水肿监测--早期发现及时干预.pptVIP

* CorVue? 肺水肿监测读图 肺水肿监测趋势图 * CorVue? 肺水肿监测读图 肺水肿天数： * CorVue? 肺水肿监测读图 肺水肿天数：17天，报警在设定的第10天（可程控） 如何计算肺水肿天数？ 运用阻抗指数概念：每天平均阻抗值=参考阻抗值，阻抗指数-1，反之+1。 如果阻抗指数累计达到12，称之为1个肺水肿天数 注意：肺水肿天数可能长于实际天数 肺水肿事件结束 小结 CorVue采用多向量测试经胸阻抗。 CorVue采用肺水肿天数进行报警，而非依据具体数值。 一些临床研究显示CorVue对肺水肿的诊断有一定的临床实用价值。 * * * Heart failure guidelines recommend the use of weight gain as a way to monitor the worsening of heart failure and progression of decompensation. Chaudhry and colleagues confirmed that increases in body weight are associated with HF-related hospitalizations. Chaudhry’s study mostly included NYHA Class III patients but also included Class I, II, and IV. Whether or not the patients had LV systolic dysfunction was unknown. While this data has significance, it is still difficult to determine how much weight gain is important when assessing for decompensation? Reference: Chaudhry SI, et al. Patterns of weight change preceding hospitalization for heart failure. Circulation. 2007 Oct 2;116(14):1549-54. Epub 2007 Sep 10. Notes to presenter on this paper: Background—Weight gain is used by disease-management programs as a marker of heart failure decompensation, but little information is available to quantify the relationship between weight change in patients with heart failure and the risk for imminent hospitalization. Methods and Results—We conducted a nested case-control study among patients with heart failure referred to a home monitoring system by managed care organizations. We matched 134 case patients with heart failure hospitalization to 134 control patients without heart failure hospitalization on the basis of age, sex, duration of home monitoring, heart failure severity, and baseline body weight. Compared with control patients, case patients experienced gradual weight gain beginning 30 days before hospitalization; changes in daily weight between case and control patients were statistically significant (P0.001). Within the week before hospitalization, when weight patterns in c