• Internal medicine · Jun 2020

    Case Reports

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

    • Atsuko Nakayama, Kentaro Iwama, Naohiro Makise, Yukako Domoto, Junichi Ishida, Hiroyuki Morita, and Issei Komuro.
    • Department of Cardiovascular Medicine, The University of Tokyo Hospital, Japan.
    • Intern. Med. 2020 Jun 15; 59 (12): 1525-1530.

    AbstractA 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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