Braunschweig Frieder, Linde Cecilia
Department of Cardiology, Karolinska Hospital, Stockholm, Sweden.
J Cardiovasc Electrophysiol. 2002 Jan;13(1 Suppl):S68-72. doi: 10.1111/j.1540-8167.2002.tb01957.x.
Chronic congestive heart failure is associated with high morbidity and mortality, frequent hospital admissions, and high treatment costs. As the prevalence and incidence of the disease are increasing, there is a clear need to improve the management of heart failure patients. Continuous hemodynamic monitoring with an implanted device is technically feasible and safe. It provides reliable information on central hemodynamic parameters and allows for analysis of long-term hemodynamic trends. It has been suggested that continuous hemodynamic monitoring might improve the management of patients with chronic heart failure. This article describes the technical details of the monitoring system and presents possible clinical applications, with a focus on beta-blocker therapy, diuretics, and volume management. A case is reported, illustrating how hemodynamic long-term trends might add valuable information during up-titration of beta-blockers. Future implications of hemodynamic monitoring are discussed.
慢性充血性心力衰竭与高发病率、高死亡率、频繁住院及高额治疗费用相关。随着该疾病患病率和发病率的上升，显然有必要改善心力衰竭患者的管理。使用植入式设备进行连续血流动力学监测在技术上是可行且安全的。它能提供有关中心血流动力学参数的可靠信息，并允许分析长期血流动力学趋势。有人提出，连续血流动力学监测可能会改善慢性心力衰竭患者的管理。本文描述了监测系统的技术细节，并介绍了可能的临床应用，重点是β受体阻滞剂治疗、利尿剂和容量管理。报告了一个病例，说明在β受体阻滞剂剂量上调期间，血流动力学长期趋势如何能提供有价值的信息。还讨论了血流动力学监测的未来意义。
