Tang W H Wilson
Department of Medicine, Cleveland Clinic Lerner College of Medicine, Case Western Reserve University and Department of Cardiovascular Medicine, Cleveland Clinic, Cleveland, Ohio, USA.
Rev Cardiovasc Med. 2006;7 Suppl 1:S62-6.
Two cases of congestive heart failure with decompensation are presented. The OptiVol fluid index (Medtronic, Inc., Minneapolis, MN) provides an objective gauge of fluid status that can be difficult to obtain with routine clinical history or even with physical examination. The Cardiac Compass Report (Medtronic, Inc.) can identify a patient's ability to achieve euvolemia and the need for pharmacologic and nonpharmacologic interventions. Future studies will help define diagnostic and management algorithms using the OptiVol index, as well as in combination with other parameters in the Cardiac Compass Report, to facilitate proactive monitoring of patients with congestive heart failure.
本文介绍了两例失代偿性充血性心力衰竭病例。OptiVol液体指数（美敦力公司，明尼阿波利斯，明尼苏达州）提供了一种客观的液体状态指标，这在常规临床病史甚至体格检查中都难以获得。心脏罗盘报告（美敦力公司）可以确定患者实现正常血容量的能力以及药物和非药物干预的必要性。未来的研究将有助于确定使用OptiVol指数以及结合心脏罗盘报告中的其他参数的诊断和管理算法，以促进对充血性心力衰竭患者的主动监测。
