Imamura Teruhiko, Kinugawa Koichiro
The Second Department of Internal Medicine, University of Toyama, Toyama, Japan.
J Cardiol Cases. 2022 Sep 19;26(6):426-428. doi: 10.1016/j.jccase.2022.09.005. eCollection 2022 Dec.
Management of congestion by assessing the degree of systemic/pulmonary congestion and adjusting the dose of diuretics is of great importance to improve mortality and morbidity in patients with congestive heart failure, whereas it is sometimes challenging particularly in the outpatient clinic, where careful and daily assessment of congestion is impossible. We had a patient with congestive heart failure due to cardiac amyloidosis, whose congestion was successfully managed by referencing repeated non-invasive quantification of pulmonary congestion using a recently-introduced remote dielectric sensing system as well as appropriate adjustment of diuretics doses at once per month outpatient clinic. Remote dielectric sensing might be a promising supportive tool to guide the management of congestion in the outpatient clinic.
Remote dielectric sensing system, which is a novel non-invasive wearable device to quantify the degree of pulmonary congestion easily and quickly within a minute, would be a promising supportive tool to guide titration of the dose of diuretics in patients with congestive heart failure in outpatient clinic follow up.
通过评估全身/肺淤血程度并调整利尿剂剂量来管理淤血，对于改善充血性心力衰竭患者的死亡率和发病率非常重要，然而这有时具有挑战性，尤其是在门诊，因为无法进行仔细的每日淤血评估。我们有一位因心脏淀粉样变性导致充血性心力衰竭的患者，通过使用最近引入的远程介电传感系统重复进行肺淤血的非侵入性量化，并每月在门诊适当调整一次利尿剂剂量，成功地管理了其淤血情况。远程介电传感可能是指导门诊淤血管理的一种有前景的辅助工具。
远程介电传感系统是一种新型的非侵入性可穿戴设备，能够在一分钟内轻松快速地量化肺淤血程度，在门诊随访中，它将是指导充血性心力衰竭患者利尿剂剂量滴定的一种有前景的辅助工具。
