Key result
Impedance cardiography noninvasively guides neurohormonal therapy titration in heart failure.
Why the study?
Concern about hemodynamic tolerance limits initiation and up-titration of neurohormonal agents in heart failure, and appropriate patient selection for nesiritide remains challenging.
Can impedance cardiography aid in the initiation and titration of neurohormonal agents in patients with heart failure?
Comparison
Use of impedance cardiography to guide initiation and titration of neurohormonal agents
Design
Case report
Authors
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May support cautious up-titration of ACEI and beta blockers in chronic HF despite tolerance concerns; leaves open nesiritide's role in this setting.
Case Report (n=3)
Can impedance cardiography aid in the initiation and titration of neurohormonal agents in patients with heart failure?
Noninvasive hemodynamics via impedance cardiography may be a useful tool to guide the initiation and up-titration of neurohormonal therapies in heart failure.
Summers et al. (2004) conducted a case report in heart failure (n=3). Impedance cardiography was evaluated. Impedance cardiography provided noninvasive hemodynamic data that aided the initiation and titration of neurohormonal agents in three patients with heart failure.
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