Bioimpedance analysis is safe in patients with implanted cardiac electronic devices

Chabin, Xavier; Taghli-Lamallem, Ouarda; Mulliez, Aurélien; Bordachar, Pierre; Jean, Frédéric; Futier, Emmanuel; Massoullié, Grégoire; Andonache, Marius; Souteyrand, Géraud; Ploux, Sylvain; Boirie‌, Yves; Richard, Ruddy; Citron, Bernard; Lusson, J.R.; Godet, Thomas; Pereira, Bruno; Motreff, Pascal; Clerfond, Guillaume; Eschalier, Romain

doi:10.1016/j.clnu.2018.02.029

Cited by 27 publications

(18 citation statements)

References 36 publications

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“…However, BIA is known to be affected by fluid balance [ 4 ], although as technology and datasets develop it may be possible to perform correction calculations for this. BIA is also currently contraindicated in people with implanted cardiac devices; there is increasing evidence that it is likely to be safe [ 15 ], but it is unknown if results can be reliably interpreted.…”

Section: Discussionmentioning

confidence: 99%

Effect of position and exercise on measurement of muscle quantity and quality: towards a standardised pragmatic protocol for clinical practice

Welch

Majid

Andrews

et al. 2021

BMC Sports Sci Med Rehabil

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Background Ultrasonography is an emerging non-invasive bedside tool for muscle quantity/quality assessment; Bioelectrical Impedance Analysis (BIA) is an alternative non-invasive bedside measure of body composition, recommended for evaluation of sarcopenia in clinical practice. We set out to assess impact of position and exercise upon measures towards protocol standardisation. Methods Healthy volunteers aged 18–35 were recruited. Bilateral Anterior Thigh Thickness (BATT; rectus femoris and vastus intermedius), BATT: Subcutaneous Ratio (BATT:SCR), and rectus femoris echogenicity were measured using ultrasound and BIA was performed; 1) lying with upper body at 45° (Reclined), 2) lying fully supine at 180o (Supine), 3) sat in a chair with upper body at 90o (Sitting), and 4) after exercise Reclined. Variability of Skeletal Muscle Mass (SMM) by two different equations from BIA (SMM-Janssen, SMM-Sergi), phase angle, fat percentage, and total body (TBW), extracellular (ECW), and intracellular water (ICW) were assessed. Results Forty-four participants (52% female; mean 25.7 years-old (SD 5.0)) were recruited. BATT increased from Reclined to Sitting (+ 1.45 cm, 1.27–1.63), and after exercise (+ 0.51, 0.29–0.73). Echogenicity reduced from Reclined to Sitting (− 2.1, − 3.9 – -0.26). SMM-Sergi declined from Reclined to Supine (− 0.65 kg, − 1.08 – − 0.23) and after exercise (− 0.70 kg, − 1.27 – -0.14). ECW increased from Reclined to Sitting (+ 1.19 L, 0.04–2.35). There were no other statistically significant changes. Conclusion Standardisation of protocols is especially important for assessment of muscle quantity by ultrasonography; BIA measurements may also vary dependent on the equations used. Where possible, participants should be rested prior to muscle ultrasonography and BIA, and flexion of the knees should be avoided.

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Section: Discussionmentioning

confidence: 99%

Effect of position and exercise on measurement of muscle quantity and quality: towards a standardised pragmatic protocol for clinical practice

Welch

Majid

Andrews

et al. 2021

BMC Sports Sci Med Rehabil

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“…The use of BIVA in patients having CIEDs is limited because of concerns about electromagnetic interference. However, a study of 200 patients from France indicated that there were no significant changes in battery lead impedance, voltage, or pacing thresholds during BIVA ( 31 ). In addition, no changes in CIEDs were found at 0.5 and 1 year of follow-up ( 31 ), suggesting that BIVA performance in patients having CIEDs is secure.…”

Section: Clinical Application Of Bivamentioning

confidence: 99%

“…However, a study of 200 patients from France indicated that there were no significant changes in battery lead impedance, voltage, or pacing thresholds during BIVA ( 31 ). In addition, no changes in CIEDs were found at 0.5 and 1 year of follow-up ( 31 ), suggesting that BIVA performance in patients having CIEDs is secure. A study that included 43 patients from Brazil demonstrated that there were significant reductions in BIVA parameters, including reactance, resistance, and measurements after CIEDs were implanted ( 41 ).…”

Section: Clinical Application Of Bivamentioning

confidence: 99%

Bioimpedance Vector Analysis for Heart Failure: Should We Put It on the Agenda?

Liang

Bai

et al. 2021

Front. Cardiovasc. Med.

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Heart failure is a clinical syndrome, resulting in increased intracardiac pressure and/or decreased cardiac output under rest or stress. In acute decompensated heart failure, volume assessment is essential for clinical diagnosis and management. More and more evidence shows the advantages of bioimpedance vector analysis in this issue. Here, we critically present a brief review of bioimpedance vector analysis in the prediction and management of heart failure to give a reference to clinical physicians and guideline makers.

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“…Bioimpedance analysis is a promising form of telemonitoring with great potential; however, there is a lack of evidence for such a technology for remote patient monitoring. Moreover, until now, bioimpedance analysis has been contraindicated in patients implanted with pacemakers, even if numerous studies were able to demonstrate a high level of safety and no adverse events in this population of patients [109][110][111].…”

Section: What Needs To Be Changed or Improved?mentioning

confidence: 99%

The role of non-invasive devices for the telemonitoring of heart failure patients

et al. 2020

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Heart failure (HF) patients represent one of the most prevalent as well as one of the most fragile population encountered in the cardiology and internal medicine departments nowadays. Estimated to account for around 26 million people worldwide, diagnosed patients present a poor prognosis and quality of life with a clinical history accompanied by repeated hospital admissions caused by an exacerbation of their chronic condition. The frequent hospitalizations and the extended hospital stays mean an extremely high economic burden for healthcare institutions. Meanwhile, the number of chronically diseased and elderly patients is continuously rising, and a lack of specialized physicians is evident. To cope with this health emergency, more efficient strategies for patient management, more accurate diagnostic tools, and more efficient preventive plans are needed. In recent years, telemonitoring has been introduced as the potential answer to solve such needs. Different methodologies and devices have been progressively investigated for effective home monitoring of cardiologic patients. Invasive hemodynamic devices, such as CardioMEMS™, have been demonstrated to be reducing hospitalizations and mortality, but their use is however restricted to limited cases. The role of external non-invasive devices for remote patient monitoring, instead, is yet to be clarified. In this review, we summarized the most relevant studies and devices that, by utilizing non-invasive telemonitoring, demonstrated whether beneficial effects in the management of HF patients were effective.

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Bioimpedance analysis is safe in patients with implanted cardiac electronic devices

Cited by 27 publications

References 36 publications

Effect of position and exercise on measurement of muscle quantity and quality: towards a standardised pragmatic protocol for clinical practice

Effect of position and exercise on measurement of muscle quantity and quality: towards a standardised pragmatic protocol for clinical practice

Bioimpedance Vector Analysis for Heart Failure: Should We Put It on the Agenda?

The role of non-invasive devices for the telemonitoring of heart failure patients

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