Cardiac index assessment: Validation of a new non-invasive very low current thoracic bioimpedance device by thermodilution

Abstract

Cardiac index values yielded by Hotman system compares favorably with that obtained with thermodilution in cardiac patients.

Adjusted Drug Treatment Is Superior to Renal Sympathetic Denervation in Patients With True Treatment-Resistant Hypertension

“…8,9 Impedance cardiography has demonstrated its usefulness and reproducibility during the past years [10][11][12][13] in various populations, including patients with hypertension and coronary artery disease. When the pharmacological class of antihypertensive agent does not correspond to the hemodynamic state, BP reduction is limited, BP fall is delayed, and side effects may occur more frequently.…”

“…according to 2007 European Society of Hypertension/ European Society of Cardiology hypertension guidelines and guided by using a noninvasive integrated hemodynamic measurements of impedance cardiography with the HOTMAN System (Hemo Sapiens Inc, Sedona, AZ) as previously described and validated. 8,9 In short, this procedure aimed at tailoring the antihypertensive treatment to the underlying hemodynamic aberration such as further increasing the dose of diuretic in volume-overloaded patients or prescribing, or increasing the dose of vasodilatory medicines in patients with high peripheral resistance, or reducing the dose of drugs that cause negative inotropy in patients with reduced cardiac inotropy.…”

A randomized and controlled study of noninvasive hemodynamic monitoring as a guide to drug treatment of uncontrolled hypertensive patients

“…We used the management algorithm of the device. In short, this procedure aimed at tailoring the antihypertensive treatment to the underlying hemodynamic aberration such as increasing the dose of diuretic in volume overloaded patients or prescribing or increasing the dose of vasodilatory medicines in patients with high peripheral resistance, and decreasing the dose of b-blockers [or nondihydropyridine calcium-channel blockers (CCB)] in the presence of hypoinotropy [8,9]. In case of hypoinotropy, diltizem and verapamil were preferred vs. dihydropyridines if stopping b-blockers in order to maintain the same chronotopic effect.…”

“…Side-effects, in particular, may be caused by antihypertensive drugs that have been prescribed but do not match the underlying hemodynamic cause of the high BP. Better selected treatment guided by noninvasive integrated hemodynamic management (IHM) using impedance cardiography may possibly counteract such problems and provide better BP control [8,9].…”

Diagnosis of mitral insufficiency using impedance cardiography technique ICG

“…In order to establish its validity, ICG has been widely compared to several methods which measure stroke volume and cardiac output [3], such as echocardiography [4,5], thermodilution [6,7], and the Fick method [8]. Impedance cardiography has been used for many clinical purposes.…”