The non-invasive evaluation of heart function in patients with an acute myocardial infarction: The role of impedance cardiography
The purpose of this study was to analyze hemodynamic changes in patients treated with percutaneous coronary intervention (PCI) at an early stage of acute myocardial infarction (AMI) and at 1-month follow-up. Patients with AMI (n = 27) who underwent PCI were analyzed using impedance cardiography (ICG...
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| Veröffentlicht in: | Cardiology journal 2021-01, Vol.28 (1), p.77-85 |
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| container_title | Cardiology journal |
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| creator | Lewicki, Lukasz Fijalkowska, Marta Karwowski, Maciej Siebert, Konrad Redlarski, Grzegorz Palkowski, Aleksander Targonski, Radoslaw Siebert, Janusz |
| description | The purpose of this study was to analyze hemodynamic changes in patients treated with percutaneous coronary intervention (PCI) at an early stage of acute myocardial infarction (AMI) and at 1-month follow-up.
Patients with AMI (n = 27) who underwent PCI were analyzed using impedance cardiography (ICG). ICG data were collected continuously (beat by beat) during the whole PCI procedure and thereafter at every 60 s for the next 24 h. Blood pressure was taken every 10 min and stored for analysis. Additionally the following parameters were measured: cardiac index (CI), stroke volume index (SVi), left cardiac work index (LCWi), contractility index (CTi), ventricular ejection time (VET), systemic vascular resistance index (SVRi), thoracic fluid content index (TFCi) and heart rate (HR).
In the first 24 h after PCI all the contractility parameters including CI, SVi, LCWi, CTi and VET significantly decreased, whereas HR, SVRi and TFCi increased compared to baseline. All of the parameters examined got normalized at 1 month. The CI, SVi, LCWi, CTi, SVRi did not significantly differ from baseline, however the HR and VET were significantly lower compared to first day after PCI CONCLUSIONS: Cardiac performance deteriorates early after PCI and normalizes after 1 month in patients with an AMI. ICG is useful for hemodynamic monitoring of AMI patients during and after invasive therapy. |
| doi_str_mv | 10.5603/CJ.a2019.0098 |
| format | Article |
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Patients with AMI (n = 27) who underwent PCI were analyzed using impedance cardiography (ICG). ICG data were collected continuously (beat by beat) during the whole PCI procedure and thereafter at every 60 s for the next 24 h. Blood pressure was taken every 10 min and stored for analysis. Additionally the following parameters were measured: cardiac index (CI), stroke volume index (SVi), left cardiac work index (LCWi), contractility index (CTi), ventricular ejection time (VET), systemic vascular resistance index (SVRi), thoracic fluid content index (TFCi) and heart rate (HR).
In the first 24 h after PCI all the contractility parameters including CI, SVi, LCWi, CTi and VET significantly decreased, whereas HR, SVRi and TFCi increased compared to baseline. All of the parameters examined got normalized at 1 month. The CI, SVi, LCWi, CTi, SVRi did not significantly differ from baseline, however the HR and VET were significantly lower compared to first day after PCI CONCLUSIONS: Cardiac performance deteriorates early after PCI and normalizes after 1 month in patients with an AMI. ICG is useful for hemodynamic monitoring of AMI patients during and after invasive therapy.</description><identifier>ISSN: 1897-5593</identifier><identifier>EISSN: 1897-5593</identifier><identifier>EISSN: 1898-018X</identifier><identifier>DOI: 10.5603/CJ.a2019.0098</identifier><identifier>PMID: 31642052</identifier><language>eng</language><publisher>Poland: Wydawnictwo Via Medica</publisher><subject>Angioplasty ; Blood pressure ; Body mass index ; Cardiology ; Chronic obstructive pulmonary disease ; Coronary vessels ; Ejection fraction ; Electrodes ; Heart attacks ; Heart rate ; Intubation ; Original ; Patients ; Thorax ; Veins & arteries</subject><ispartof>Cardiology journal, 2021-01, Vol.28 (1), p.77-85</ispartof><rights>2021. This work is published under https://creativecommons.org/licenses/by-nc-nd/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>Copyright © 2021 Via Medica 2021</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c415t-418aed1da4ef4afd81da695439bf176080f4ad7545bdd50e8638ca924aae48023</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC8105076/pdf/$$EPDF$$P50$$Gpubmedcentral$$H</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC8105076/$$EHTML$$P50$$Gpubmedcentral$$H</linktohtml><link.rule.ids>230,314,723,776,780,860,881,27901,27902,53766,53768</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/31642052$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Lewicki, Lukasz</creatorcontrib><creatorcontrib>Fijalkowska, Marta</creatorcontrib><creatorcontrib>Karwowski, Maciej</creatorcontrib><creatorcontrib>Siebert, Konrad</creatorcontrib><creatorcontrib>Redlarski, Grzegorz</creatorcontrib><creatorcontrib>Palkowski, Aleksander</creatorcontrib><creatorcontrib>Targonski, Radoslaw</creatorcontrib><creatorcontrib>Siebert, Janusz</creatorcontrib><title>The non-invasive evaluation of heart function in patients with an acute myocardial infarction: The role of impedance cardiography</title><title>Cardiology journal</title><addtitle>Cardiol J</addtitle><description>The purpose of this study was to analyze hemodynamic changes in patients treated with percutaneous coronary intervention (PCI) at an early stage of acute myocardial infarction (AMI) and at 1-month follow-up.
Patients with AMI (n = 27) who underwent PCI were analyzed using impedance cardiography (ICG). ICG data were collected continuously (beat by beat) during the whole PCI procedure and thereafter at every 60 s for the next 24 h. Blood pressure was taken every 10 min and stored for analysis. Additionally the following parameters were measured: cardiac index (CI), stroke volume index (SVi), left cardiac work index (LCWi), contractility index (CTi), ventricular ejection time (VET), systemic vascular resistance index (SVRi), thoracic fluid content index (TFCi) and heart rate (HR).
In the first 24 h after PCI all the contractility parameters including CI, SVi, LCWi, CTi and VET significantly decreased, whereas HR, SVRi and TFCi increased compared to baseline. All of the parameters examined got normalized at 1 month. The CI, SVi, LCWi, CTi, SVRi did not significantly differ from baseline, however the HR and VET were significantly lower compared to first day after PCI CONCLUSIONS: Cardiac performance deteriorates early after PCI and normalizes after 1 month in patients with an AMI. ICG is useful for hemodynamic monitoring of AMI patients during and after invasive therapy.</description><subject>Angioplasty</subject><subject>Blood pressure</subject><subject>Body mass index</subject><subject>Cardiology</subject><subject>Chronic obstructive pulmonary disease</subject><subject>Coronary vessels</subject><subject>Ejection fraction</subject><subject>Electrodes</subject><subject>Heart attacks</subject><subject>Heart rate</subject><subject>Intubation</subject><subject>Original</subject><subject>Patients</subject><subject>Thorax</subject><subject>Veins & arteries</subject><issn>1897-5593</issn><issn>1897-5593</issn><issn>1898-018X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><sourceid>BENPR</sourceid><recordid>eNpdkUFv1DAQRiMEoqVw5IosceGSre3YicMBqVq1QFWJSzlbs_akcZXYwU4W7bH_vN5tqUpPHs08PfnTVxQfGV3Jmlan68sVcMraFaWtelUcM9U2pZRt9frZfFS8S-mW0rqVkr8tjipWC04lPy7urnskPvjS-S0kt0WCWxgWmF3wJHSkR4gz6RZvDhvnyZRv6OdE_rq5J-AJmGVGMu6CgWgdDBnqIB74r2Svj2HAvcuNE1rwBsmBDDcRpn73vnjTwZDww-N7Uvy-OL9e_yivfn3_uT67Ko1gci4FU4CWWRDYCeisymOOI6p207GmpormtW2kkBtrJUVVV8pAywUACkV5dVJ8e_BOy2ZEa3KGCIOeohsh7nQAp_-_eNfrm7DVilFJmzoLvjwKYvizYJr16JLBYQCPYUmaV1SxhnMlM_r5BXobluhzPM1rKoQSraCZKh8oE0NKEbunzzCq9-Xq9aU-lKv35Wb-0_MET_S_Nqt7EmGimQ</recordid><startdate>20210101</startdate><enddate>20210101</enddate><creator>Lewicki, Lukasz</creator><creator>Fijalkowska, Marta</creator><creator>Karwowski, Maciej</creator><creator>Siebert, Konrad</creator><creator>Redlarski, Grzegorz</creator><creator>Palkowski, Aleksander</creator><creator>Targonski, Radoslaw</creator><creator>Siebert, Janusz</creator><general>Wydawnictwo Via Medica</general><general>Via Medica</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20210101</creationdate><title>The non-invasive evaluation of heart function in patients with an acute myocardial infarction: The role of impedance cardiography</title><author>Lewicki, Lukasz ; Fijalkowska, Marta ; Karwowski, Maciej ; Siebert, Konrad ; Redlarski, Grzegorz ; Palkowski, Aleksander ; Targonski, Radoslaw ; Siebert, Janusz</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c415t-418aed1da4ef4afd81da695439bf176080f4ad7545bdd50e8638ca924aae48023</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>Angioplasty</topic><topic>Blood pressure</topic><topic>Body mass index</topic><topic>Cardiology</topic><topic>Chronic obstructive pulmonary disease</topic><topic>Coronary vessels</topic><topic>Ejection fraction</topic><topic>Electrodes</topic><topic>Heart attacks</topic><topic>Heart rate</topic><topic>Intubation</topic><topic>Original</topic><topic>Patients</topic><topic>Thorax</topic><topic>Veins & arteries</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Lewicki, Lukasz</creatorcontrib><creatorcontrib>Fijalkowska, Marta</creatorcontrib><creatorcontrib>Karwowski, Maciej</creatorcontrib><creatorcontrib>Siebert, Konrad</creatorcontrib><creatorcontrib>Redlarski, Grzegorz</creatorcontrib><creatorcontrib>Palkowski, Aleksander</creatorcontrib><creatorcontrib>Targonski, Radoslaw</creatorcontrib><creatorcontrib>Siebert, Janusz</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Publicly Available Content Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Cardiology journal</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Lewicki, Lukasz</au><au>Fijalkowska, Marta</au><au>Karwowski, Maciej</au><au>Siebert, Konrad</au><au>Redlarski, Grzegorz</au><au>Palkowski, Aleksander</au><au>Targonski, Radoslaw</au><au>Siebert, Janusz</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The non-invasive evaluation of heart function in patients with an acute myocardial infarction: The role of impedance cardiography</atitle><jtitle>Cardiology journal</jtitle><addtitle>Cardiol J</addtitle><date>2021-01-01</date><risdate>2021</risdate><volume>28</volume><issue>1</issue><spage>77</spage><epage>85</epage><pages>77-85</pages><issn>1897-5593</issn><eissn>1897-5593</eissn><eissn>1898-018X</eissn><abstract>The purpose of this study was to analyze hemodynamic changes in patients treated with percutaneous coronary intervention (PCI) at an early stage of acute myocardial infarction (AMI) and at 1-month follow-up.
Patients with AMI (n = 27) who underwent PCI were analyzed using impedance cardiography (ICG). ICG data were collected continuously (beat by beat) during the whole PCI procedure and thereafter at every 60 s for the next 24 h. Blood pressure was taken every 10 min and stored for analysis. Additionally the following parameters were measured: cardiac index (CI), stroke volume index (SVi), left cardiac work index (LCWi), contractility index (CTi), ventricular ejection time (VET), systemic vascular resistance index (SVRi), thoracic fluid content index (TFCi) and heart rate (HR).
In the first 24 h after PCI all the contractility parameters including CI, SVi, LCWi, CTi and VET significantly decreased, whereas HR, SVRi and TFCi increased compared to baseline. All of the parameters examined got normalized at 1 month. The CI, SVi, LCWi, CTi, SVRi did not significantly differ from baseline, however the HR and VET were significantly lower compared to first day after PCI CONCLUSIONS: Cardiac performance deteriorates early after PCI and normalizes after 1 month in patients with an AMI. ICG is useful for hemodynamic monitoring of AMI patients during and after invasive therapy.</abstract><cop>Poland</cop><pub>Wydawnictwo Via Medica</pub><pmid>31642052</pmid><doi>10.5603/CJ.a2019.0098</doi><tpages>9</tpages><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 1897-5593 |
| ispartof | Cardiology journal, 2021-01, Vol.28 (1), p.77-85 |
| issn | 1897-5593 1897-5593 1898-018X |
| language | eng |
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| source | DOAJ Directory of Open Access Journals; EZB-FREE-00999 freely available EZB journals; PubMed Central; Alma/SFX Local Collection |
| subjects | Angioplasty Blood pressure Body mass index Cardiology Chronic obstructive pulmonary disease Coronary vessels Ejection fraction Electrodes Heart attacks Heart rate Intubation Original Patients Thorax Veins & arteries |
| title | The non-invasive evaluation of heart function in patients with an acute myocardial infarction: The role of impedance cardiography |
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