ArticleHemodialysis international. International Symposium on Home Hemodialysis2018
Comparison of stroke volume measurements during hemodialysis using bioimpedance cardiography and echocardiography.
Article in Hemodialysis international. International Symposium on Home Hemodialysis, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.
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12 citing papers in PubMed, 23 citations in OpenAlex.
- Effectiveness of Dexmedetomidine and Sufentanil in Preventing Adverse Reactions to Carboprost Tromethamine During Cesarean Section with Noninvasive Cardiac System Monitoring.Clinical drug investigation · 2026Trial
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- Continuous Monitoring of Advanced Hemodynamic Parameters during Hemodialysis Demonstrated Early Variations in Patients Experiencing Intradialytic Hypotension.Biomedicines · 2024Article
- Non-invasive assessment of stroke volume and cardiovascular parameters based on peripheral pressure waveform.PLoS computational biology · 2024Article
- Noninvasive Hemodynamic Evaluation Following TAVI for Severe Aortic Stenosis.Journal of the American Heart Association · 2023Article
- Pulmonary artery capacitance and pulmonary vascular resistance as prognostic indicators in acute pulmonary embolism.European heart journal open · 2022Article
- Sodium First Approach, to Reset Our Mind for Improving Management of Sodium, Water, Volume and Pressure in Hemodialysis Patients, and to Reduce Cardiovascular Burden and Improve Outcomes.Frontiers in nephrology · 2022Review
- Assessing accuracy of estimated dry weight in dialysis patients post transplantation: the kidney knows best.Journal of nephrology · 2021Observational
- Effect of hemodialysis on impedance cardiography (electrical velocimetry) parameters in children.Pediatric nephrology (Berlin, Germany) · 2020Observational
- Non-invasive hemodynamic profiling of patients undergoing hemodialysis - a multicenter observational cohort study.BMC nephrology · 2019Observational
- The value of non-invasive measurement of cardiac output and total peripheral resistance to categorize significant changes of intradialytic blood pressure: a prospective study.BMC nephrology · 2018Article
- Comparison of continuous cardiac output monitoring derived from regional impedance cardiography with continuous thermodilution technique in cardiac surgical patients.Annals of cardiac anaesthesiaObservational
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Authors and funding
6 authors at 6 institutions in 1 country.
Funding
Abstract
backgroundFluid management remains a major challenge of hemodialysis (HD) care, with serious implications for morbidity and mortality. Intradialytic fluid management is typically guided by blood pressure, an indirect resultant of hemodynamics status. Direct measurements of hemodynamic parameters may improve cardiovascular outcomes by providing rational bases for intervention. We compare stroke volume (SV) measurements using a noninvasive, regional biompedance cardiography device (NiCaS) with Doppler echocardiography (Echo) in HD setting.
methodsStroke volumes were simultaneously measured using the devices in 17 patients receiving maintenance HD. Measurements were made during 2 weekly HD treatments, and twice within each HD treatment during the first and last hour of each treatment, for a total of 64 SV measurements. Agreement between devices was assessed using linear regression, a Pearson's correlation coefficient, and a Bland-Altman plot all adjusted for repeated measures within patients.
resultsEcho and NiCaS SV mean and 95% CIs were 58.0 (50.1, 65.8) and 56.7 (49.4, 64.0) mL, respectively. NiCaS SV correlated strongly with Echo SV during the first and last hours of treatments (r = 0.93, P < 0.001 and r = 0.92, P < 0.001, respectively). Linear regression of NiCaS on Echo showed a slope of 0.97, 95% CI (0.91, 1.02) which did not differ from 1, P = 0.20. A Bland-Altman plot and 4-Quadrant plot confirmed that the 2 methods produced comparable measurements.
conclusionNiCaS SV measurements are similar to and strongly correlated with Echo SV measurements. This suggests that noninvasive NiCaS technology may be a practical method for measuring SV during HD.
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