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Bioimpedance Vectorial Analyses in Cardiorenal Syndrome

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Book cover Cardio-Nephrology

Abstract

Volume status assessment is an ongoing clinical challenge in both cardiac and kidney diseases, especially in states of subclinical hyper- and hypo-hydration. Bioimpedance vector analysis (BIVA) is a noninvasive, safe, rapid, and reproducible bedside measure of body mass and water composition through bioelectrical impedance measurements, resistance, and reactance. The BIVA method allows to optimize the assessment of volume status in cardiac and kidney diseases and can aid the physician in determining volume status. In acute decompensated heart failure (ADHF) the use of diuretics to treat patients with congestion often results in substantial improvement of signs and symptoms, but residual subclinical congestion at discharge can be responsible for high rates of readmission and poor outcomes. Moreover, in patients admitted to emergency department, BIVA has demonstrated accuracy in the diagnosis and discrimination between cardiac and non-cardiac causes of dyspnea especially when combined with biomarkers and bedside ultrasound. Similarly, in patients with end-stage kidney disease, an accurate evaluation of volume status changes during hemodialysis (HD) is required for defining the goal for fluid removal. In these patients, BIVA has proven to be reliable in identifying the volume of fluid removed during HD allowing a safer dialysis treatment.

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Author information

Authors and Affiliations

  1. Division of Cardiology, San Filippo Neri Hospital, Via Giovanni Martinotti 20, 00135, Rome, Italy

    Nadia Aspromonte

  2. Cardiology Unit, Veris Delli Ponti Hospital, Via Giuseppina Delli Ponti, 73020, Scorrano, LE, Italy

    Francesco Monitillo

  3. Department of Cardiology, Ospedale Civile, Chioggia, VE, Italy

    Roberto Valle

  4. Cardiothoracic Department, Policlinic Hospital of Bari, Bari, Italy

    Massimo Iacoviello

Authors
  1. Nadia Aspromonte
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  2. Francesco Monitillo
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  3. Roberto Valle
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  4. Massimo Iacoviello
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Corresponding author

Correspondence to Nadia Aspromonte .

Editor information

Editors and Affiliations

  1. Department of Internal Medicine, Einstein Medical Center, Sidney Kimmel College of Thomas Jefferson University, Philadelphia, Pennsylvania, USA

    Janani Rangaswami

  2. Department of Medicine, Section of Nephrology, University of Illinois at Chicago, Chicago, Illinois, USA

    Edgar V. Lerma

  3. Department of Nephrology Dialysis and Transplantation, International Renal Research Institute, San Bortolo Hospital, Vicenza, Italy

    Claudio Ronco

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Aspromonte, N., Monitillo, F., Valle, R., Iacoviello, M. (2017). Bioimpedance Vectorial Analyses in Cardiorenal Syndrome. In: Rangaswami, J., Lerma, E., Ronco, C. (eds) Cardio-Nephrology. Springer, Cham. https://doi.org/10.1007/978-3-319-56042-7_16

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  • DOI: https://doi.org/10.1007/978-3-319-56042-7_16

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