Comparison of a radiofrequency-based wireless pressure sensor to Swan-Ganz catheter and echocardiography for ambulatory assessment of pulmonary artery pressure in heart failure

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dc.contributor.authorVerdejo, Hugo E.
dc.contributor.authorCastro, Pablo F.
dc.contributor.authorConcepcion, Roberto
dc.contributor.authorFerrada, Marcela A.
dc.contributor.authorAlfaro, Mario A.
dc.contributor.authorAlcaino, Milton E.
dc.contributor.authorDeck, Carlos C.
dc.contributor.authorBourge, Robert C.
dc.date.accessioned2024-01-10T14:22:39Z
dc.date.available2024-01-10T14:22:39Z
dc.date.issued2007
dc.description.abstractObjectives The goal of this work was to evaluate the accuracy of a new heart failure (HF) sensor (HFS) (Heart Failure Sensor, CardioMEMS Inc., Atlanta, Georgia) pulmonary artery pressure (PAP) monitoring compared with Swan-Ganz (SG) (Hospira, Inc., Lake Forest, Illinois) catheterization and echocardiography (ECHO) in ambulatory HIF patients.
dc.description.abstractBackground There is an increasing interest in the development of ambulatory monitoring devices aiming to adjust therapy and prevent hospitalizations in HF patients.
dc.description.abstractMethods Twelve patients with HF and New York Heart Association functional class II to IV were included in this study. The HFS was deployed into the pulmonary artery under angiography, allowing wireless PAP measurement. Two independent blind operators performed 3 HFS measurements at each visit, with simultaneous ECHO at 2, 14, 30, 60, and 90 days. Swan-Ganz catheterization was performed at 0 and 60 days. Linear regression was used as a measure of agreement. Variability between methods and interobserver variability were evaluated by Bland-Altman analysis.
dc.description.abstractResults Mean age was 63 +/- 14.6 years. Systolic PAP was 64 +/- 22 mm Hg and 58 +/- 22 mm Hg for HFS and SG, respectively (p < 0.01). Both methods showed a significant correlation (r(2) = 0.96 baseline, r(2) = 0.90 follow-up, p < 0.01), with a mean difference of 6.2 +/- 4.5 mm Hg. Diastolic PAP was 23 +/- 14 mm Hg and 28 +/- 16 mm Hg for HFS and SG, respectively (r(2) = 0.88 baseline, r(2) = 0.48 follow-up, p < 0.01), with a mean difference of -1.6 +/- 6.8 mm Hg. Systolic PAP was 60 +/- 20 mm Hg and 62 +/- 12 mm Hg for HFS and ECHO, respectively (r(2) 0.75, p < 0.01), with a mean difference of -2.6 +/- 11 mm Hg. There was no significant interobserver difference.
dc.description.abstractConclusions The HFS provides an accurate method for PAP assessment in the intermediate follow-up of HF patients.
dc.fechaingreso.objetodigital26-03-2024
dc.format.extent8 páginas
dc.fuente.origenWOS
dc.identifier.doi10.1016/j.jacc.2007.06.061
dc.identifier.eissn1558-3597
dc.identifier.issn0735-1097
dc.identifier.pubmedidMEDLINE:18154961
dc.identifier.urihttps://doi.org/10.1016/j.jacc.2007.06.061
dc.identifier.urihttps://repositorio.uc.cl/handle/11534/79977
dc.identifier.wosidWOS:000251918100003
dc.information.autorucFacultad de Medicina; Verdejo Pinochet, Hugo Eduardo; S/I; 1001175
dc.issue.numero25
dc.language.isoen
dc.nota.accesocontenido completo
dc.pagina.final2382
dc.pagina.inicio2375
dc.publisherELSEVIER SCIENCE INC
dc.revistaJOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY
dc.rightsacceso abierto
dc.subjectNATRIURETIC PEPTIDE
dc.subjectPROGNOSTIC IMPLICATIONS
dc.subjectMITRAL REGURGITATION
dc.subjectVASODILATOR THERAPY
dc.subjectHEMODYNAMIC GOALS
dc.subjectFILLING PRESSURES
dc.subjectREDUCTION
dc.subjectTRIAL
dc.subjectHYPERTENSION
dc.subjectMANAGEMENT
dc.subject.ods03 Good Health and Well-being
dc.subject.odspa03 Salud y bienestar
dc.titleComparison of a radiofrequency-based wireless pressure sensor to Swan-Ganz catheter and echocardiography for ambulatory assessment of pulmonary artery pressure in heart failure
dc.typeartículo
dc.volumen50
sipa.codpersvinculados1001175
sipa.indexWOS
sipa.indexPubmed
sipa.trazabilidadCarga SIPA;09-01-2024
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