Can non-invasive cardiac hemodynamics and fluid content system (NICaS) parameters predict Acute Heart Failure outcomes in Caucasian and Asian patients in the emergency department?

• DOI: 10.1016/j.advms.2024.02.005
• Publication Date: 2024-02-21T12:30:46Z
• Authors: Muhammad Anshory; Win Sen Kuan; M. Saifur Rohman; Yoga Waranugraha; Putri Annisa Kamila; Agustin Iskandar; Hani Susianti; Ying Wei Yau; Crystal Harn Wei Soh; Khalid Mohammed Ali; Mui Teng Chua; Salvatore Di Somma
• Keywords: Cardiac index

Acute heart failure (AHF) is a serious condition that requires prompt diagnosis and management. To optimize patient care, clinicians need reliable, non-invasive method to assess hemodynamic parameters total body congestion. Currently, no standardized technology widely used for this purpose. However, NICaS technology, which measures based on regional bioimpedance, has shown promise in monitoring AHF patients reliable manner. In study, researchers aimed evaluate the usefulness of predicting patients' outcome Caucasian Asian presenting emergency department (ED). The study included 40 from Italy (group A) 71 Indonesia Singapore B) with ED. compared data parameters, clinical findings, laboratory, radiological results short-term events. group A, at ED arrival significantly predicted 30-day cardiovascular mortality rehospitalization. At discharge, value cardiac output obtained using was significant predictor B, variables, peripheral resistance index admission during 48–72 ​h had prominent AUC congestion score NT-proBNP indicate offers simple, non-invasive, assessing hemodynamics patients. These measurements may enhance diagnosis, tailor management plans, stratify risk, predict outcomes both