Cardiac Output Measurement by Thoracic Electrical Bioimpedance in a Patient with Ovarian Hyperstimulation Syndrome
作者:
Kanji Ryuko,
Kentaro Takahashi,
Masako Okada,
Naomi Tamaru,
Manabu Kitao,
期刊:
Gynecologic and Obstetric Investigation
(Karger Available online 1996)
卷期:
Volume 41,
issue 2
页码: 140-142
ISSN:0378-7346
年代: 1996
DOI:10.1159/000292061
出版商: S. Karger AG
关键词: Thoracic bioimpedance;Cardiac output;Ovarian hyperstimulation syndrome
数据来源: Karger
摘要:
A 31-year-old woman developed severe ovarian hyperstimulation syndrome (OHSS) after exogenous gonadotropin stimulation for an in vitro fertilization program. Because of refusal of invasive monitoring, thoracic electrical bioimpedance (TEB) was performed to evaluate cardiac function and volume status. TEB pointed out decreased cardiac output (CO: 4.23 liters/min), cardiac index (CI: 2.63) and stroke volume (SV: 57.5 ml/beat). Serial monitoring of hemody-namic variables was then performed. After the data were obtained, fluid management was performed, and the patient recovered from abnormal homeostasis in 3 days. The hemodynamic variables returned to the normal range (CO: 6.85 liters/min, CI: 4.25, SV: 100.5 ml/beat) within the first 24 h. There were no complications such as life-threatening multiple organ failure. We discuss the usefulness of TEB for the fluid management of severe OHSS, as well as its implications.
点击下载:
PDF
(1410KB)
返 回