Bioimpedance
There is a need to develop and implement more effective strategies to assess and monitor heart failure (HF) patient’s congestion. Bioimpedance (Bi) is a non invasive method of body composition analysis useful for the assessment of soft tissue hydration.
BIM study
We aimed to develop a device that allows easy and reproducible measurements of Bi at lung level to measure thoracic congestion in HF patients.
Gastelurrutia P, Riistama J, Cuba-Gyllensten I, Teis A, Giralt T, Caffarel J, Zamora E, Llibre C, Lupon J, Bayes-Genis A. Bio-Impedance Monitor (BIM) vest for patients with acutely decompensated heart failure.
Poster. Heart Failure Congress 2012. Belgrade: Mayo 2012.
Images proprierty of Philips Research.
BIVA study
It is known that congestive heart failure (HF) patients have have a hyperdrated status. We are interested in the use of whole-body (right-side) bioimpedance measurements to assessed the hydration status HF patients, clinically stable and decompensated patients. We have shown that both groups, decompensated patients but also clinically stable patients are hyperhydrated compared to the reference population.
- reference population
- clinically stable patients (G1)
- decompensated patients (G2) p< 0.05 for all 3 comparations.
Publications
Nescolarde L, Gastelurrutia P, Calpe J, Hernández R, Bayés-Genis A, Rosell-Ferrer J. Comment on "Is bioelectrical impedance vector analysis of value in the elderly with malnutrition and impaired functionality?" Nutrition. 2009;25(3):370-1; author reply 371-2.
Ribas N, Nescolarde L, Domingo M, Gastelurrutia P, Bayes-Genis A, Rosell-Ferrer J. Longitudinal and transversal bioimpedance measurements in addition to diagnosis of heart failure. International Conference on Electrical Bioimpedance. Journal of Physicis: Conference Series 224 (2010) 012099
Gastelurrutia P, Nescolarde L, Rosell-Ferrer J, Domingo M, Ribas N, Bayes-Genis A. Bioelectrical impedance vector analysis (BIVA) in stable and non-stable heart failure patients: A pilot study. Int J Cardiol. 2011;146(2):262-4.
Cuba-Gyllensten I, Gastelurrutia P, Riistama J, Aarts R, Nuñez J, Lupon J, Bayes-Genis A. A novel wearable vest for tracking pulmonary congestion in acutely decompensated heart failure. Int J Cardiol. 2014;177(1):199-201.
Riistama J, Aarts R, Bayes-Genis A. Wearable vest for pulmonary congestion tracking and prognosis in heart failure: A pilot study. Int J Cardiol. 2016;215:77-79.
Cuba-Gyllensten I, Gastelurrutia P, Bonomi AG, Riistama J, Bayes-Genis A, Aarts RM. A method to adapt thoracic impedance based on chest geometry and composition to assess congestion in heart failure patients. Med Eng Phys. 2016 Apr 14. pii: S1350-4533(16)30021-2.