A Current Review of the Uses of Bioelectrical Impedance Analysis and Bioelectrical Impedance Vector Analysis in Acute and Chronic Heart Failure Patients: An Under-valued Resource?

IF 16.4 1区 化学 Q1 CHEMISTRY, MULTIDISCIPLINARY
Jenjiratchaya Thanapholsart, Ehsan Khan, Geraldine A Lee
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引用次数: 4

Abstract

Background: There is a need to detect and prevent fluid overload and malnutrition in heart failure. Bioelectrical impedance analysis and bioelectrical impedance vector analysis are medical instruments that can advance heart failure management by generating values of body composition and body water, assisting clinicians to detect fluid and nutritional status. However, there is a lack of evidence to summarise how they have been used among heart failure patients.

Method: A systematic search was conducted.

Result: Two hundred and four papers were screened. Forty-eight papers were reviewed, and 46 papers were included in this review. The literature shows that bioelectrical impedance analysis and bioelectrical impedance vector analysis were mostly used to assess fluid and nutritional status, together with diagnostic and prognostic values. Contraindication of using BIA and implications for practice are also demonstrated.

Conclusion: The findings suggest that bioelectrical impedance vector analysis is superior to bioelectrical impedance analysis when assessing hydration/nutritional status in heart failure. Assessing a patient using bioelectrical impedance analysis /bioelectrical impedance vector analysis, together with natriuretic peptide -heart failure biomarkers, increases the diagnostic accuracy of heart failure. Further studies are required to examine the cost effectiveness of using these instruments in clinical practice.

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生物电阻抗分析和生物电阻抗矢量分析在急慢性心力衰竭患者中的应用综述:一个被低估的资源?
背景:有必要检测和预防心力衰竭的液体超载和营养不良。生物电阻抗分析和生物电阻抗矢量分析是一种医疗仪器,可以通过生成身体成分和身体水分的值来推进心力衰竭的管理,帮助临床医生检测液体和营养状况。然而,缺乏证据来总结它们在心力衰竭患者中的应用情况。方法:系统检索。结果:共筛选论文244篇。共纳入文献48篇,其中46篇被纳入本综述。文献显示,生物电阻抗分析和生物电阻抗矢量分析主要用于评估体液和营养状况,以及诊断和预后价值。应用BIA的禁忌症和对实践的影响也被证明。结论:在评价心力衰竭患者的水分/营养状况时,生物电阻抗矢量分析优于生物电阻抗分析。使用生物电阻抗分析/生物电阻抗矢量分析以及利钠肽-心力衰竭生物标志物对患者进行评估,可提高心力衰竭诊断的准确性。需要进一步的研究来检验在临床实践中使用这些仪器的成本效益。
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来源期刊
Accounts of Chemical Research
Accounts of Chemical Research 化学-化学综合
CiteScore
31.40
自引率
1.10%
发文量
312
审稿时长
2 months
期刊介绍: Accounts of Chemical Research presents short, concise and critical articles offering easy-to-read overviews of basic research and applications in all areas of chemistry and biochemistry. These short reviews focus on research from the author’s own laboratory and are designed to teach the reader about a research project. In addition, Accounts of Chemical Research publishes commentaries that give an informed opinion on a current research problem. Special Issues online are devoted to a single topic of unusual activity and significance. Accounts of Chemical Research replaces the traditional article abstract with an article "Conspectus." These entries synopsize the research affording the reader a closer look at the content and significance of an article. Through this provision of a more detailed description of the article contents, the Conspectus enhances the article's discoverability by search engines and the exposure for the research.
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