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心臓再同期療法デバイス植込み患者の心不全急性増悪に対する取り組みと効果
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JPY
Abstract
Patients with heart failure are frequently hospitalized for fluid overload. A reliable method for chronic monitoring of fluid status is therefore desirable. In our hospital, we established the team system for heart failure care consisted of medical doctors, specialized nurses and medical engineering staffs(ME). In our system, ME check patients CRM before medical examination and obtain various data including intrathoracic impedance and activity level, and provide these data to medical doctor. The purpose of this study was to evaluate the efficacy of our system for heart failure patient care. No significant differences were found between changes of data of CRM and patients status and symptoms. However, tendency of improvement of data was found in patients provided additional therapy, ex. exercise therapy. In conclusion, our system might be effective to evaluate the efficacy of our heart failure care.
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