TOPIC New Non – invasive Test Confirms Accurately Intravascular Fluid Status in Patients with HYPOTENSION on top of Severe Morbidities (COPD, Cirrhosis, End – stage renal failure, or on Respirator) during cardiovascular interventional procedures Presenter : Tran Trien

OUTLINE HYPOTHESIS METHODS RESULT CONCLUSION

HYPOTHESIS 13% 65% More elastic More compliant

METHODS CHOOSE SAMPLE Number of patient : 40 patients Borderline hypotension during interventional procedures while having severe morbidities including COPD, cirrhosis, CKD or on ventilator CLASSIFY THE PATIENTS PE, Echocardiography, X – ray SEFV test Statistical analysis: Fisher’s exact test for categorical variables Two-sample t-test for continuous variables

METHODS Cirrhosis COPD On ventilator

METHODS

METHODS Normal Person      

METHODS Hypovolemia Fluid overload/Heart failure                

Size and Expansion of the Femoral Vein (SEFV) test RESULTS 40 patients Borderline hypotension during interventional procedures while having severe morbidities including COPD, cirrhosis, CKD or on ventilator Size and Expansion of the Femoral Vein (SEFV) test 40 patients Diagnosis More accurate Treatment Less medications (2.5 vs 5) Without renal failure (2 vs 14) Shorter ICU (1.5 vs 3 days) Shorter hospitalization (2.7 vs 5 days)

Registries with higher number of patients are needed. CONCLUSION The SEFV test was more accurate in confirming the fluid status of patient with hypotension on top of complex co-morbidities while undergoing interventional procedures Registries with higher number of patients are needed.

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