Clinical Application of Phase Angle and BIVA Z-Score Analyses in Patients Admitted to an Emergency Department with Acute Heart Failure

Fernanda Bernal-Ceballos; Lilia Castillo-Mart&#237;nez; Yunuen Reyes-Paz; Jos&#233; Luis Villanueva-Ju&#225;rez; Thierry Hern&#225;ndez-Gilsoul

doi:10.3791/65660

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Clinical Application of Phase Angle and BIVA Z-Score Analyses in Patients Admitted to an Emergency Department with Acute Heart Failure

JoVE Journal
Medicine

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JoVE Journal Medicine

Clinical Application of Phase Angle and BIVA Z-Score Analyses in Patients Admitted to an Emergency Department with Acute Heart Failure

1,614 Views

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04:05 min

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June 30, 2023

DOI:

10.3791/65660-v

DOI:

10.3791/65660-v

•

04:05 min

June 30, 2023

•

17 Views

Fernanda Bernal-Ceballos^1,2, Lilia Castillo-Martínez³, Yunuen Reyes-Paz³, José Luis Villanueva-Juárez³, Thierry Hernández-Gilsoul⁴

¹Master’s and Doctoral Program in Medical, Dental, and Health Sciences,National Autonomous University of Mexico, ²Faculty of Higher Studies Ignacio Zaragoza,National Autonomous University of Mexico, ³Clinical Nutrition Service,National Institute of Medical Sciences and Nutrition Salvador Zubirán, ⁴Emergency Department,National Institute of Medical Sciences and Nutrition Salvador Zubirán

Transcript

The scope of this research is to demonstrate the clinical applicability of the phase angle by bioelectrical impedance analysis and Z-score analysis within the emergency department and how phase angle can be a predictive marker for death or readmission at 90 days after discharge. Recent research has been focused on studying the role of phase angle congestion and reduced body cell mass by bioelectrical impedance vector analysis as predictors of poor prognosis in patients with acute heart failure. We have found that the detection of subclinical congestion by bioelectrical impedance vector analysis has been predicting outcomes such as mortality, readmissions, and unplanned emergency department visits.

Having a quick, accurate, and reliable method to assess congestion status and estimate body cell mass at the bedside can aid physicians in making medical decisions to improve a patient’s prognosis. Bioelectrical impedance vector analysis Z-score can be used to asses congestion and detect changes in nutrition and nutritional status in patients with acute and chronic heart failure during hospitalization. It can compliment other diagnostic test and serve as a monitoring tool.

Summary

In this protocol, we explain how to obtain and interpret phase angle values and bioelectrical impedance vectorial analysis (BIVA) Z-score obtained by bioelectrical impedance in patients with acute heart failure admitted to the Emergency Department and their clinical applicability as a predictive marker for the prognosis of a 90-day event.