A novel therapeutic strategy: remote dielectric sensing-guided management of pulmonary congestion

Published:November 21, 2021DOI:https://doi.org/10.1016/j.jccase.2021.10.009


      Management of pulmonary congestion is a key to improve mortality and morbidity in patients with congestive heart failure, but it is often challenging due to a lack of gold standard to accurately assess the lung fluid level. We had an 86-year-old man who was admitted to our institute due to worsening congestive heart failure. His pulmonary congestion was quantified repeatedly by the novel noninvasive device, remote dielectric sensing, and was optimally managed by the medication adjustment. Remote dielectric sensing might be a promising device to quantify pulmonary congestion and guide clinicians to optimize medications in addition to the conventional multi-modalities.

      Learning objective

      : Remote dielectric sensing might be a promising device to quantify pulmonary congestion and guide clinicians to optimize medications in patients with congestive heart failure.


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        • Shiraishi Y
        • Kohsaka S
        • Sato N
        • Takano T
        • Kitai T
        • Yoshikawa T
        • Matsue Y.
        9-year trend in the management of acute heart failure in Japan: a report from the National consortium of acute heart failure registries.
        J Am Heart Assoc. 2018; 7e008687
        • Tsutsui H
        • Isobe M
        • Ito H
        • Ito H
        • Okumura K
        • Ono M
        • Kitakaze M
        • Kinugawa K
        • Kihara Y
        • Goto Y
        • Komuro I
        • Saiki Y
        • Saito Y
        • Sakata Y
        • Sato N
        • et al.
        JCS 2017/JHFS 2017 guideline on diagnosis and treatment of acute and chronic heart failure- digest version.
        Circ J. 2019; 83: 2084-2184
        • Amir O
        • Rappaport D
        • Zafrir B
        • Abraham WT.
        A novel approach to monitoring pulmonary congestion in heart failure: initial animal and clinical experiences using remote dielectric sensing technology.
        Congest Heart Fail. 2013; 19: 149-155
        • Amir O
        • Azzam ZS
        • Gaspar T
        • Faranesh-Abboud S
        • Andria N
        • Burkhoff D
        • Abbo A
        • Abraham WT
        Validation of remote dielectric sensing (ReDS) technology for quantification of lung fluid status: Comparison to high resolution chest computed tomography in patients with and without acute heart failure.
        Int J Cardiol. 2016; 221: 841-846
        • Uriel N
        • Sayer G
        • Imamura T
        • Rodgers D
        • Kim G
        • Raikhelkar J
        • Sarswat N
        • Kalantari S
        • Chung B
        • Nguyen A
        • Burkhoff D
        • Abbo A.
        Relationship between noninvasive assessment of lung fluid volume and invasively measured cardiac hemodynamics.
        J Am Heart Assoc. 2018; 7e009175
        • Rivas-Lasarte M
        • Maestro A
        • Fernandez-Martinez J
        • Lopez-Lopez L
        • Sole-Gonzalez E
        • Vives-Borras M
        • Montero S
        • Mesado N
        • Pirla MJ
        • Mirabet S
        • Fluvia P
        • Brossa V
        • Sionis A
        • Roig E
        • Cinca J
        • et al.
        Prevalence and prognostic impact of subclinical pulmonary congestion at discharge in patients with acute heart failure.
        ESC Heart Fail. 2020; 7: 2621-2628