Non-invasive assessment of cardiac hemodynamics in patients with advanced cancer and with chronic heart failure: A pilot feasibility study

Stephan Von Haehling, Mitja Lainscak, Thomas Kung, Larissa Cramer, Susann Ful̈ster, Uwe Pelzer, Bert Hildebrandt, Anja Sandek, Joerg C. Schefold, Mathias Rauchhaus, Wolfram Doehner, Stefan D. Anker

Research output: Contribution to journalArticlepeer-review

Abstract

Introduction: Relationships between cardiac pressure and volume have been suggested as markers of cardiac contractility; parameters include stroke work and the maximal rate of pressure rise during isovolumic contraction (dP/dt max). Patients with cancer often display dyspnea and fatigue. These are also frequent symptoms in patients with chronic heart failure (HF). The reasons for similar symptoms in cancer patients are unknown. Using the novel Nexfin Finapres technique, we sought to assess measures of cardiac performance in patients with cancer and compare these values with those from control subjects and patients with chronic HF. Material and methods: We prospectively studied 98 patients (control n = 18, chronic HF n = 37, advanced pancreatic or colorectal cancer n = 43) and assessed blood pressure (BP), stroke volume (SV), cardiac output (CO), and dP/dtmax at rest. Results: All parameters of interest could be assessed using the Nexfin Finapres technique with SV and CO being significantly higher in patients with cancer than in controls (both p <0.05). The SV was significantly higher in patients with chronic HF than in controls (p <0.05). In patients with cancer, SV correlated with age (r = -0.45, p <0.01) and body weight (r = +0.55, p = 0.0001). In chronic HF, SV declined with increasing age (r = -0.49, p <0.01); in control subjects, SV increased with increasing body weight (r = +0.57, p = 0.01). Conclusions: Patients with cancer tended to display elevated BP, CO, SV, and dP/dt max as compared to control subjects and patients with HF. These findings may reveal an elevated risk for cardiovascular diseases in this group.

Original languageEnglish
Pages (from-to)261-267
Number of pages7
JournalArchives of Medical Science
Volume9
Issue number2
DOIs
Publication statusPublished - Apr 2013

Keywords

  • Cancer
  • Cardiac output
  • Heart failure
  • Hemodynamics
  • Stroke volume

ASJC Scopus subject areas

  • Medicine(all)

Fingerprint Dive into the research topics of 'Non-invasive assessment of cardiac hemodynamics in patients with advanced cancer and with chronic heart failure: A pilot feasibility study'. Together they form a unique fingerprint.

Cite this