000			03138cam a2200349 a 4500
003			EG-GiCUC
005			20250223032701.0
008			210131s2020 ua dh f m 000 0 eng d
040			_aEG-GiCUC _beng _cEG-GiCUC
041	0		_aeng
049			_aDeposite
097			_aM.Sc
099			_aCai01.11.09.M.Sc.2020.Mo.D
100	0		_aMohamed Elsayed Elrokh
245	1	4	_aThe diagnostic and prognostic roles of electrical cardiometry in assessment of cardiac performance in patients with acute heart failure and / or cardiogenic shock / _cMohamed Elsayed Elrokh ; Supervised Ahmed Elsherif , Mohamed Hamdy , Ahmed Rostom
246	1	5	_aالأدوار التشخيصية والتنبؤية لمقياس القلب الكهربى لفحص كفاءة عضلة القلب لمرضى قصور القلب الحاد والصدمة القلبية
260			_aCairo : _bMohamed Elsayed Elrokh , _c2020
300			_a135 P. : _bcharts , facsmilies ; _c25cm
502			_aThesis (M.Sc.) - Cairo University - Faculty of Medicine- Department of Critical Care Medicine
520			_aBackground: Management of decompensated heart failure represents a daily challenge to critical care physicians, the outcomes of which remains very variable depending on patients co-morbidities and the accurate diagnosis with rapid initiation of optimum treatment, Daily updates of lines of diagnosis and management improve the outcome of cases, and impedence cardiography is one of the rapidly evolving technique of diagnosis and prediction of mortality. Patients and methods: 60 patients who fullfilled the inclusion and exclusion criteria of our study had full examination, laboratory and radiologically investigation. Then connected to the electrical cardiometry on admission and 72 h later and we get full data analysis for our patients for assessment the accuracy of diagnosis and prognosis. Results: We found that corrected flow rate has 84% sensitivity and 89.6% specificity in diagnosis of cardiogenic shock with cut off value 625, AUC 0.857 and P value < 0.001. As for thoracic fluid content it has 75% sensitivity and 93% specificity in diagnosis diastolic heart failure with cut off value 46.5, AUC 0.899 and P value < 0.001. Corrected flow time has 96% sensitivity and 98 % specificity with cut off value 410 msec.AUC 1.000 and P value < 0.001. There is significant correlation between EF below 50 % and TFC (p value <0.001 R: - 0.676). Also with CI (p value <0.001 R: 0.747). TFC has 70% sensitivity and 84% specificity in prediction of in-hospital mortality with cut off value 54.5, AUC 0.770 with P value 0.007. While corrected flow time has 96% sensitivity and 94% specificity in prediction of in hospital mortality with cut off value 635 msec , AUC 0.969 with P value <0.001
530			_aIssued also as CD
653		4	_aFailure
653		4	_aHeart
653		4	_aShock
700	0		_aAhmed Elsherif , _eSupervisor
700	0		_aAhmed Rostom , _eSupervisor
700	0		_aMohamed Hamdy , _eSupervisor
856			_uhttp://172.23.153.220/th.pdf
905			_aAmira _eCataloger
905			_aNazla _eRevisor
942			_2ddc _cTH
999			_c79780 _d79780