[Prognostic value of measuring the diameter and inspiratory collapse of the inferior vena cava in acute heart failure].

Revista clínica española
C Josa-LaordenJuan Ignacio Pérez-Calvo

Abstract

To assess the utility of measuring the diameter and collapse of the inferior vena cava (IVC) in acute heart failure (AHF), its relationship with the prognosis and serum biomarkers of congestion. An observational prospective study was conducted that included 85 patients with AHF, classifying them into 4 groups according to IVC diameter (≤ or >20mm) and inspiratory collapse (< or ≥50%) at admission. The endpoints were mortality due to HF and the combined event of mortality and readmission for HF at 180 days. Some 24.7% of the patients had an undilated IVC and ≥50% collapse (group 1); 20% had an undilated IVC and <50% collapse (group 2), 5.9% had a dilated IVC and ≥50% collapse (group 3); and 49.4% had a dilated IVC and <50% collapse (group 4). The lack of inspiratory collapse but not IVC dilation was related to higher concentrations of urea (P=.007), creatinine (P=.004), uric acid (P=.008), NT-proBNP (P=.009) and CA125 (P=.005). Survival free of the combined event at 180 days was lower in those patients with no IVC collapse. Dilation and the absence of the inspiratory collapse of the IVC are common in the context of AHF. The lack of inspiratory collapse of the IVC during the decompensation phase identifies a subgroup of patients ...Continue Reading

References

Aug 15, 1990·The American Journal of Cardiology·B J KircherN B Schiller
Jul 17, 1998·American Heart Journal·S R McGee
Mar 27, 2004·Intensive Care Medicine·Marc FeisselJean-Louis Teboul
Jan 6, 2009·The American Journal of Cardiology·John E BlairKirk T Spencer
Feb 14, 2009·Journal of the American College of Cardiology·Wilfried MullensW H Wilson Tang
Jan 23, 2010·Intensive Care Medicine·Giovanna GuiottoFernando Schiraldi
Oct 13, 2011·European Journal of Heart Failure·Thibaud DamyAndrew L Clark
Jan 19, 2013·JACC. Cardiovascular Imaging·Pierpaolo PellicoriJohn G F Cleland
Aug 27, 2014·European Heart Journal·Kevin DammanJohn J V McMurray
Apr 4, 2015·European Heart Journal·Kevin Damman, Jeffrey M Testani

❮ Previous
Next ❯

Citations

Aug 1, 2016·Revista clínica española·M Méndez-BailónF J Martín-Sánchez
Oct 15, 2020·Curēus·Ayesha MalikNoreena Iqbal

❮ Previous
Next ❯

Related Concepts

Related Feeds

Argentine Hemorrhagic Fever

Argentine hemorrhagic fever (AHF) is an endemo-epidemic disease caused by junín virus (JUNV), a member of the arenaviridae family. Discover the latest research on AHF here.