Updated Left Ventricular Diastolic Function Recommendations and Cardiovascular Events in Patients with Heart Failure Hospitalization

Journal of the American Society of Echocardiography : Official Publication of the American Society of Echocardiography
Yuta ToriiMasataka Sata

Abstract

Evaluation of diastolic dysfunction is crucial in determining elevated left atrial pressure. However, a validation of the long-term prognostic value of the newly proposed algorithm updated in 2016 has not been performed. The aim of the present study was to investigate the relative value of the updated 2016 diastolic dysfunction grading system for the incidence of readmission in patients with heart failure (HF) with reduced ejection fraction (HFrEF) and HF with preserved ejection fraction (HFpEF). Two hundred thirty-two patients hospitalized with HF were retrospectively evaluated. Subjects were divided into two subgroups: those with HFrEF (n = 127) and those with HFpEF (n = 105). Readmission risk scores were calculated using the Yale Center for Outcomes Research and Evaluation HF, LACE index, and HOSPITAL scores. The primary end point was readmission following HF and cardiac death. Over a period of 24 months, 86 patients were either readmitted or died. Multivariate Cox analysis was performed on both the HFrEF and HFpEF groups. In the HFrEF group, both the 2009 and 2016 algorithms had superior incremental value for the association of the primary end point to several readmission risk scores. In the HFpEF group, only the 2016 algor...Continue Reading

Citations

Jun 2, 2020·Echocardiography·Sherif F Nagueh
Dec 29, 2020·Journal of the American Society of Echocardiography : Official Publication of the American Society of Echocardiography·Leah RethyRavi B Patel
Jan 5, 2021·Current Opinion in Cardiology·Mehnaz Rahman, Edmund Kenneth Kerut
Dec 29, 2020·The American Journal of Cardiology·Yutaka MatsuhiroUNKNOWN Osaka CardioVascular Conference (OCVC)-Heart Failure Investigators
Mar 7, 2021·Journal of the American Society of Echocardiography : Official Publication of the American Society of Echocardiography·Michito MurayamaToshihisa Anzai
May 31, 2021·Heart Failure Clinics·Morten Sengeløv, Tor Biering-Sørensen
May 18, 2021·ESC Heart Failure·Akito NakagawaUNKNOWN Osaka CardioVascular Conference (OCVC)-Heart Failure investigators
Jun 16, 2021·Journal of Cardiac Failure·Kenya KusunoseMasataka Sata
Aug 31, 2021·Circulation Journal : Official Journal of the Japanese Circulation Society·Bolrathanak OeunUNKNOWN OCVC-Heart Failure Investigators

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