Diastolic Strain Parameters are Associated with Short Term Mortality and Rehospitalization in Patients with Advanced Heart Failure

被引:1
作者
Tatar, Sefa [1 ]
Icli, Abdullah [1 ]
Aribas, Alpay [1 ]
Akilli, Nazire Belgin [2 ]
Akilli, Hakan [1 ]
Sertdemir, Ahmet Luetfi [1 ]
机构
[1] Necmettin Erbakan Univ, Kardiyol, Konya, Turkiye
[2] Konya City Hosp, Konya, Turkiye
关键词
Heart Failure; Patient Readmission; Mortality; HOSPITALIZED-PATIENTS; EJECTION FRACTION; ECHOCARDIOGRAPHY; PREDICTOR; PROGNOSIS; COMMUNITY; OUTCOMES;
D O I
10.36660/abc.20230670i
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Background: Heart failure (HF) is a leading cause of hospitalization and mortality worldwide and places a great economic burden on healthcare systems. Identification of prognostic factors in HF patients is of great importance to establish optimal management strategies and to avoid unnecessary invasive and costly procedures in end-stage patients. Objectives: In the current study, we aimed to investigate the association between diastolic strain parameters including E/e' SR, and short-term outcomes in advanced HF patients. Methods: The population study included 116 advanced HF with reduced ejection fraction (HFrEF) patients. Clinical, laboratory, and echocardiographic evaluations of the patients were performed within the first 24 hours of hospital admission. Patients were followed for one month and any re-hospitalization due to worsening of HF symptoms and any mortality was recorded. The level of significance adopted in the statistical analysis was 5%. Results: E/e' SR was significantly higher in the patient group compared to the control group (p=0.001). During onemonth follow-up, 13.8% of patients died and 37.1% of patients were rehospitalized. Serum NT-ProBNP (p=0.034) and E/e' SR (p=0.033) were found to be independent predictors of mortality and ACE & Idot; use (p=0.027) and apical 3C strain (p=0.011) were found to be independent predictors of rehospitalization in the patient group. Conclusion: Findings of the current prospective study demonstrate that E/e' SR measured by speckle tracking echocardiography is an independent and sensitive predictor of short-term mortality in advanced HFrEF patients and may have a role in the identification of end-stage HFrEF patients.
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