HEART FAILURE

Autor: Muhammad Hassan Zafar, Sana Amin, Aneeqa Ilyas
Rok vydání: 2018
Předmět:
Zdroj: The Professional Medical Journal. 25:282-286
ISSN: 2071-7733
1024-8919
Popis: Objectives: To observe the function of left ventricular contractile and its pairingwith failure preserved ejection fraction. Study Design: Observational longitudinal study.Setting: Punjab institute of Cardiology. Period: Jan 2017 to June 2017. Methods: Four Hundredtwenty one Heart failure patients (mean age 51 ± 7 years, 56% females, left ventricular ejectionfraction 55±5%) undergo Left ventricular investigation through echocardiography and left heartcatheterization of 191 patients. Through tricuspid annular plane systolic excursion (TAPSE),Patients were sorting out and data collect. Mean TAPSE score were 15.03±4.06 cm without anygender differences. Body surface presents strong relation with TAPSE values (r=0.74). Manydifferent pattern consistently found within same patients leading to heart failure, but patientswith HFpEFin which each component is operative behave differently. Results: Transformationof different evidences in clinical practice needs proper level of proofs regarding evidences. Outof four hundred twenty one heart failure patients, patients with prolonged heart failure symptomsand high rate of ejection fraction due to adaptive changes by the human body, whereas patientswith aggressive mode of work have high mortality ratio. Out of all physiological derangementswere strongly link with the TAPSE. Different biomarker-based strategies are much required toimplement for excellent patient outcome in heart diseases. Conclusion: Using most commonclinical features, we listed four major features with mark differences acts in remodeling andmaintain in heart failure. Patients with decreases ejection fraction have more advanced heartfailure. Therapeutic treatment specifically targeting main components of heart failure havebetter pathophysiological changes in less time. HFpEF patients are more chances to developadaptive cardiac changes.
Databáze: OpenAIRE