Left ventricular systolic function affects right atrial pressure as prognosticator in patients with heart failure

Autor:	Chihiro Saito, Nobuhisa Hagiwara, Kotaro Arai, Yuichiro Minami, Motoko Kametani, Takuro Abe, Kentaro Jujo, Kyomi Ashihara
Rok vydání:	2021
Předmět:	medicine.medical_specialty business.industry Central venous pressure Systolic function medicine.disease Heart failure Internal medicine cardiovascular system medicine Cardiology Radiology Nuclear Medicine and imaging In patient cardiovascular diseases Cardiology and Cardiovascular Medicine business
Zdroj:	The international journal of cardiovascular imaging.
ISSN:	1875-8312
Popis:	BACKGROUND The effect of the left ventricular ejection fraction (LVEF) on the prognostic impact of the right atrial pressure (RAP) in patients with heart failure (HF) requires clarification. We aimed to investigate whether LVEF affects the prognostic impact of RAP estimated from inferior vena cava (IVC) measurements in patients hospitalized with HF. METHODS Initially, this observational study included 1,349 consecutive patients urgently hospitalized with HF. After patient exclusions, 506 and 484 patients with reduced (2.1cm; collapsibility trend=0.10). The High-RAP subgroup with LVEF ≥40% had a higher event rate than the other subgroups (pinteraction=0.007). CONCLUSION Stratifying patients with HF according to IVC measurements may predict the post-discharge cardiovascular prognoses of patients with non-reduced LVEF, but not that of patients with reduced LVEF.
Databáze:	OpenAIRE
Externí odkaz:	https://explore.openaire.eu/search/publication?articleId=doi_dedup___::e3841168ef0de43a5a05b07cb8c5eb1b https://pubmed.ncbi.nlm.nih.gov/35217924 Zobrazit plný text záznamu Full text from SpringerLink