About: Usefulness of exercise tissue doppler echocardipgraphy for prognostic stratification of congestive heart failure patients with left ventricular systolic dysfunction     Goto   Sponge   NotDistinct   Permalink

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  • Aim: Determination of the importance of exercise tissue Doppler echocardiography in prognostic stratification of congestive heart failure patients with systolic dysfunction. Methods: 106 patients with congestive heart failure and LVEF 45% on optimal pharmacotherapy were included in the study. Results of resting and post-exercise echocardiography, cardiopulmonary exercise test and serum BNP levels were available for all patients. Two patient groups were constituted, based on the prognostic classification. Group I contained 21 patients with poor prognosis (defined by predicted value of pVO2 < 76% together with both VE/VCO2 slope > 32.7 and BNP > 210 pg/ml) and group II with 85 patients who did not meet the criteria. Results: The patient groups significantly differed in indexed volume of left atrium, mitral regurgitation severity, rest and post-exercise systolic velocity of mitral annulus and in rest and post-exercise E/Em. Multivariate analysis identified E/Em as the only independent predictor of prognosis. E/Em at rest (post-exercise) defined poor prognosis with sensitivity of 71% (86%) and specificity of 71% (71%). Conclusion: Our study suggests usefulness of exercise tissue Doppler echocardiography for prognostic stratification of patients with congestive heart failure with possible superiority to resting parameters.
  • Aim: Determination of the importance of exercise tissue Doppler echocardiography in prognostic stratification of congestive heart failure patients with systolic dysfunction. Methods: 106 patients with congestive heart failure and LVEF 45% on optimal pharmacotherapy were included in the study. Results of resting and post-exercise echocardiography, cardiopulmonary exercise test and serum BNP levels were available for all patients. Two patient groups were constituted, based on the prognostic classification. Group I contained 21 patients with poor prognosis (defined by predicted value of pVO2 < 76% together with both VE/VCO2 slope > 32.7 and BNP > 210 pg/ml) and group II with 85 patients who did not meet the criteria. Results: The patient groups significantly differed in indexed volume of left atrium, mitral regurgitation severity, rest and post-exercise systolic velocity of mitral annulus and in rest and post-exercise E/Em. Multivariate analysis identified E/Em as the only independent predictor of prognosis. E/Em at rest (post-exercise) defined poor prognosis with sensitivity of 71% (86%) and specificity of 71% (71%). Conclusion: Our study suggests usefulness of exercise tissue Doppler echocardiography for prognostic stratification of patients with congestive heart failure with possible superiority to resting parameters. (en)
Title
  • Usefulness of exercise tissue doppler echocardipgraphy for prognostic stratification of congestive heart failure patients with left ventricular systolic dysfunction
  • Usefulness of exercise tissue doppler echocardipgraphy for prognostic stratification of congestive heart failure patients with left ventricular systolic dysfunction (en)
skos:prefLabel
  • Usefulness of exercise tissue doppler echocardipgraphy for prognostic stratification of congestive heart failure patients with left ventricular systolic dysfunction
  • Usefulness of exercise tissue doppler echocardipgraphy for prognostic stratification of congestive heart failure patients with left ventricular systolic dysfunction (en)
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  • RIV/65269705:_____/12:#0001858!RIV13-MZ0-65269705
http://linked.open...avai/riv/aktivita
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  • I
http://linked.open...iv/cisloPeriodika
  • 10.5507/bp.2012.014
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  • 176451
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  • RIV/65269705:_____/12:#0001858
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  • heart failure (en)
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  • CZ - Česká republika
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  • [9AE74074F07F]
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  • Biomedical Papers of the Medical Faculty of Palacky University in Olomouc
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  • 156
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  • Ludka, Ondřej
  • Trna, Jan
  • Špinar, Jindřich
  • Musil, Viktor
  • Galková, Lujza
issn
  • 1804-7521
number of pages
http://bibframe.org/vocab/doi
  • 10.5507/bp.2012.014
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