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Description
| - 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)
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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)
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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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skos:notation
| - RIV/65269705:_____/12:#0001858!RIV13-MZ0-65269705
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http://linked.open...avai/riv/aktivita
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http://linked.open...avai/riv/aktivity
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http://linked.open...iv/cisloPeriodika
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http://linked.open...vai/riv/dodaniDat
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http://linked.open...aciTvurceVysledku
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http://linked.open.../riv/druhVysledku
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http://linked.open...iv/duvernostUdaju
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http://linked.open...titaPredkladatele
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http://linked.open...dnocenehoVysledku
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http://linked.open...ai/riv/idVysledku
| - RIV/65269705:_____/12:#0001858
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http://linked.open...riv/jazykVysledku
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http://linked.open.../riv/klicovaSlova
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http://linked.open.../riv/klicoveSlovo
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http://linked.open...odStatuVydavatele
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http://linked.open...ontrolniKodProRIV
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http://linked.open...i/riv/nazevZdroje
| - Biomedical Papers of the Medical Faculty of Palacky University in Olomouc
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http://linked.open...in/vavai/riv/obor
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http://linked.open...ichTvurcuVysledku
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http://linked.open...cetTvurcuVysledku
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http://linked.open...UplatneniVysledku
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http://linked.open...v/svazekPeriodika
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http://linked.open...iv/tvurceVysledku
| - Ludka, Ondřej
- Trna, Jan
- Špinar, Jindřich
- Musil, Viktor
- Galková, Lujza
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issn
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number of pages
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http://bibframe.org/vocab/doi
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