open access

Vol 64, No 9 (2006)
Other
Published online: 2006-10-11
Submitted: 2012-12-28
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Original article
Impact of clinical and echocardiographic parameters assessed during acute decompensation of chronic heart failure on 3-year survival

Leszek Gromadziński, Ryszard Targoński
Kardiol Pol 2006;64(9):951-956.

open access

Vol 64, No 9 (2006)
Other
Published online: 2006-10-11
Submitted: 2012-12-28

Abstract

Background: It is unclear whether established risk factors affecting the prognosis of chronic heart failure (CHF) have the same predictive value when assessed during acute haemodynamic decompensation of CHF. Aim: To investigate the impact of selected clinical and echocardiographic parameters assessed in patients with CHF during emergency admission due to acute CHF decompensation, on 3-year survival. Methods: This retrospective study involved 100 consecutive patients with CHF (60 women and 40 men at the mean age of 70.4±9.8 years), admitted to hospital due to angina pectoris symptoms or pulmonary oedema. In the echocardiographic study performed within the first 48 hours of in-hospital stay, standard parameters as well as right ventricular systolic pressure (RVSP) were evaluated. In order to identify biological, clinical and echocardiographic factors affecting 3-year survival, both uni- and multivariable Cox proportional hazards regression analyses were carried out. Results: Forty-four patients died during 3-year follow-up. Univariate regression analysis revealed that age >60 years, sodium serum concentration 35 mmHg and reduced left ventricular ejection fraction

Abstract

Background: It is unclear whether established risk factors affecting the prognosis of chronic heart failure (CHF) have the same predictive value when assessed during acute haemodynamic decompensation of CHF. Aim: To investigate the impact of selected clinical and echocardiographic parameters assessed in patients with CHF during emergency admission due to acute CHF decompensation, on 3-year survival. Methods: This retrospective study involved 100 consecutive patients with CHF (60 women and 40 men at the mean age of 70.4±9.8 years), admitted to hospital due to angina pectoris symptoms or pulmonary oedema. In the echocardiographic study performed within the first 48 hours of in-hospital stay, standard parameters as well as right ventricular systolic pressure (RVSP) were evaluated. In order to identify biological, clinical and echocardiographic factors affecting 3-year survival, both uni- and multivariable Cox proportional hazards regression analyses were carried out. Results: Forty-four patients died during 3-year follow-up. Univariate regression analysis revealed that age >60 years, sodium serum concentration 35 mmHg and reduced left ventricular ejection fraction
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Keywords

chronic heart failure; risk factors

About this article
Title

Original article
Impact of clinical and echocardiographic parameters assessed during acute decompensation of chronic heart failure on 3-year survival

Journal

Kardiologia Polska (Polish Heart Journal)

Issue

Vol 64, No 9 (2006)

Pages

951-956

Published online

2006-10-11

Bibliographic record

Kardiol Pol 2006;64(9):951-956.

Keywords

chronic heart failure
risk factors

Authors

Leszek Gromadziński
Ryszard Targoński

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