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Independent markers of congestion in patients with left ventricular systolic dysfunction
Abstract
Objective: Left ventricle systolic dysfunction is a serious cardiovascular condition that causes morbidity and mortality. Congestion is not a feature in every patient and the factors affecting congestion is not clearly defined. The aim of this study is to determine the factors causing congestion in elderly patients with left ventricle systolic dysfunction.
Method: Total number of 101 patients admitted to Cardiology and Internal Medicine outpatient clinics with left ventricle systolic dysfunction (ejection fraction < 40%) were enrolled in the study. Cardiovascular risk factors, chronic obstructive lung disease and other systemic diseases of the patients were evaluated. Congestion was determined and graded according to their clinic.
Results: Mean age of the patients was 62,7±6,7 and 54 (54%) were male. Mean left ventricle ejection fraction was 31.1±5.8. Multivariate regression analysis revealed that chronic obstructive lung disease (t=4,528, p<0,001), left ventricle end diastolic diameter (t=3,149, p=0,002), and atrial fibrillation (t=2,137, p=0,035) were independent predictors of congestion.
Conclusions: In elderly patients with left ventricle systolic dysfunction chronic obstructive lung disease, ventricle end diastolic diameter, and atrial fibrillation were found related to congestion. Evaluating and managing these factors in elderly patients with left ventricle systolic dysfunction might be important in preventing congestion.
Keywords
References
- 1. Chronic Heart Failure: ACC/AHA guideline. J Am Coll Cardiol 2005;46:1144-1178
- 2. ESC Guidelines for the diagnosis and treatment of acute and chronic heart failure 2008. European Heart Journal (2008) 29, 2388–2442
- 3. Braunwald E. heart failure. Braunwald Zipes Bonow, Libby. Heart disease: a textbook of cardiovascular medicine, 7th ed. Philadelphia W.B. Saunders; 2005. p. 457– 641.
- 4. Karayannis G, Kitsios G, Kotidis H, Triposkiadis F. Left atrial remodelling contributes to the progression of asymptomatic left ventricular systolic dysfunction to chronic symptomatic heart failure. Heart Fail Rev. 2008 Feb;13(1):91-8.
- 5. Schwammenthal E, Popescu BA, Popescu AC, Di Segni E, Guetta V, Rath S, Eldar M, Feinberg MS.Association of left ventricular filling parameters assessed by pulsed wave Doppler and color M-mode Doppler echocardiography with left ventricular pathology, pulmonary congestion, and left ventricular end-diastolic pressure. Am J Cardiol. 2004 Aug 15;94(4):488-91.
Details
Primary Language
English
Subjects
Health Care Administration
Journal Section
Research Article
Publication Date
October 27, 2020
Submission Date
September 20, 2020
Acceptance Date
October 19, 2020
Published in Issue
Year 2020 Volume: 42 Number: 3