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Year 2020, Volume: 42 Issue: 3, 334 - 337, 27.10.2020
https://doi.org/10.7197/cmj.vi.797462

Abstract

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.

Independent markers of congestion in patients with left ventricular systolic dysfunction

Year 2020, Volume: 42 Issue: 3, 334 - 337, 27.10.2020
https://doi.org/10.7197/cmj.vi.797462

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. 

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.
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Details

Primary Language English
Subjects Health Care Administration
Journal Section Medical Science Research Articles
Authors

Ömer Çağlar Yılmaz 0000-0001-5245-5216

Selçuk Özkan 0000-0003-3613-736X

Publication Date October 27, 2020
Acceptance Date October 19, 2020
Published in Issue Year 2020Volume: 42 Issue: 3

Cite

AMA Yılmaz ÖÇ, Özkan S. Independent markers of congestion in patients with left ventricular systolic dysfunction. CMJ. October 2020;42(3):334-337. doi:10.7197/cmj.vi.797462