GIÁ TRỊ TIÊN LƯỢNG NGẮN HẠN CỦA CHỈ SỐ TAPSE/PASP TRÊN

Abstract

Objective: To assess the TAPSE/PASP ratio by echocardiography in patients aged ≥ 60 years admitted with acute heart failure at the Institute of Cardiology, and to preliminarily investigate the short-term prognostic value (within 3 to 6 months) of this ratio in this patient group. Methods: A total of 154 elderly patients hospitalized for acute heart failure were enrolled in the study, followed, and evaluated during hospitalization and up to 6 months after discharge. Results: The study included 154 patients with a mean age of 74.14 ± 8.83 years, of whom 53.89% were male. After 6 months (180 days) of follow-up from discharge, 83 patients (53.97%) experienced the composite endpoint (death or rehospitalization due to heart failure), including 40 deaths and 43 rehospitalizations. Patients with adverse events had a lower TAPSE/PASP ratio compared to those without events (p < 0.001). Multivariate Cox regression analysis showed that the TAPSE/PASP ratio was an independent predictor of mortality and rehospitalization within 6 months, with HR = 0.117 (95% CI, 0.026–0.515), p = 0.005. Conclusion: The TAPSE/PASP ratio measured by echocardiography is an independent prognostic factor in patients hospitalized with acute heart failure.