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Date Published: 07/12/2023
Abstract Views: 53
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DOI: https://doi.org/10.51298/vmj.v532i1B.7515
Issue
Vol. 532 No. 1B (2023)
Section
Các bài báo
How to Cite
Dương, Q. H., Đỗ, T. P. A., & Lê, V. C. (2023). PROGNOSTIC VALUE OF MORTALITY OF SYSTOLIC PULMONARY ARTERY PRESSURE IN LEFT HEART FAILURE PATIENTS WITH REDUCED EF. Vietnam Medical Journal, 532(1B). https://doi.org/10.51298/vmj.v532i1B.7515

PROGNOSTIC VALUE OF MORTALITY OF SYSTOLIC PULMONARY ARTERY PRESSURE IN LEFT HEART FAILURE PATIENTS WITH REDUCED EF

Quang Hiệp Dương1,, Thị Phương Anh Đỗ1, Văn Cường Lê2
1 Branch of Hanoi Medical University in Thanh Hoa
2 Thanh Hoa Department of Health

Main Article Content

Abstract

Purpose: To find out the mortality prognostic value of systolic pulmonary artery pressure and some other factors in patients with left heart failure with reduced EF. Subjects:116 patients hospitalized for heart failure with reduced EF at Vietnam Heart Institute, Bach Mai Hospital from August 2017 to October 2018. Results: average age 61.2 ± 15.5 years, average follow-up time 5.7 ± 2.2 months. Mortality rate 18.1%. Average EF: 26.7 ± 5.8%. Average ALDMP: 49.1 ± 14.7 mmHg. Systolic pulmonary artery pressure ³38mmHg has predictive value for death with HR= 2.01 (95%CI:1.03-5.56). Systolic pulmonary artery pressure predicts the risk of death with AUC = 0.85 (95% CI: 0.77 - 0.92), a cutoff point of 60 mmHg has a sensitivity of 71.4% and specificity of 83.6%. Conclusion: Pulmonary hypertension associated with left heart failure is an independent predictor of mortality.

Article Details

Keywords

Heart failure, predictors, mortality, pulmonary hypertention.

References

Rosenkranz S., Gibbs J.S.R., Wachter R., et al. (2016). Left ventricular heart failure and pulmonary hypertension. Eur Heart J, 37(12), 942–954.
2. Ross J.S., Chen J., Lin Z., et al. (2010). Recent National Trends in Readmission Rates After Heart Failure Hospitalization. Circ Heart Fail, 3(1), 97–103.
3. Lafitte S., Pillois X., Reant P., et al. (2013). Estimation of Pulmonary Pressures and Diagnosis of Pulmonary Hypertension by Doppler Echocardiography: A Retrospective Comparison of Routine Echocardiography and Invasive Hemodynamics. J Am Soc Echocardiogr, 26(5), 457–463.
4. Redfield M.M., Jacobsen S.J., Burnett J.C., et al. (2003). Burden of Systolic and Diastolic Ventricular Dysfunction in the Community: Appreciating the Scope of the Heart Failure Epidemic. JAMA, 289(2), 194.
5. Kalogeropoulos A., Georgiopoulou V., Kritchevsky S.B., et al. (2009). Epidemiology of Incident Heart Failure in a Contemporary Elderly Cohort: The Health, Aging, and Body Composition Study. Arch Intern Med, 169(7), 708.
6. Abramson S.V., Burke J.F., Kelly J.J., et al. (1992). Pulmonary Hypertension Predicts Mortality and Morbidity in Patients with Dilated Cardiomyopathy. Ann Intern Med, 116(11), 888–895.