Key result
A more impaired tricuspid annular peak systolic velocity is associated with a higher risk of short-term all-cause mortality or 30-day heart failure rehospitalization in patients with ADHF (P<0.01).
Why the study?
Data were scant regarding the association between pulsed wave-Doppler tissue imaging-derived tricuspid lateral annular peak systolic velocity (S') and poor short-term prognosis in patients with acute decompensated heart failure.
Is impaired tricuspid annular peak systolic velocity associated with poor short-term prognosis in patients with acute decompensated heart failure?
Cohort (n=732)
Is impaired tricuspid annular peak systolic velocity associated with poor short-term prognosis in patients with acute decompensated heart failure?
p-value: p=< 0.01
Impaired tricuspid annular peak systolic velocity (S') measured by tissue Doppler imaging is a prognostic marker for short-term mortality and 30-day HF rehospitalization in patients with acute decompensated heart failure.
May refine short-term ADHF prognosis; hypothesis-generating and requires prospective validation before practice change.
BACKGROUND: There is scant data on the association of the Pulsed wave-Doppler tissue imaging (PW-DTI)-derived tricuspid lateral annular peak systolic velocity (S') and poor short-term prognosis of patients with acute decompensated heart failure (ADHF). PATIENTS AND METHODS: A total number of 732 participants from the Heb-ADHF registry in China were divided into three groups according to the corresponding status of tricuspid S'. Demographic characteristics, comorbidities, physical examinations, lab tests, and medications were compared among the different groups. Different logistic regression models were utilized to gauge the relationship between S' and the risk of a composite of short-term all-cause mortality or 30-day heart failure (HF)-related rehospitalization. RESULTS: < 0.01). Significant inverse association was also observed in left ventricular ejection fraction (LVEF) ≥40% subgroup. CONCLUSIONS: Inspite of the potential confounders, a more impaired tricuspid annular peak systolic velocity is associated with a poorer short-term prognosis of patients with ADHF.
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Zhao et al. (2022) conducted a cohort in Acute decompensated heart failure (ADHF) (n=732). Tricuspid lateral annular peak systolic velocity (S') vs. Different statuses of tricuspid S' (divided into three groups) was evaluated on Composite of short-term all-cause mortality or 30-day heart failure (HF)-related rehospitalization (p=< 0.01). A more impaired tricuspid annular peak systolic velocity is associated with a higher risk of short-term all-cause mortality or 30-day heart failure rehospitalization in patients with ADHF (P<0.01).
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