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May 5, 2016European Journal of Heart FailureOpen Access

Insights into the Importance of the Electrocardiogram in Patients with Acute Heart Failure

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Why the study?

Do specific 12-lead ECG characteristics predict all-cause mortality and hospital readmission in patients presenting to the emergency department with acute heart failure?

Population

816 patients presenting to the emergency department with acute heart failure and an available ECG, median…

Comparison

Presence of specific 12-lead ECG characteristics vs Absence of specific ECG abnormalities or normal…

Design

Cohort

Follow-up

median 25.7 months

Authors

Pishoy GoudaPishoy GoudaUniversity of AlbertaPBPaul BrownThe University of SydneyBRBrian H. RoweGrand Rapids Community College

Discussion

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Implication

May aid prognostication in ED acute HF; hypothesis-generating for prospective validation.

Structured PICO

Do specific 12-lead ECG characteristics predict all-cause mortality and hospital readmission in patients presenting to the emergency department with acute heart failure?

P
Population
816 patients presenting to the emergency department with acute heart failure and an available ECG, median age 77, 47% female.
I
Intervention
Presence of specific 12-lead ECG characteristics (paced rhythms, wide QRS, any abnormality)
C
Comparator
Absence of specific ECG abnormalities or normal ECG
O
Outcome
All-cause mortality and hospital readmission at median 25.7 months follow-uphard clinical

In patients presenting to the emergency department with acute heart failure, baseline ECG abnormalities are highly prevalent and independently predict long-term mortality and hospital readmission.

Cite This Study

Gouda et al. (2016) studied this question.

synapsesocial.com/papers/6a83a4e7e02b3d3e2d62c51bhttps://doi.org/10.1002/ejhf.561

Topics

HFrEF treatmentHeart failureHeart failure hospitalizationHFpEF management
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