In Egyptian patients with acute heart failure, short-term mortality is high (24.16%) and can be predicted by clinical, laboratory, and echocardiographic parameters including low LVEF, dilated LV/LA, impaired kidney function, and low serum albumin.
OBJECTIVE: To identify the clinical and laboratory predictors of short-term mortality in patients with acute heart failure (AHF). SUBJECTS AND METHODS: We conducted a prospective, single center study on 120 consecutive patients presented with acute heart failure to the emergency department. All patients had clinical, laboratory, electrocardiographic and echocardiographic evaluation. Short-term mortality was reported within 30 days of presentation. RESULTS: < 0.002).ROC curve analysis showed that low LVEF (≤24%), dilated LV end diastolic diameter (LVESD) ≥ 66.5 mm, dilated LV end systolic diameter (LVESD) ≥ 53.5 mm, dilated LA diameter ≥ 48 mm, increased serum creatinine ≥ 1.6 mg/dl, and decreased serum albumin ≤ 3 g/dl can significantly predict short-term mortality in patients with acute heart failure. CONCLUSION: Variable clinical, laboratory, electrocardiographic and echocardiographic parameters were associated with short-term mortality. Our study showed that low LVEF, dilated LV diameter, dilated LA diameter, impaired kidney function and low serum albumin can predict short-term mortality in patients with acute heart failure.
Abdellah et al. (2017) studied this question.