Trajectories of Left Ventricular Ejection Fraction After Acute Decompensation for Systolic Heart Failure: Concomitant Echocardiographic and Systemic Changes, Predictors, and Impact on Clinical Outcomes.
Acute Disease
Aged
Echocardiography
/ methods
Female
Follow-Up Studies
Germany
/ epidemiology
Heart Failure, Systolic
/ diagnosis
Heart Ventricles
/ diagnostic imaging
Hospitalization
/ trends
Humans
Male
Middle Aged
Morbidity
/ trends
Prognosis
Prospective Studies
Stroke Volume
/ physiology
Survival Rate
/ trends
Time Factors
Ventricular Function, Left
/ physiology
Ventricular Remodeling
acute heart failure
left ventricular ejection fraction
morbidity
mortality
natriuretic peptide
recovery
Journal
Journal of the American Heart Association
ISSN: 2047-9980
Titre abrégé: J Am Heart Assoc
Pays: England
ID NLM: 101580524
Informations de publication
Date de publication:
02 02 2021
02 02 2021
Historique:
pubmed:
27
1
2021
medline:
14
10
2021
entrez:
26
1
2021
Statut:
ppublish
Résumé
Background Prospective longitudinal follow-up of left ventricular ejection fraction (LVEF) trajectories after acute cardiac decompensation of heart failure is lacking. We investigated changes in LVEF and covariates at 6-months' follow-up in patients with a predischarge LVEF ≤40%, and determined predictors and prognostic implications of LVEF changes through 18-months' follow-up. Methods and Results Interdisciplinary Network Heart Failure program participants (n=633) were categorized into subgroups based on LVEF at 6-months' follow-up: normalized LVEF (>50%; heart failure with normalized ejection fraction, n=147); midrange LVEF (41%-50%; heart failure with midrange ejection fraction, n=195), or persistently reduced LVEF (≤40%; heart failure with persistently reduced LVEF , n=291). All received guideline-directed medical therapies. At 6-months' follow-up, compared with patients with heart failure with persistently reduced LVEF, heart failure with normalized LVEF or heart failure with midrange LVEF subgroups showed greater reductions in LV end-diastolic/end-systolic diameters (both
Identifiants
pubmed: 33496189
doi: 10.1161/JAHA.120.017822
pmc: PMC7955416
doi:
Banques de données
ISRCTN
['ISRCTN23325295']
Types de publication
Journal Article
Research Support, Non-U.S. Gov't
Langues
eng
Sous-ensembles de citation
IM
Pagination
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