Contribution of caval index and ejection fraction estimated by e-point septal separation measured by emergency physicians in the clinical diagnosis of acute heart failure
Abstract:OBJECTIVES:
Although the reliability of e-point septal separation (EPSS) and caval index (CI) is proven in the diagnosis of acute heart failure (AHF), how much they contribute to the initial clinical impression is unclear. This study aimed to determine the diagnostic contribution of EPSS and CI to the initial clinical impression of AHF.
METHODS:
This is a prospective observational study conducted in an academic emergency department (ED). The patients admitted to the ED … Show more
“…12 These scoring systems generally include risks related to clinical history, physical exam, ECG, echocardiography findings and cardiac biomarkers. 12,13 Although they are very sensitive for ruling out low risk patients in the clinical settings; additional evaluation and/or interventions are required to predict cardiac adverse events in those with higher risk groups. 12,14 The SYNTAX is an angiographicbased scoring system that help clinicians to determine treatment strategies and prognosis in high-risk patients 3 .…”
Objectives: This study aimed to determine the correlation between CHA2DS2 -VASc score and the Synergy between PCI with Taxus and Cardiac Surgery (SYNTAX) scoring system for predicting severity and complexity of coronary artery disease in patients with non-ST segment elevation myocardial infarction (NSTEMI).
Methods: This is a retrospective cross-sectional study conducted in a tertiary care center. The patients admitted to the emergency department (ED) with NSTEMI and who underwent the PCI were included. The patients’ demographic, clinical and angiographic characteristics were gathered from the hospital electronic medical records. Echocardiography and angiography images were evaluated by an experienced interventional cardiologist blinded to the patients' clinical information. The CHA2DS2-VASc and SYNTAX scores were calculated. The primary outcome of this study was the correlation between the CHA2DS2-VASc and SYNTAX scores.
Results: A total of 216 patients were included. The mean CHA2DS2-VASc and SYNTAX scores were 2.9±1.7 and 16.6±7.9, respectively. There were significant differences in the mean CHA2DS2-VASc scores between the low and moderate (2.8±1.7 and 3.4±1.7, respectively, p
“…12 These scoring systems generally include risks related to clinical history, physical exam, ECG, echocardiography findings and cardiac biomarkers. 12,13 Although they are very sensitive for ruling out low risk patients in the clinical settings; additional evaluation and/or interventions are required to predict cardiac adverse events in those with higher risk groups. 12,14 The SYNTAX is an angiographicbased scoring system that help clinicians to determine treatment strategies and prognosis in high-risk patients 3 .…”
Objectives: This study aimed to determine the correlation between CHA2DS2 -VASc score and the Synergy between PCI with Taxus and Cardiac Surgery (SYNTAX) scoring system for predicting severity and complexity of coronary artery disease in patients with non-ST segment elevation myocardial infarction (NSTEMI).
Methods: This is a retrospective cross-sectional study conducted in a tertiary care center. The patients admitted to the emergency department (ED) with NSTEMI and who underwent the PCI were included. The patients’ demographic, clinical and angiographic characteristics were gathered from the hospital electronic medical records. Echocardiography and angiography images were evaluated by an experienced interventional cardiologist blinded to the patients' clinical information. The CHA2DS2-VASc and SYNTAX scores were calculated. The primary outcome of this study was the correlation between the CHA2DS2-VASc and SYNTAX scores.
Results: A total of 216 patients were included. The mean CHA2DS2-VASc and SYNTAX scores were 2.9±1.7 and 16.6±7.9, respectively. There were significant differences in the mean CHA2DS2-VASc scores between the low and moderate (2.8±1.7 and 3.4±1.7, respectively, p
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