Discovering <scp>HFpEF</scp> in symptomatic and asymptomatic elderly outpatients to prevent hospital admission

Hoshida, Shiro

doi:10.1111/eci.14033

Cited by 1 publication

(1 citation statement)

References 21 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Because all of the study populations using our proposed index for prognostication included those with hospitalization only, this limits the generalizability of our findings to HFpEF outpatients with no history of hospitalization. The possible clinical utility of this unique index is expected to reveal older, symptomatic outpatients with HFpEF and "pre-HFpEF" outpatients without symptoms [19,52]. The criticism is that there is no external validity to this index.…”

Section: Futured Perspectivesmentioning

confidence: 99%

Due Diligence of a Diastolic Index as a Prognostic Factor in Heart Failure with Preserved Ejection Fraction

Hoshida

2023

JCM

Self Cite

View full text Add to dashboard Cite

Of the existing non-invasive diastolic indices, none consider arterial load. This article reveals points of caution for determining the diastolic prognostic index using a novel index of vascular resistance-integrated diastolic function in old, real-world patients with heart failure with preserved ejection fraction (HFpEF) in Japan. This index represents the ratio of left ventricular diastolic elastance (Ed) to arterial elastance (Ea), where Ed/Ea = (E/e′)/(0.9 × systolic blood pressure), showing a relative ratio of left atrial filling pressure to left ventricular end-systolic pressure. The role of hemodynamic prognostic factors related to diastolic function, such as Ed/Ea, may differ according to the clinical endpoint, follow-up duration, and sex. In HFpEF patients with heterogenous cardiac structure and function, an assessment using a serial echocardiographic diastolic index in clinical care can provide an accurate prognosis.

show abstract

Section: Futured Perspectivesmentioning

confidence: 99%