Heart Failure With a Better Ejection Fraction

Basuray, Anupam; Fang, James C.

doi:10.1161/circheartfailure.116.003318

Cited by 4 publications

(1 citation statement)

References 21 publications

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“…Although increased EF can bring satisfaction to healthcare providers and patients, it is not easy to improve. Various medical treatments, such as pharmacological therapy, cardiac revascularization, resynchronization, and ventricular assist devices, have been availed of to improve the HF patient's EF; however, everyone does not get complete improvement with uniform treatment, so various studies are ongoing to determine the most favorable and optimal treatment [22,23]. In addition, measuring EF through echocardiography has also been reported to have limitations, such as limited reliability due to inter-and intra-observer variability and poor image quality [24,25].…”

Section: Discussionmentioning

confidence: 99%

Impact of Self-Management Behavior on Heart Failure Patients’ Quality of Life: A Retrospective Study

Choi

Park

Min

et al. 2021

Preprint

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BackgroundThe purpose of this study was to investigate the variables that significantly affect heart failure patients’ quality of life, and particularly, to identify the impact of self-management behavior on the quality of life. MethodsThis retrospective study used heart failure patients’ data from cardiovascular outpatient clinics at two tertiary medical centers in Korea. We enrolled 119 patients who completed echocardiography and stress tests and responded to questionnaires on self-management behavior and quality of life. We collected more data on general and disease-related characteristics and anthropometric and serum blood test results through electronic medical record review. We analyzed data using the classification and regression tree to explore the influencing factors and their characteristics in patients with high and low quality of life. ResultsPatients’ mean age was 74.61 years, and women represented 52.1% of the sample. It showed that the cardiac systolic function (β = 0.26, p = .013) and self-management behavior (β = 0.20, p = .048) were two major influential factors on heart failure patients’ quality of life. Therefore, HF patients’ self-management behavior is a significant modifiable factor that can improve their quality of life.ConclusionsHealthcare providers should be aware of the importance of heart failure patients’ self-management and help promote their quality of life by enhancing their self-management behavior.

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Section: Discussionmentioning

confidence: 99%

Impact of Self-Management Behavior on Heart Failure Patients’ Quality of Life: A Retrospective Study

Choi

Park

Min

et al. 2021

Preprint

View full text Add to dashboard Cite

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Early Recognition of Heart Failure: A Call for Action

Ghali

2018

Journal of Cardiac Failure

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Frequency, predictors, and prognosis of ejection fraction improvement in heart failure: an echocardiogram-based registry study

Ghimire

Fine

Ezekowitz

et al. 2019

European Heart Journal

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Aims To identify variables predicting ejection fraction (EF) recovery and characterize prognosis of heart failure (HF) patients with EF recovery (HFrecEF). Methods and results Retrospective study of adults referred for ≥2 echocardiograms separated by ≥6 months between 2008 and 2016 at the two largest echocardiography centres in Alberta who also had physician-assigned diagnosis of HF. Of 10 641 patients, 3124 had heart failure reduced ejection fraction (HFrEF) (EF ≤ 40%) at baseline: while mean EF declined from 30.2% on initial echocardiogram to 28.6% on the second echocardiogram in those patients with persistent HFrEF (defined by <10% improvement in EF), it improved from 26.1% to 46.4% in the 1174 patients (37.6%) with HFrecEF (defined by EF absolute improvement ≥10%). On multivariate analysis, female sex [adjusted odds ratio (aOR) 1.66, 95% confidence interval (CI) 1.40–1.96], younger age (aOR per decade 1.16, 95% CI 1.09–1.23), atrial fibrillation (aOR 2.00, 95% CI 1.68–2.38), cancer (aOR 1.52, 95% CI 1.03–2.26), hypertension (aOR 1.38, 95% CI 1.18–1.62), lower baseline ejection fraction (aOR per 1% decrease 1.07 (1.06–1.08), and using hydralazine (aOR 1.69, 95% CI 1.19–2.40) were associated with EF improvements ≥10%. HFrecEF patients demonstrated lower rates per 1000 patient years of mortality (106 vs. 164, adjusted hazard ratio, aHR 0.70 [0.62–0.79]), all-cause hospitalizations (300 vs. 428, aHR 0.87 [0.79–0.95]), all-cause emergency room (ER) visits (569 vs. 799, aHR 0.88 [0.81–0.95]), and cardiac transplantation or left ventricular assist device implantation (2 vs. 10, aHR 0.21 [0.10–0.45]) compared to patients with persistent HFrEF. Females with HFrEF exhibited lower mortality risk (aHR 0.94 [0.88–0.99]) than males after adjusting for age, time between echocardiograms, clinical comorbidities, medications, and whether their EF improved or not during follow-up. Conclusion HFrecEF patients tended to be younger, female, and were more likely to have hypertension, atrial fibrillation, or cancer. HFrecEF patients have a substantially better prognosis compared to those with persistent HFrEF, even after multivariable adjustment, and female patients exhibit lower mortality risk than men within each subgroup (HFrecEF and persistent HFrEF) even after multivariable adjustment.

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Heart Failure With a Better Ejection Fraction

Cited by 4 publications

References 21 publications

Impact of Self-Management Behavior on Heart Failure Patients’ Quality of Life: A Retrospective Study

Impact of Self-Management Behavior on Heart Failure Patients’ Quality of Life: A Retrospective Study

Early Recognition of Heart Failure: A Call for Action

Frequency, predictors, and prognosis of ejection fraction improvement in heart failure: an echocardiogram-based registry study

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