Tissue Doppler Time Intervals Predict the Occurrence of Rehospitalization in Chronic Heart Failure: Data from the Daunia Heart Failure Registry

Correale, Michele; Totaro, Antonio; Greco, C; Musaico, Francesco; Rosa, Fiorella De; Ferraretti, Armando; Ieva, Riccardo

doi:10.1111/j.1540-8175.2012.01729.x

Cited by 27 publications

(22 citation statements)

References 23 publications

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“…Previous studies, which evaluated the prognostic value of the MPI either obtained by the conventional method as proposed by Tei and colleagues16 17 or by using the regional TDI velocity curves,18 19 were all performed in selected populations, for example, patients after acute myocardial infarction,23 elderly men,24 patients with cardiac amyloidosis,25 with idiopathic-dilated cardiomyopathy,26 with isolated diastolic dysfunction9 and in patients with systolic heart failure 27. In a population-based study of American Indians,28 the authors found that the MPI obtained by the conventional method16 17 did not predict future cardiovascular events.…”

Section: Discussionmentioning

confidence: 99%

Prognostic value of cardiac time intervals measured by tissue Doppler imaging M-mode in the general population

Biering‐Sørensen

Møgelvang

Jensen

2015

Heart

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Section: Discussionmentioning

confidence: 99%

Prognostic value of cardiac time intervals measured by tissue Doppler imaging M-mode in the general population

Biering‐Sørensen

Møgelvang

Jensen

2015

Heart

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“…Previous studies have shown that STIs have significant diagnostic and prognostic value in heart failure and are adequate for long-term patient follow-up and disease management [2], [3]. Prolonged pre-ejection period (PEP) and shortened ejection time (ET) have been reported to be significantly correlated with decreased left ventricular systolic function [1], [4], [5].…”

Section: Introductionmentioning

confidence: 99%

A Comparison between Brachial and Echocardiographic Systolic Time Intervals

Lin

Hsu

et al. 2013

PLoS ONE

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Systolic time interval (STI) is an established noninvasive technique for the assessment of cardiac function. Brachial STIs can be automatically determined by an ankle-brachial index (ABI)-form device. The aims of this study are to evaluate whether the STIs measured from ABI-form device can represent those measured from echocardiography and to compare the diagnostic values of brachial and echocardiographic STIs in the prediction of left ventricular ejection fraction (LVEF) <50%. A total of 849 patients were included in the study. Brachial pre-ejection period (bPEP) and brachial ejection time (bET) were measured using an ABI-form device and pre-ejection period (PEP) and ejection time (ET) were measured from echocardiography. Agreement was assessed by correlation coefficient and Bland-Altman plot. Brachial STIs had a significant correlation with echocardiographic STIs (r = 0.644, P<0.001 for bPEP and PEP; r = 0.850, P<0.001 for bET and ET; r = 0.708, P<0.001 for bPEP/bET and PEP/ET). The disagreement between brachial and echocardiographic STIs (brachial STIs minus echocardiographic STIs) was 28.55 ms for bPEP and PEP, -4.15 ms for bET and ET and -0.11 for bPEP/bET and PEP/ET. The areas under the curve for bPEP/bET and PEP/ET in the prediction of LVEF <50% were 0.771 and 0.765, respectively. Brachial STIs were good alternatives to STIs obtained from echocardiography and also helpful in prediction of LVEF <50%. Brachial STIs automatically obtained from an ABI-form device may be helpful for evaluation of left ventricular systolic dysfunction.

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“…Cheng et al determined the cutoff values for ET in predicting high N-terminal pro-brain natriuretic peptide levels [4]. Time intervals assessed by TDI, ET and St may be helpful in predicting the risk of rehospitalisation in subjects with chronic HF [37]. …”

Section: Discussionmentioning

confidence: 99%

Treatment with atorvastatin is associated with a better prognosis in chronic heart failure with systolic dysfunction: results from The Daunia Heart Failure Registry

et al. 2013

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BackgroundFew works have evaluated the effect of statins on left ventricular dysfunction in patients with chronic heart failure (CHF), by using tissue Doppler imaging (TDI). We therefore aimed to investigate whether atorvastatin treatment may influence prognosis and myocardial performance evaluated by TDI in subjects with CHF.MethodsFive hundred thirty-two consecutive CHF outpatients enrolled in a local registry, the Daunia Heart Failure Registry, were prospectively analysed. 195 patients with CHF and left ventricular ejection fraction (LVEF) ≤40 %, either in treatment with atorvastatin (N: 114) or without statins (N: 81), underwent TDI examination. Adverse events were evaluated during follow-up.ResultsThe atorvastatin group showed a lower incidence of adverse events (cardiac death: 0 % vs 7 %, p < 0.01), and better TDI performance (E/E’ 15 ± 5.7 vs 18 ± 8.3, p < 001) than controls. Ischaemic CHF patients in treatment with atorvastatin also showed a lower incidence of adverse events (death: 10 % vs 26 %, p < 0.05; sustained ventricular arrhythmias: 5 % vs 19 %, p < 0.05, cardiac death: 0 vs 8 %, p < 0.05) and better TDI performance (E/E’ ratio: 15.00 ± 5.68 vs 19.72 ± 9.14, p < 0.01; St: 353.70 ± 48.96 vs 303.33 ± 68.52 msec, p < 0.01) than controls. The association between atorvastatin and lower rates of cardiac death remained statistically significant even after correction in a multivariable analysis (RR 0.83, 95 % CI 0.71–0.96, p < 0.05 in CHF with LVEF ≤40 %; RR 0.77, 95 % CI 0.62–0.95, p < 0.05 in ischaemic CHF with LVEF ≤40 %).ConclusionsTreatment with atorvastatin in outpatients with systolic CHF is associated with fewer cardiac deaths, and a better left ventricular performance, as assessed by TDI.

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Tissue Doppler Time Intervals Predict the Occurrence of Rehospitalization in Chronic Heart Failure: Data from the Daunia Heart Failure Registry

Abstract: Time intervals assessed by TDI may be helpful in predicting the risk of rehospitalization in subjects with chronic HF.

Cited by 27 publications

References 23 publications

Prognostic value of cardiac time intervals measured by tissue Doppler imaging M-mode in the general population

Prognostic value of cardiac time intervals measured by tissue Doppler imaging M-mode in the general population

A Comparison between Brachial and Echocardiographic Systolic Time Intervals

Treatment with atorvastatin is associated with a better prognosis in chronic heart failure with systolic dysfunction: results from The Daunia Heart Failure Registry

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