Usefulness of Doppler echocardiography in the diagnosis of congestive heart failure

Aguirre, Frank V.; Pearson, Anthony C.; Lewen, Marc K.; McCluskey, Mary; Labovitz, Arthur J.

doi:10.1016/0002-9149(89)90085-4

Cited by 96 publications

(25 citation statements)

References 25 publications

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“…31,34 One aspect of this quality of care issue may be related to incorrect management decisions that result from inaccurate differentiation of systolic from diastolic dysfunction. 2 Thus, our findings support the recommendations of expert panels 3,12,13 that direct and quantitative methods should be used to distinguish systolic from diastolic heart failure. 35,36 Considering the morbidity and mortality associated with CHF, estimating contractile function from the chest roentgenogram should be considered poor practice and be discouraged.…”

Section: Commentsupporting

confidence: 80%

“…Congestive heart failure is a common condition 17,31 associated with a poor prognosis. 5,17,[31][32][33] Left ventricular systolic function has important implications for cause, [1][2][3][4] prognosis, [3][4][5][6][7][8][9][10][11] and treatment [1][2][3][4]7,11 in this disorder. For example, in diastolic heart failure, diuretics should be used with caution or avoided, although ␤-adrenergic and calcium channel-blocking agents may be effective.…”

Section: Commentmentioning

confidence: 99%

“…EASURES OF leftventricular contractile function, including ejection fraction (EF), are relevant to diagnosis, [1][2][3][4] prognosis, [3][4][5][6][7][8][9][10][11] and treatment [1][2][3][4]7,11 in patients with congestive heart failure (CHF). The EF is inversely related to mortality, [3][4][5][6][7][8][9][10][11] and is perhaps the best prognostic index in heart failure.…”

mentioning

confidence: 99%

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The Relationship Between Cardiothoracic Ratio and Left Ventricular Ejection Fraction in Congestive Heart Failure

Philbin

Garg²,

Danisa³

et al. 1998

Arch Intern Med

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Section: Commentsupporting

confidence: 80%

Section: Commentmentioning

confidence: 99%

mentioning

confidence: 99%

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The Relationship Between Cardiothoracic Ratio and Left Ventricular Ejection Fraction in Congestive Heart Failure

Philbin

Garg²,

Danisa³

et al. 1998

Arch Intern Med

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“…Normal systolic function has been documented in 30-40% of patients with clinical heart failure. "-"7 At least 20-40% of these individuals have findings suggestive of diastolic dysfunction on echocardiograms or radionuclide ventriculograms.4144, 46 The relative prognosis of diastolic versus systolic heart failure cannot be ascertained from this study. Nevertheless, the similar prognoses in our subjects who survived 90 days and in the placebo-treated subjects in V-HeFT I are striking.…”

Section: Survival After Onset Of Heart Failurementioning

confidence: 83%

Survival after the onset of congestive heart failure in Framingham Heart Study subjects.

et al. 1993

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BACKGROUND Relatively limited epidemiological data are available regarding the prognosis of congestive heart failure (CHF) and temporal changes in survival after its onset in a population-based setting. METHODS AND RESULTS Proportional hazards models were used to evaluate the effects of selected clinical variables on survival after the onset of CHF among 652 members of the Framingham Heart Study (51% men; mean age, 70.0 +/- 10.8 years) who developed CHF between 1948 and 1988. Subjects were older at the diagnosis of heart failure in the later decades of this study (mean age at heart failure diagnosis, 57.3 +/- 7.6 years in the 1950s, 65.9 +/- 7.9 years in the 1960s, 71.6 +/- 9.4 years in the 1970s, and 76.4 +/- 10.0 years in the 1980s; p < 0.001). Median survival after the onset of heart failure was 1.7 years in men and 3.2 years in women. Overall, 1-year and 5-year survival rates were 57% and 25% in men and 64% and 38% in women, respectively. Survival was better in women than in men (age-adjusted hazards ratio for mortality, 0.64; 95% CI, 0.54-0.77). Mortality increased with advancing age in both sexes (hazards ratio for men, 1.27 per decade of age; 95% CI, 1.09-1.47; hazards ratio for women, 1.61 per decade of age; 95% CI, 1.37-1.90). Adjusting for age, there was no significant temporal change in the prognosis of CHF during the 40 years of observation (hazards ratio for men for mortality, 1.08 per calendar decade; 95% CI, 0.92-1.27; hazards ratio for women for mortality, 1.02 per calendar decade; 95% CI, 0.83-1.26). CONCLUSIONS CHF remains highly lethal, with better prognosis in women and in younger individuals. Advances in the treatment of hypertension, myocardial ischemia, and valvular heart disease during the four decades of observation did not translate into appreciable improvements in overall survival after the onset of CHF in this large, unselected population.

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“…Approximately one third of patients who present with congestive heart failure have normal left ventricular sys tolic function [1], In this report, we describe the systolic and diastolic échocardiographie and Doppler findings of such a patient who presented with pulmonary edema and severe hypertension.…”

Section: Introductionmentioning

confidence: 93%

Left Ventricular Filling Patterns in Hypertensive Pulmonary Edema

Gallino¹,

Milner²,

Blunda³

et al. 1992

Am J Noninvas Cardiol

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We report a case of congestive heart failure in a hypertensive subject with concentric left ventricular hypertrophy. Doppler analysis of left ventricular filling patterns revealed a decrease in active atrial filling (A wave) during exercise, not present in a comparison assymptomatic hypertensive patient. A drop in the A wave and the A/E ratio during exercise may serve as a marker for congestive heart failure related to diastolic dysfunction.

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Usefulness of Doppler echocardiography in the diagnosis of congestive heart failure

Cited by 96 publications

References 25 publications

The Relationship Between Cardiothoracic Ratio and Left Ventricular Ejection Fraction in Congestive Heart Failure

The Relationship Between Cardiothoracic Ratio and Left Ventricular Ejection Fraction in Congestive Heart Failure

Survival after the onset of congestive heart failure in Framingham Heart Study subjects.

Left Ventricular Filling Patterns in Hypertensive Pulmonary Edema

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