Routine Serial Echocardiography in Systolic Heart Failure: Is It Time for the Heart Failure Guidelines to Change?

Kathy Hebert, Francisco Yuri Bulcao Macedo, Patrick Trahan, Leonardo Tamariz, Andre Dias, Ana M Palacio, Lee M. Arcement

Research output: Contribution to journalArticle

4 Citations (Scopus)

Abstract

The authors sought to obtain objective evidence for impacting the American College of Cardiology Heart Failure Guidelines for the routine use of serial echocardiography by assessing the reliability of the use of clinician-assessed patient symptoms and New York Heart Association (NYHA) functional classification compared with ejection fraction (EF) measured by echocardiography. A prospective study in 256 patients with systolic heart failure (HF) enrolled into an HF disease management program with EF ≤40% and at least 2 annual echocardiograms were included. Only 86 of 256 (33.5%) patients were correctly classified by NYHA class as showing improvement, no change, or deterioration as compared with echocardiographic assessments. Patients whose NYHA class showed no change between echocardiograms had the lowest survival rate. Quantification in patient's status with NYHA classification is not always a reliable assessment to evaluate prognosis and guide medical therapy for patients with systolic HF.

Original languageEnglish
Pages (from-to)85-89
Number of pages5
JournalCongestive Heart Failure
Volume17
Issue number2
DOIs
StatePublished - Mar 1 2011

Fingerprint

Systolic Heart Failure
Echocardiography
Heart Failure
Guidelines
Disease Management
Heart Diseases
Survival Rate
Prospective Studies

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine
  • Emergency Medicine
  • Emergency

Cite this

Routine Serial Echocardiography in Systolic Heart Failure : Is It Time for the Heart Failure Guidelines to Change? / Hebert, Kathy; Macedo, Francisco Yuri Bulcao; Trahan, Patrick; Tamariz, Leonardo; Dias, Andre; Palacio, Ana M; Arcement, Lee M.

In: Congestive Heart Failure, Vol. 17, No. 2, 01.03.2011, p. 85-89.

Research output: Contribution to journalArticle

Hebert, Kathy ; Macedo, Francisco Yuri Bulcao ; Trahan, Patrick ; Tamariz, Leonardo ; Dias, Andre ; Palacio, Ana M ; Arcement, Lee M. / Routine Serial Echocardiography in Systolic Heart Failure : Is It Time for the Heart Failure Guidelines to Change?. In: Congestive Heart Failure. 2011 ; Vol. 17, No. 2. pp. 85-89.
@article{23621d4cdb044df4b5f95201c0f43c98,
title = "Routine Serial Echocardiography in Systolic Heart Failure: Is It Time for the Heart Failure Guidelines to Change?",
abstract = "The authors sought to obtain objective evidence for impacting the American College of Cardiology Heart Failure Guidelines for the routine use of serial echocardiography by assessing the reliability of the use of clinician-assessed patient symptoms and New York Heart Association (NYHA) functional classification compared with ejection fraction (EF) measured by echocardiography. A prospective study in 256 patients with systolic heart failure (HF) enrolled into an HF disease management program with EF ≤40{\%} and at least 2 annual echocardiograms were included. Only 86 of 256 (33.5{\%}) patients were correctly classified by NYHA class as showing improvement, no change, or deterioration as compared with echocardiographic assessments. Patients whose NYHA class showed no change between echocardiograms had the lowest survival rate. Quantification in patient's status with NYHA classification is not always a reliable assessment to evaluate prognosis and guide medical therapy for patients with systolic HF.",
author = "Kathy Hebert and Macedo, {Francisco Yuri Bulcao} and Patrick Trahan and Leonardo Tamariz and Andre Dias and Palacio, {Ana M} and Arcement, {Lee M.}",
year = "2011",
month = "3",
day = "1",
doi = "10.1111/j.1751-7133.2011.00213.x",
language = "English",
volume = "17",
pages = "85--89",
journal = "Congestive Heart Failure",
issn = "1527-5299",
publisher = "Wiley-Blackwell",
number = "2",

}

TY - JOUR

T1 - Routine Serial Echocardiography in Systolic Heart Failure

T2 - Is It Time for the Heart Failure Guidelines to Change?

AU - Hebert, Kathy

AU - Macedo, Francisco Yuri Bulcao

AU - Trahan, Patrick

AU - Tamariz, Leonardo

AU - Dias, Andre

AU - Palacio, Ana M

AU - Arcement, Lee M.

PY - 2011/3/1

Y1 - 2011/3/1

N2 - The authors sought to obtain objective evidence for impacting the American College of Cardiology Heart Failure Guidelines for the routine use of serial echocardiography by assessing the reliability of the use of clinician-assessed patient symptoms and New York Heart Association (NYHA) functional classification compared with ejection fraction (EF) measured by echocardiography. A prospective study in 256 patients with systolic heart failure (HF) enrolled into an HF disease management program with EF ≤40% and at least 2 annual echocardiograms were included. Only 86 of 256 (33.5%) patients were correctly classified by NYHA class as showing improvement, no change, or deterioration as compared with echocardiographic assessments. Patients whose NYHA class showed no change between echocardiograms had the lowest survival rate. Quantification in patient's status with NYHA classification is not always a reliable assessment to evaluate prognosis and guide medical therapy for patients with systolic HF.

AB - The authors sought to obtain objective evidence for impacting the American College of Cardiology Heart Failure Guidelines for the routine use of serial echocardiography by assessing the reliability of the use of clinician-assessed patient symptoms and New York Heart Association (NYHA) functional classification compared with ejection fraction (EF) measured by echocardiography. A prospective study in 256 patients with systolic heart failure (HF) enrolled into an HF disease management program with EF ≤40% and at least 2 annual echocardiograms were included. Only 86 of 256 (33.5%) patients were correctly classified by NYHA class as showing improvement, no change, or deterioration as compared with echocardiographic assessments. Patients whose NYHA class showed no change between echocardiograms had the lowest survival rate. Quantification in patient's status with NYHA classification is not always a reliable assessment to evaluate prognosis and guide medical therapy for patients with systolic HF.

UR - http://www.scopus.com/inward/record.url?scp=79953218371&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=79953218371&partnerID=8YFLogxK

U2 - 10.1111/j.1751-7133.2011.00213.x

DO - 10.1111/j.1751-7133.2011.00213.x

M3 - Article

C2 - 21449997

AN - SCOPUS:79953218371

VL - 17

SP - 85

EP - 89

JO - Congestive Heart Failure

JF - Congestive Heart Failure

SN - 1527-5299

IS - 2

ER -