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 language | English |
|---|---|
| Pages (from-to) | 85-89 |
| Number of pages | 5 |
| Journal | Congestive Heart Failure |
| Volume | 17 |
| Issue number | 2 |
| DOIs | |
| State | Published - Mar 1 2011 |
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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 journal › Article
}
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 -