The Meaningful Use of the Review of Symptoms in Heart Failure Patients

Henry C. Quevedo, Deborah Deravil, David M. Seo, Kathy A. Hebert

Research output: Contribution to journalArticlepeer-review

2 Scopus citations


Review of symptoms (ROS) is a time-honored tradition in medicine and has proved to be a case-finding maneuver in general medicine patients. The authors sought to investigate the prevalence of noncardiovascular symptoms in heart failure clinics by assessment of the ROS. Of the collected ROS, shortness of breath (SOB) represented the most frequent recalled symptom (8.6%), whereas fatigue (5.3%) was the most common noncardiac symptom. Multivariate regression analysis revealed that New York Heart Association class could, at least in part, explain the occurrence of SOB (R2=4; P<.05). Importantly, alarm symptoms such as hemoptysis and bloody stools were present in <1% of the cohort. ROS evaluation remains a valuable tool for diagnostics; however, symptom-focused questionnaires should be routinely considered as a time-efficient strategy in the ambulatory specialty clinic. Congest Heart Fail. 2011;17:31-37. ©2011 Wiley Periodicals, Inc.

Original languageEnglish (US)
Pages (from-to)31-37
Number of pages7
JournalCongestive Heart Failure
Issue number1
StatePublished - Jan 2011

ASJC Scopus subject areas

  • Emergency Medicine
  • Emergency
  • Cardiology and Cardiovascular Medicine


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