title: Accuracy of bedside tissue Doppler echocardiography for the prediction of in-hospital mortality in elderly patients with acute heart failure with preserved left ventricular systolic function. comparison with B-type natriuretic peptide measurement.
abstract: According to recent studies, tissue Doppler echocardiography used as a non-invasive surrogate for left ventricular diastolic pressures regardless of rhythm is likely to offer additional information beyond the clinical judgment and the B-type natriuretic peptide (BNP) assay in the emergency diagnosis of acute heart failure with preserved left ventricular systolic function (HFPSF). The present study attempted to determine the usefulness of bedside tissue Doppler echocardiography as compared with BNP, both obtained at presentation before unloading therapy, for the prediction of in-hospital outcome in 75 consecutive elderly patients with acute HFPSF, of whom 16 died during their in-hospital stay. Unlike BNP (p=0.002), the spectral tissue Doppler-derived E/Ea ratio was not able to provide prognostic information in such patients before tailored therapy (p=0.9).
authors.forename: Stephane
authors.initials: S
authors.lastname: Arques
authors.forename: Emmanuel
authors.initials: E
authors.lastname: Roux
authors.forename: Pierre
authors.initials: P
authors.lastname: Ambrosi
authors.forename: Pascal
authors.initials: P
authors.lastname: Sbragia
authors.forename: Richard
authors.initials: R
authors.lastname: Gelisse
authors.forename: Bertrand
authors.initials: B
authors.lastname: Pieri
authors.forename: Roger
authors.initials: R
authors.lastname: Luccioni
mesh_terms: D000208:Acute Disease; D000368:Aged; D000369:Aged, 80 and over; D015150:Echocardiography, Doppler / Q000592:standards*; D005260:Female; D005500:Follow-Up Studies; D006333:Heart Failure / Q000097:blood / Q000000981:diagnostic imaging / Q000401:mortality; D017052:Hospital Mortality; D006801:Humans; D007118:Immunoassay; D008297:Male; D020097:Natriuretic Peptide, Brain / Q000097:blood*; D019095:Point-of-Care Systems; D011237:Predictive Value of Tests; D011446:Prospective Studies; D016277:Ventricular Function, Left / Q000502:physiology*
chemical_list: D020097:Natriuretic Peptide, Brain