| Item type |
文献 / Documents(1) |
| 公開日 |
2020-02-21 |
| アクセス権 |
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|
アクセス権 |
open access |
| 資源タイプ |
|
|
資源タイプ識別子 |
http://purl.org/coar/resource_type/c_db06 |
|
資源タイプ |
doctoral thesis |
| 出版社版DOI |
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|
|
関連識別子 |
https://doi.org/10.1016/j.echo.2019.06.006 |
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|
関連名称 |
10.1016/j.echo.2019.06.006 |
| 出版タイプ |
|
|
出版タイプ |
NA |
|
出版タイプResource |
http://purl.org/coar/version/c_be7fb7dd8ff6fe43 |
| タイトル |
|
|
タイトル |
Updated Left Ventricular Diastolic Function Recommendations and Cardiovascular Events in Patients with Heart Failure Hospitalization |
| タイトル別表記 |
|
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その他のタイトル |
更新された左室拡張機能評価勧告と心不全入院患者における心血管イベント |
| 著者 |
鳥居, 裕太
楠瀬, 賢也
山田, 博胤
ニシオ, ススム
ヒラタ, ユキナ
アマノ, リエ
ヤマオ, マサミ
Zheng, Robert
西條, 良仁
ヤマダ, ナオ
伊勢, 孝之
山口, 浩司
八木, 秀介
添木, 武
若槻, 哲三
佐田, 政隆
|
| 抄録 |
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内容記述 |
Background: Evaluation of diastolic dysfunction is crucial in determining elevated left atrial pressure. However, a validation of the long-term prognostic value of the newly proposed algorithm updated in 2016 has not been performed. The aim of the present study was to investigate the relative value of the updated 2016 diastolic dysfunction grading system for the incidence of readmission in patients with heart failure (HF) with reduced ejection fraction (HFrEF) and HF with preserved ejection fraction (HFpEF).
Methods: Two hundred thirty-two patients hospitalized with HF were retrospectively evaluated. Subjects were divided into two subgroups: those with HFrEF (n = 127) and those with HFpEF (n = 105). Readmission risk scores were calculated using the Yale Center for Outcomes Research and Evaluation HF, LACE index, and HOSPITAL scores. The primary end point was readmission following HF and cardiac death.
Results: Over a period of 24 months, 86 patients were either readmitted or died. Multivariate Cox analysis was performed on both the HFrEF and HFpEF groups. In the HFrEF group, both the 2009 and 2016 algorithms had superior incremental value for the association of the primary end point to several readmission risk scores. In the HFpEF group, only the 2016 algorithm led to significant improvement in association with the primary end point. The 2016 algorithm had incremental value over several readmission risk scores alone.
Conclusions: The recommendations of the 2016 algorithm can be useful for readmission and cardiac mortality risk assessment in patients with HFrEF and HFpEF. The use of echocardiography to estimate elevated left atrial pressure appears to identify a higher risk group and may allow a more tailored approach to therapy. |
| キーワード |
|
|
主題 |
Diastolic dysfunction |
| キーワード |
|
|
主題 |
Echocardiography |
| キーワード |
|
|
主題 |
Left atrial pressure |
| キーワード |
|
|
主題 |
Readmission risk |
| キーワード |
|
|
主題 |
Cardiovascular event |
| 書誌情報 |
en : Journal of the American Society of Echocardiography
巻 32,
号 10,
p. 1286-1297.e2,
発行日 2019-08-01
|
| 収録物ID |
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収録物識別子タイプ |
ISSN |
|
収録物識別子 |
08947317 |
| 収録物ID |
|
|
収録物識別子タイプ |
NCID |
|
収録物識別子 |
AA10709494 |
| 出版者 |
|
|
出版者 |
The American Society of Echocardiography |
| 出版者 |
|
|
出版者 |
Elsevier |
| 備考 |
|
|
値 |
内容要旨・審査要旨・論文本文の公開
本論文は, 著者Yuta Toriiの学位論文として提出され, 学位審査・授与の対象となっている。
学位授与者所属 : 徳島大学大学院医科学教育部（医学専攻） |
| EID |
|
|
識別子 |
354806 |
| 言語 |
|
|
言語 |
eng |
| 報告番号 |
|
|
学位授与番号 |
甲第3355号 |
| 学位記番号 |
|
|
値 |
甲医第1438号 |
| 学位授与年月日 |
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|
学位授与年月日 |
2020-03-23 |
| 学位名 |
|
|
学位名 |
博士（医学） |
| 学位授与機関 |
|
|
|
学位授与機関名 |
徳島大学 |
k3355_abstract_review.pdf (185 KB)
