Impaired myocardial perfusion is associated with increasing end-systolic- and end-diastolic volumes in patients with non-ischemic systolic heart failure: a cross-sectional study using Rubidium-82 PET/CT

Background: Cerebrovascular Accident (CVA) is the second cause of death and disability in the world. Heart failure can co-occur with CVA and increases the risk of death and disability in patients. Objectives: This study aimed to evaluate the prevalence of heart failure in patients with ischemic stroke. Materials & Methods: In this cross-sectional study, the information of patients with ischemic stroke was collected in 2016 from their files. They were referred to the Emergency Department of Poursina Hospital. Statistical analysis of data was performed by using descriptive statistical methods. Estimation of mean and frequency was done by SPSS v. 22. Results: A total of 291 patients were recruited in the study. Also, 157 patients (54%) were male, and 134 (46%) were female. The Mean±SD age of patients was 61.68 (12.98) years. Systolic heart failure prevalence was 59.8%, and diastolic heart failure was 65.7%. Conclusion: Based on the findings, more than half of the patients with ischemic stroke also develop heart failure. Therefore, it is recommended that the patient be evaluated and treated for heart failure when faced with ischemic stroke.

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PATIENTS WITH SYSTOLIC HEART FAILURE

The Professional Medical Journal ◽

10.29309/tpmj/2016.23.02.1065 ◽

2016 ◽

Vol 23 (02) ◽

pp. 182-186

Author(s):

Shazia Kazi ◽

Muhammad Adnan Bawany ◽

Feroz Memon ◽

Fasih Ahmed Hashmi ◽

Sajjad Kazi ◽

...

Keyword(s):

Heart Failure ◽

Renal Impairment ◽

Study Design ◽

Systolic Heart Failure ◽

Cross Sectional Study ◽

Sectional Study ◽

Cross Sectional ◽

Serial Measurement ◽

Baseline Creatinine ◽

Elevated Creatinine

Objective: The objective of this study is to determine the prevalence of IRfunction in the patients with systolic heart failure. Study Design: Cross-sectional study. Setting:Patients admitted in the Cardiac Ward of Civil Hospital. Methodology: IRF was evaluated onthe basis of creatinine and GFR. Cases having creatinine of more than 1.2mg/dl and GFR lessthan 90ml/min were considered to have IRF. Serial measurement of creatinine was made initiallyon admission then on fifth day. Elevated creatinine of 0.3mg/dl from baseline creatinine duringadmission had justified as WRF. All patients were followed daily for 10 days and final outcomewas measured at the end of 10 days. Results: 377 cases were enrolled in this study during studyperiod. (70.03%) were male. Mean weight was 79.36±12.2 kg and 70.8% patients of weight 70kg. Of 377 selected cases 57% patients developed IRF. Conclusion: It was concluded fromthis study that renal impairment is highly linked with Heart Failure. 57% patients were found tohave developed IRF in this study.

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Right ventricular ejection fraction as predictor of outcome in acute heart failure using RV ellipsoid model: A retrospective analysis of a prospective cross-sectional study

JRSM Cardiovascular Disease ◽

10.1177/20480040211002775 ◽

2021 ◽

Vol 10 ◽

pp. 204800402110027

Author(s):

Eshan Ashcroft ◽

Otar Lazariashvili ◽

Jonathan Belsey ◽

Max Berrill ◽

Pankaj Sharma ◽

...

Keyword(s):

Heart Failure ◽

Ejection Fraction ◽

Right Ventricular ◽

Retrospective Analysis ◽

Cross Sectional Study ◽

Volume Estimation ◽

Sectional Study ◽

Cross Sectional ◽

Ventricular Ejection Fraction ◽

Rv Function

Objectives The right ventricular (RV) function is an important prognostic factor in acute and chronic heart failure (HF). Echocardiography is an essential imaging modality with established parameters for RV function which are useful and easy to perform. However, these fail to reflect global RV volumes due to reliability on one acoustic window. It is therefore attractive to calculate RV volumes and ejection fraction (RVEF/E) using an ellipsoid geometric model which has been validated against MRI in healthy adults but not in the HF patients. Design This is a retrospective analysis of a prospective cross-sectional study enrolling 418 consecutive patients with symptoms of HF according to a predefined study protocol. All patients underwent echocardiographic assessment of RV function using Tricuspid Annular Plane Systolic Excursion (TAPSE) and RV fractional area change (RVFAC) and RVEF/E. Setting Single centre study with multiple locations for acute in-patients including high dependency units. Participants Patients with acute or exacerbation of chronic HF older than 18 y.o. Main outcome measures Ability of RVEF/E to predict patient outcomes compared with two established parameters of RV function over two-year follow-up period. Primary outcome measure was all-cause mortality. Results RVEF/E is equal to TAPSE & RVFAC in predicting outcome (p ≤ 0.01 vs p ≤ 0.01) and provides additional benefit of RV volume estimation based on standard 2D echo measurements. Conclusions In this study we have shown that RVEF/E derived from ellipsoid model is not inferior to well established measures of RV function as a prognostic indicator of outcome in the acute HF.

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Factors associated with family functioning in patients with heart failure and their family members: An international cross‐sectional study

Journal of Advanced Nursing ◽

10.1111/jan.14810 ◽

2021 ◽

Author(s):

Mahdi Shamali ◽

Hanne Konradsen ◽

Erla K. Svavarsdottir ◽

Mohsen Shahriari ◽

Audur Ketilsdottir ◽

...

Keyword(s):

Heart Failure ◽

Family Functioning ◽

Family Members ◽

Cross Sectional Study ◽

Sectional Study ◽

Cross Sectional ◽

Factors Associated ◽

Patients With Heart Failure

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Knowledge about self-care and associated factors among heart-failure patients in Ayder Referral Hospital, Ethiopia, 2018: A cross-sectional study

Proceedings of Singapore Healthcare ◽

10.1177/2010105820962141 ◽

2020 ◽

pp. 201010582096214

Author(s):

Tsegu Hailu Gebru ◽

Haftea Hagos Mekonen ◽

Kbrom Gemechu Kiros

Keyword(s):

Heart Failure ◽

New York ◽

Logistic Regression ◽

Self Care ◽

Heart Association ◽

Cross Sectional Study ◽

Referral Hospital ◽

Sectional Study ◽

Cross Sectional ◽

Knowledge Age

Background: Good knowledge of self-care related to heart failure (HF) is key to improve patient outcomes. However, information regarding how much patients know about self-care is lacking in developing countries, particularly in the study setting. Objective: The objectives of this study were to assess HF patients’ knowledge about self-care and to explore predictors among HF patients in Ayder comprehensive specialised referral hospital, Tigray, Ethiopia. Methods: This hospital-based cross-sectional study design was undertaken in Ayder comprehensive specialised referral hospital, Tigray, Ethiopia. A total of 408 HF patients participated, and the study was done between February and April 2018. An interviewer-assisted structured questionnaire was used to collect data. Bivariate logistic regression and multivariable logistic regression were conducted to identify the predictors associated with knowledge about self-care. Results: The mean age of the participants was 45.4 years (standard deviation=19 years). Around 255 (62.5%) of the participants had poor self-care knowledge. Age, New York Heart Association classes, duration of the disease and previous hospitalisation were the factors associated with knowledge about self-care. Conclusion: More than half of all participants had poor knowledge about self-care. Improving existing prevention strategies and strengthening patients’ knowledge are recommended to address this knowledge deficit.

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