Ambulatory blood pressure monitoring of patients with heart failure: a new prognosis marker
OBJECTIVE: To evaluate the relationship between 24-hour ambulatory arterial blood pressure monitoring and the prognosis of patients with advanced congestive heart failure. METHODS: We studied 38 patients with NYHA functional class IV congestive heart failure, and analyzed left ventricular ejection f...
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| Format: | Article |
| Language: | English |
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Sociedade Brasileira de Cardiologia (SBC)
2002-01-01
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| Series: | Arquivos Brasileiros de Cardiologia |
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| Online Access: | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0066-782X2002000100007 |
| _version_ | 1818154428520202240 |
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| author | Manoel F. Canesin Dante Giorgi Múcio T. de Oliveira Jr. Maurício Wajngarten Alfredo J. Mansur José Antonio F. Ramires Antonio Carlos Pereira Barretto |
| author_facet | Manoel F. Canesin Dante Giorgi Múcio T. de Oliveira Jr. Maurício Wajngarten Alfredo J. Mansur José Antonio F. Ramires Antonio Carlos Pereira Barretto |
| author_sort | Manoel F. Canesin |
| collection | DOAJ |
| description | OBJECTIVE: To evaluate the relationship between 24-hour ambulatory arterial blood pressure monitoring and the prognosis of patients with advanced congestive heart failure. METHODS: We studied 38 patients with NYHA functional class IV congestive heart failure, and analyzed left ventricular ejection fraction, diastolic diameter, and ambulatory blood pressure monitoring data. RESULTS: Twelve deaths occurred. Left ventricular ejection fraction (35.2±7.3%) and diastolic diameter (72.2±7.8mm) were not correlated with the survival. The mean 24-hour (SBP24), waking (SBPw), and sleeping (SBPs) systolic pressures of the living patients were higher than those of the deceased patients and were significant for predicting survival. Patients with mean SBP24, SBPv, and SBPs > or = 105mmHg had longer survival (p=0.002, p=0.01 and p=0.0007, respectively). Patients with diastolic blood pressure sleep decrements (dip) and patients with mean blood pressure dip <=6mmHg had longer survival (p=0.04 and p=0.01, respectively). In the multivariate analysis, SBPs was the only variable with an odds ratio of 7.61 (CI: 1.56; 3704) (p=0.01). Patients with mean SBP<105mmHg were 7.6 times more likely to die than those with SBP > or = 105 mmHg CONCLUSION: Ambulatory blood pressure monitoring appears to be a useful method for evaluating patients with congestive heart failure. |
| first_indexed | 2024-12-11T14:26:21Z |
| format | Article |
| id | doaj.art-19964e4f2dab4ed3bf70a2ee5457d4ce |
| institution | Directory Open Access Journal |
| issn | 0066-782X 1678-4170 |
| language | English |
| last_indexed | 2024-12-11T14:26:21Z |
| publishDate | 2002-01-01 |
| publisher | Sociedade Brasileira de Cardiologia (SBC) |
| record_format | Article |
| series | Arquivos Brasileiros de Cardiologia |
| spelling | doaj.art-19964e4f2dab4ed3bf70a2ee5457d4ce2022-12-22T01:02:40ZengSociedade Brasileira de Cardiologia (SBC)Arquivos Brasileiros de Cardiologia0066-782X1678-41702002-01-01781838910.1590/S0066-782X2002000100007Ambulatory blood pressure monitoring of patients with heart failure: a new prognosis markerManoel F. CanesinDante GiorgiMúcio T. de Oliveira Jr.Maurício WajngartenAlfredo J. MansurJosé Antonio F. RamiresAntonio Carlos Pereira BarrettoOBJECTIVE: To evaluate the relationship between 24-hour ambulatory arterial blood pressure monitoring and the prognosis of patients with advanced congestive heart failure. METHODS: We studied 38 patients with NYHA functional class IV congestive heart failure, and analyzed left ventricular ejection fraction, diastolic diameter, and ambulatory blood pressure monitoring data. RESULTS: Twelve deaths occurred. Left ventricular ejection fraction (35.2±7.3%) and diastolic diameter (72.2±7.8mm) were not correlated with the survival. The mean 24-hour (SBP24), waking (SBPw), and sleeping (SBPs) systolic pressures of the living patients were higher than those of the deceased patients and were significant for predicting survival. Patients with mean SBP24, SBPv, and SBPs > or = 105mmHg had longer survival (p=0.002, p=0.01 and p=0.0007, respectively). Patients with diastolic blood pressure sleep decrements (dip) and patients with mean blood pressure dip <=6mmHg had longer survival (p=0.04 and p=0.01, respectively). In the multivariate analysis, SBPs was the only variable with an odds ratio of 7.61 (CI: 1.56; 3704) (p=0.01). Patients with mean SBP<105mmHg were 7.6 times more likely to die than those with SBP > or = 105 mmHg CONCLUSION: Ambulatory blood pressure monitoring appears to be a useful method for evaluating patients with congestive heart failure.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0066-782X2002000100007heart failureprognosisblood pressure ambulatory monitorization |
| spellingShingle | Manoel F. Canesin Dante Giorgi Múcio T. de Oliveira Jr. Maurício Wajngarten Alfredo J. Mansur José Antonio F. Ramires Antonio Carlos Pereira Barretto Ambulatory blood pressure monitoring of patients with heart failure: a new prognosis marker Arquivos Brasileiros de Cardiologia heart failure prognosis blood pressure ambulatory monitorization |
| title | Ambulatory blood pressure monitoring of patients with heart failure: a new prognosis marker |
| title_full | Ambulatory blood pressure monitoring of patients with heart failure: a new prognosis marker |
| title_fullStr | Ambulatory blood pressure monitoring of patients with heart failure: a new prognosis marker |
| title_full_unstemmed | Ambulatory blood pressure monitoring of patients with heart failure: a new prognosis marker |
| title_short | Ambulatory blood pressure monitoring of patients with heart failure: a new prognosis marker |
| title_sort | ambulatory blood pressure monitoring of patients with heart failure a new prognosis marker |
| topic | heart failure prognosis blood pressure ambulatory monitorization |
| url | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0066-782X2002000100007 |
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