Association between tricuspid annular systolic velocity and poor short-term prognosis in patients with acute decompensated heart failure

Background There is scant data on the association of the Pulsed wave-Doppler tissue imaging (PW-DTI)-derived tricuspid lateral annular peak systolic velocity (S’) and poor short-term prognosis of patients with acute decompensated heart failure (ADHF).Patients and methods A total number of 732 partic...

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Main Authors: Kai Zhao, Jiang Zhou, Jing Tao Guo, Cai Hong Wu, Sen Lin Li, Qi Zhang, Xiang Tian, Wei Chao Shan, Zhen Jiang Ding, Lan Suo Yuan, Qun Zheng, Xiao Li Gao, Nan Guo, Hong Sen Tian, Qing Min Wei, Xi Tian Hu, Ying Kai Cui, Xue Geng, Qian Wang, Wei Cui
Format: Article
Language:English
Published: Taylor & Francis Group 2022-12-01
Series:Annals of Medicine
Subjects:
Online Access:https://www.tandfonline.com/doi/10.1080/07853890.2022.2134585
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author Kai Zhao
Jiang Zhou
Jing Tao Guo
Cai Hong Wu
Sen Lin Li
Qi Zhang
Xiang Tian
Wei Chao Shan
Zhen Jiang Ding
Lan Suo Yuan
Qun Zheng
Xiao Li Gao
Nan Guo
Hong Sen Tian
Qing Min Wei
Xi Tian Hu
Ying Kai Cui
Xue Geng
Qian Wang
Wei Cui
author_facet Kai Zhao
Jiang Zhou
Jing Tao Guo
Cai Hong Wu
Sen Lin Li
Qi Zhang
Xiang Tian
Wei Chao Shan
Zhen Jiang Ding
Lan Suo Yuan
Qun Zheng
Xiao Li Gao
Nan Guo
Hong Sen Tian
Qing Min Wei
Xi Tian Hu
Ying Kai Cui
Xue Geng
Qian Wang
Wei Cui
author_sort Kai Zhao
collection DOAJ
description Background There is scant data on the association of the Pulsed wave-Doppler tissue imaging (PW-DTI)-derived tricuspid lateral annular peak systolic velocity (S’) and poor short-term prognosis of patients with acute decompensated heart failure (ADHF).Patients and methods A total number of 732 participants from the Heb-ADHF registry in China were divided into three groups according to the corresponding status of tricuspid S′. Demographic characteristics, comorbidities, physical examinations, lab tests, and medications were compared among the different groups. Different logistic regression models were utilized to gauge the relationship between S′ and the risk of a composite of short-term all-cause mortality or 30-day heart failure (HF)-related rehospitalization.Results The number of composite outcome events identified in the study population was 85, with the short-term all-cause death coupled with 30-day HF readmission events reaching 23 and 62, respectively. As per the multivariable adjusted analysis, S′ was inversely related to the risk of a composite outcome [<10 cm/s odds ratios (OR) 2.90, 95% confidence interval (CI):1.33–6.31; 10–11 cm/s OR 2.18, 95% CI: 1.10–4.33; p for trend = 0.006] in comparison with S′ at >11 cm/s. When S′ was analysed as a continuous variable, per 1 cm/s increase, the OR (95% CI) for a composite outcome was [0.87 (0.77–0.99), p = 0.028]. Area under curve (AUC) of S′ for predicting outcome of ADHF was 0.631 (95%CI: 0.573–0.690, p < 0.01). Significant inverse association was also observed in left ventricular ejection fraction (LVEF) ≥40% subgroup.Conclusions Inspite of the potential confounders, a more impaired tricuspid annular peak systolic velocity is associated with a poorer short-term prognosis of patients with ADHF.
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spelling doaj.art-fbaa3b3f83e140cbac61d591a38ae6212022-12-22T03:33:19ZengTaylor & Francis GroupAnnals of Medicine0785-38901365-20602022-12-015412898290810.1080/07853890.2022.2134585Association between tricuspid annular systolic velocity and poor short-term prognosis in patients with acute decompensated heart failureKai Zhao0Jiang Zhou1Jing Tao Guo2Cai Hong Wu3Sen Lin Li4Qi Zhang5Xiang Tian6Wei Chao Shan7Zhen Jiang Ding8Lan Suo Yuan9Qun Zheng10Xiao Li Gao11Nan Guo12Hong Sen Tian13Qing Min Wei14Xi Tian Hu15Ying Kai Cui16Xue Geng17Qian Wang18Wei Cui19Department of Cardiology, The Second Hospital of Hebei Medical University, Shijiazhuang, ChinaDepartment of Cardiology, Chengde Central Hospital, Chengde, ChinaDepartment of Cardiology, Chengde Central Hospital, Chengde, ChinaDepartment of Cardiology, First Hospital of Zhangjiakou, Zhangjiakou, ChinaDepartment of Cardiology, First Hospital of Zhangjiakou, Zhangjiakou, ChinaDepartment of Cardiology, First Central Hospital of Baoding, Baoding, ChinaDepartment of Cardiology, First Central Hospital of Baoding, Baoding, ChinaDepartment of Cardiology, Affiliated Hospital of Chengde Medical University, Chengde, ChinaDepartment of Cardiology, Affiliated Hospital of Chengde Medical University, Chengde, ChinaDepartment of Cardiology, Hengshui People’s Hospital, Hengshui, ChinaDepartment of Cardiology, Hengshui People’s Hospital, Hengshui, ChinaDepartment of Cardiology, Huabei Petroleum Administration Bureau General Hospital, Cangzhou, ChinaDepartment of Cardiology, Cangzhou Central Hospital, Cangzhou, ChinaDepartment of Cardiology, Handan Central Hospital, Handan, ChinaDepartment of Cardiology, Xingtai People’s Hospital, Xingtai, ChinaDepartment of Cardiology, Shijiazhuang People’s Hospital, Shijiazhuang, ChinaDepartment of Cardiology, The 252nd Hospital of People’s Liberation Army, Baoding, ChinaDepartment of Cardiology, The Second Hospital of Hebei Medical University, Shijiazhuang, ChinaDepartment of Cardiology, The Second Hospital of Hebei Medical University, Shijiazhuang, ChinaDepartment of Cardiology, The Second Hospital of Hebei Medical University, Shijiazhuang, ChinaBackground There is scant data on the association of the Pulsed wave-Doppler tissue imaging (PW-DTI)-derived tricuspid lateral annular peak systolic velocity (S’) and poor short-term prognosis of patients with acute decompensated heart failure (ADHF).Patients and methods A total number of 732 participants from the Heb-ADHF registry in China were divided into three groups according to the corresponding status of tricuspid S′. Demographic characteristics, comorbidities, physical examinations, lab tests, and medications were compared among the different groups. Different logistic regression models were utilized to gauge the relationship between S′ and the risk of a composite of short-term all-cause mortality or 30-day heart failure (HF)-related rehospitalization.Results The number of composite outcome events identified in the study population was 85, with the short-term all-cause death coupled with 30-day HF readmission events reaching 23 and 62, respectively. As per the multivariable adjusted analysis, S′ was inversely related to the risk of a composite outcome [<10 cm/s odds ratios (OR) 2.90, 95% confidence interval (CI):1.33–6.31; 10–11 cm/s OR 2.18, 95% CI: 1.10–4.33; p for trend = 0.006] in comparison with S′ at >11 cm/s. When S′ was analysed as a continuous variable, per 1 cm/s increase, the OR (95% CI) for a composite outcome was [0.87 (0.77–0.99), p = 0.028]. Area under curve (AUC) of S′ for predicting outcome of ADHF was 0.631 (95%CI: 0.573–0.690, p < 0.01). Significant inverse association was also observed in left ventricular ejection fraction (LVEF) ≥40% subgroup.Conclusions Inspite of the potential confounders, a more impaired tricuspid annular peak systolic velocity is associated with a poorer short-term prognosis of patients with ADHF.https://www.tandfonline.com/doi/10.1080/07853890.2022.2134585Tricuspid annularsystolic velocityprognosisacute decompensated heart failure
spellingShingle Kai Zhao
Jiang Zhou
Jing Tao Guo
Cai Hong Wu
Sen Lin Li
Qi Zhang
Xiang Tian
Wei Chao Shan
Zhen Jiang Ding
Lan Suo Yuan
Qun Zheng
Xiao Li Gao
Nan Guo
Hong Sen Tian
Qing Min Wei
Xi Tian Hu
Ying Kai Cui
Xue Geng
Qian Wang
Wei Cui
Association between tricuspid annular systolic velocity and poor short-term prognosis in patients with acute decompensated heart failure
Annals of Medicine
Tricuspid annular
systolic velocity
prognosis
acute decompensated heart failure
title Association between tricuspid annular systolic velocity and poor short-term prognosis in patients with acute decompensated heart failure
title_full Association between tricuspid annular systolic velocity and poor short-term prognosis in patients with acute decompensated heart failure
title_fullStr Association between tricuspid annular systolic velocity and poor short-term prognosis in patients with acute decompensated heart failure
title_full_unstemmed Association between tricuspid annular systolic velocity and poor short-term prognosis in patients with acute decompensated heart failure
title_short Association between tricuspid annular systolic velocity and poor short-term prognosis in patients with acute decompensated heart failure
title_sort association between tricuspid annular systolic velocity and poor short term prognosis in patients with acute decompensated heart failure
topic Tricuspid annular
systolic velocity
prognosis
acute decompensated heart failure
url https://www.tandfonline.com/doi/10.1080/07853890.2022.2134585
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