| Item type |
琉球大学リポジトリ登録用アイテムタイプ(1) |
| 公開日 |
2024-11-15 |
| タイトル |
|
|
タイトル |
The Clinical Utility of Noninvasive Forrester Classification in Acute Heart Failure from PREDICT study |
|
言語 |
en |
| 作成者 |
Takahashi, Tomonori
Iwano, Hiroyuki
Shibayama, Kentaro
Kitai, Takeshi
Tanaka, Hidekazu
Yamada, Hirotsugu
Sata, Masataka
Kusunose, Kenya
|
| アクセス権 |
|
|
アクセス権 |
open access |
|
アクセス権URI |
http://purl.org/coar/access_right/c_abf2 |
| 権利情報 |
|
|
言語 |
en |
|
権利情報Resource |
https://creativecommons.org/licenses/by-nc-nd/4.0/deed.ja |
|
権利情報 |
This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY-NC-ND) license |
| 主題 |
|
|
言語 |
en |
|
主題Scheme |
Other |
|
主題 |
echocardiography |
| 主題 |
|
|
言語 |
en |
|
主題Scheme |
Other |
|
主題 |
heart failure |
| 主題 |
|
|
言語 |
en |
|
主題Scheme |
Other |
|
主題 |
Forrester classification |
| 内容記述 |
|
|
内容記述タイプ |
Abstract |
|
内容記述 |
The Forrester classification plays a crucial role in comprehending the underlying pathophysiology of heart failure (HF), and is employed to categorize the severity and predict the outcomes of patients with acute HF. Our objective was to assess the predictive value of the Forrester classification, based on noninvasive hemodynamic measurements obtained through Doppler echocardiography at admission, in forecasting the short-term prognosis posthospitalization of patients with acute HF. Patients were recruited for the PREDICT study, a multi-center, prospective study conducted in Japan. Participants were stratified into four profiles using cardiac index (CI) and E/e′ ratio obtained from Doppler echocardiography upon admission (Profile Ⅰ: CI>2.2, E/e'≦15, Profile Ⅱ: CI>2.2, E/e'>15, Profile Ⅲ: CI≦ 2.2, E/e'≦15, Profile Ⅳ: CI≦2.2, E/e'>15). The primary composite outcome of the study was all-cause mortality or worsening heart failure during the 14 days of hospitalization. Cox proportional hazards model analysis was employed to identify prognostic factors during the observation period. A total of 270 subjects, with a mean age of 74 ± 14 years and a male proportion of 60%, were enrolled in the study. During the 14 day period of hospitalization, 58 participants (22%) had a composite outcome. Patients with low CI (i.e. Profiles III and IV) demonstrated an elevated risk of composite outcome after adjusting for confounding variables, as evidenced by the adjusted hazard ratios of 5.85 (95% confidence interval [CI], 1.17 to 29.09; p<0.01, vs. Profile Ⅲ) and 6.50 (95% CI, 1.53 to 27.68; p<0.01, vs. Profile Ⅳ) in comparison to Profile Ⅰ, respectively. In conclusions, the Forrester classification, derived from noninvasive Doppler echocardiography at admission, may predict early deterioration in patients hospitalized with acute HF. |
|
言語 |
en |
| 出版者 |
|
|
出版者 |
Elsevier |
|
言語 |
en |
| 言語 |
|
|
言語 |
eng |
| 資源タイプ |
|
|
資源タイプ識別子 |
http://purl.org/coar/resource_type/c_6501 |
|
資源タイプ |
journal article |
| 出版タイプ |
|
|
出版タイプ |
AM |
|
出版タイプResource |
http://purl.org/coar/version/c_ab4af688f83e57aa |
| 識別子 |
|
|
識別子 |
https://doi.org/10.1016/j.amjcard.2023.08.119 |
|
識別子タイプ |
DOI |
| 収録物識別子 |
|
|
収録物識別子タイプ |
PISSN |
|
収録物識別子 |
0002-9149 |
| 収録物識別子 |
|
|
収録物識別子タイプ |
EISSN |
|
収録物識別子 |
1879-1913 |
| 収録物名 |
|
|
収録物名 |
American Journal of Cardiology |
|
言語 |
en |
| 書誌情報 |
巻 207,
p. 75-81,
発行日 2023-11-15
|
K_No207p75.pdf (1.7 MB)
