Remote heart failure symptoms assessment after myocardial infarction identifies patients at risk for death

Result code in IS VaVaI

<a href="https://www.isvavai.cz/riv?ss=detail&h=RIV%2F00023001%3A_____%2F24%3A00084549" target="_blank" >RIV/00023001:_____/24:00084549 - isvavai.cz</a>

Alternative codes found

RIV/00216208:11110/24:10475060 RIV/00216208:11120/24:43926594

Result on the web

<a href="https://www.ahajournals.org/doi/epub/10.1161/JAHA.123.032505" target="_blank" >https://www.ahajournals.org/doi/epub/10.1161/JAHA.123.032505</a>

DOI - Digital Object Identifier

<a href="http://dx.doi.org/10.1161/JAHA.123.032505" target="_blank" >10.1161/JAHA.123.032505</a>

Result language

angličtina

Original language name

Remote heart failure symptoms assessment after myocardial infarction identifies patients at risk for death

Original language description

BACKGROUND: Heart failure is a common complication after myocardial infarction (MI) and is associated with increased mortality. Whether remote heart failure symptoms assessment after MI can improve risk stratification is unknown. The authors evaluated the association of the 23 -item Kansas City Cardiomyopathy Questionnaire (KCCQ) with all -cause mortality after MI.METHODS AND RESULTS: Prospectively collected data from consecutive patients hospitalized for MI at a large tertiary heart center between June 2017 and September 2022 were used. Patients remotely completed the KCCQ 1 month after discharge. A total of 1135 (aged 64 +/- 12 years, 26.7% women) of 1721 eligible patients completed the KCCQ. Ranges of KCCQ scores revealed that 30 (2.6%), 114 (10.0%), 274 (24.1%), and 717 (63.2%) had scores &lt;25, 25 to 49, 50 to 74, and &gt;_75, respectively. During a mean follow -up of 46 months (interquartile range, 29-61), 146 (12.9%) died. In a fully adjusted analysis, KCCQ scores &lt;50 were independently associated with mortality (hazard ratio [HR], 6.05 for KCCQ &lt;25, HR, 2.66 for KCCQ 25-49 versus KCCQ &gt;_50; both P&lt;0.001). Adding the 30 -day KCCQ to clinical risk factors improved risk stratification: change in area under the curve of 2.6 (95% CI, 0.3-5.0), Brier score of -0.6 (95% CI, -1.0 to -0.2), and net reclassification improvement of 0.71 (95% CI, 0.45-1.04). KCCQ items most strongly associated with mortality were walking impairment, leg swelling, and change in symptoms.CONCLUSIONS: Remote evaluation of heart failure symptoms using the KCCQ among patients recently discharged for MI identifies patients at risk for mortality. Whether closer follow -up and targeted therapy can reduce mortality in high -risk patients warrants further study.

Czech name

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Czech description

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Type

J_imp - Article in a specialist periodical, which is included in the Web of Science database

CEP classification

—

OECD FORD branch

30201 - Cardiac and Cardiovascular systems

Project

Result was created during the realization of more than one project. More information in the Projects tab.

Continuities

P - Projekt vyzkumu a vyvoje financovany z verejnych zdroju (s odkazem do CEP)

Publication year

2024

Confidentiality

S - Úplné a pravdivé údaje o projektu nepodléhají ochraně podle zvláštních právních předpisů

Name of the periodical

Journal of the American Heart Association [online]

ISSN

2047-9980

e-ISSN

2047-9980

Volume of the periodical

13

Issue of the periodical within the volume

2

Country of publishing house

US - UNITED STATES

Number of pages

7

Pages from-to

"art. no. e032505"

UT code for WoS article

001143534600050

EID of the result in the Scopus database

2-s2.0-85182596809