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Prevalence and Predictors of Early Heart Failure with Preserved Ejection Fraction in Patients with Paroxysmal Atrial Fibrillation

The result's identifiers

  • Result code in IS VaVaI

    <a href="https://www.isvavai.cz/riv?ss=detail&h=RIV%2F00159816%3A_____%2F17%3A00066885" target="_blank" >RIV/00159816:_____/17:00066885 - isvavai.cz</a>

  • Alternative codes found

    RIV/00216224:14110/17:00097556

  • Result on the web

    <a href="http://dx.doi.org/10.1016/j.cardfail.2017.04.002" target="_blank" >http://dx.doi.org/10.1016/j.cardfail.2017.04.002</a>

  • DOI - Digital Object Identifier

    <a href="http://dx.doi.org/10.1016/j.cardfail.2017.04.002" target="_blank" >10.1016/j.cardfail.2017.04.002</a>

Alternative languages

  • Result language

    angličtina

  • Original language name

    Prevalence and Predictors of Early Heart Failure with Preserved Ejection Fraction in Patients with Paroxysmal Atrial Fibrillation

  • Original language description

    Patients with atrial fibrillation (AF) have an increased risk of diastolic dysfunction and heart failure. The purpose of this study was to identify independent predictors of early (i.e., only exercise-induced) heart failure with preserved ejection fraction (HFpEF) and to describe the prevalence of early HFpEF among the patients with paroxysmal AF. METHODS AND RESULTS: One hundred patients with paroxysmal AF and preserved left ventricular ejection fraction (LVEF) underwent catheterization with left atrial pressure (LAP) measurements at rest and at the peak of arm exercise (LAP-exe). Based on resting and exercise LAP values, the patients were divided into three groups. Sixty-one patients had no evidence of HFpEF (LAP at rest LESS-THAN OR EQUAL TO15 mmHg, LAP-exe &lt;25 mmHg). Twenty-five subjects had early HFpEF (LAP at rest LESS-THAN OR EQUAL TO15 mmHg, LAP-exe GREATER-THAN OR EQUAL TO25 mmHg, prevalence 25%). Fourteen patients already had HFpEF at rest (LAP &gt;15 mmHg at rest). Multivariate exact logistic regression analysis identified age GREATER-THAN OR EQUAL TO58 years, LAP at rest GREATER-THAN OR EQUAL TO11 mmHg, and peak systolic mitral annular velocity LESS-THAN OR EQUAL TO9.3 cm/s to be independent predictors of early HFpEF. CONCLUSIONS: In patients with paroxysmal AF and preserved LVEF, there appears to be a clinically significant prevalence of early HFpEF.

  • Czech name

  • Czech description

Classification

  • Type

    J<sub>imp</sub> - Article in a specialist periodical, which is included in the Web of Science database

  • CEP classification

  • OECD FORD branch

    30201 - Cardiac and Cardiovascular systems

Result continuities

  • 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)

Others

  • Publication year

    2017

  • Confidentiality

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

Data specific for result type

  • Name of the periodical

    Journal of Cardiac Failure

  • ISSN

    1071-9164

  • e-ISSN

  • Volume of the periodical

    23

  • Issue of the periodical within the volume

    7

  • Country of publishing house

    US - UNITED STATES

  • Number of pages

    5

  • Pages from-to

    558-562

  • UT code for WoS article

    000406733500009

  • EID of the result in the Scopus database