Additive prognostic value of high baseline coronary flow velocity to ejection fraction during resting echocardiography: 3-year prospective study

Result code in IS VaVaI

<a href="https://www.isvavai.cz/riv?ss=detail&h=RIV%2F00159816%3A_____%2F23%3A00075743" target="_blank" >RIV/00159816:_____/23:00075743 - isvavai.cz</a>

Alternative codes found

RIV/60162694:G42__/24:00557565 RIV/00216224:14110/23:00129951

Result on the web

<a href="https://www.tandfonline.com/doi/abs/10.1080/00015385.2021.2013004?journalCode=tacd20" target="_blank" >https://www.tandfonline.com/doi/abs/10.1080/00015385.2021.2013004?journalCode=tacd20</a>

DOI - Digital Object Identifier

<a href="http://dx.doi.org/10.1080/00015385.2021.2013004" target="_blank" >10.1080/00015385.2021.2013004</a>

Result language

angličtina

Original language name

Additive prognostic value of high baseline coronary flow velocity to ejection fraction during resting echocardiography: 3-year prospective study

Original language description

Background There is a lack of information about the prognostic value of high velocity in coronary arteries during echocardiography. The present study was aimed at investigating the three-year prognostic value of coronary velocity assessment in all patients who were referred for echocardiography examination. Methods The prospective study comprises 747 consecutive patients. Death, myocardial infarction (MI), acute coronary syndrome (ACS), and/or revascularisation were defined as major adverse cardiac events (MACE). Routine echocardiography was added with coronary velocity assessment in the left main, anterior descending, or circumflex coronary arteries by the Doppler method. Results During a median follow-up of 36 months, 192 patients experienced MACE. Deaths occurred more frequently in patients with high local velocity in proximal left-sided segments vs. in middle left-sided segments vs. patients without high coronary velocity (9 vs. 3 vs. 1%, p &lt; 0.0001). Death/MI/ACS occurred in 17 vs. 7 vs. 1%, p &lt; 0.0001, respectively. Age (HR 1.04, 95% CI 1.00; 1.06; p &lt; 0.04), a velocity more than 65 cm/s in any proximal segments of the arteries (HR 4.7, 95% CI 1.9; 11.9; p &lt; 0.002), ejection fraction (HR 0.97, 95% CI 0.94; 0.99; p &lt; 0.007) were strong independent prognostic predictors of death/MI/ACS. The maximal velocity of coronary flow velocity had a significant additive prognostic value to ejection fraction. Conclusions The coronary velocity parameters give long-term prognostic information that can be used to identify persons with a high risk of MACE in consecutive non-selected patients.

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

—

Continuities

I - Institucionalni podpora na dlouhodoby koncepcni rozvoj vyzkumne organizace

Publication year

2023

Confidentiality

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

Name of the periodical

Acta Cardiologica

ISSN

0001-5385

e-ISSN

1784-973X

Volume of the periodical

78

Issue of the periodical within the volume

4

Country of publishing house

BE - BELGIUM

Number of pages

11

Pages from-to

389-399

UT code for WoS article

000738401800001

EID of the result in the Scopus database

2-s2.0-85122268788