ECG in patients with acute heart failure can predict in-hospital and long-term mortality

Result code in IS VaVaI

<a href="https://www.isvavai.cz/riv?ss=detail&h=RIV%2F27661989%3A_____%2F14%3AN0000012" target="_blank" >RIV/27661989:_____/14:N0000012 - isvavai.cz</a>

Alternative codes found

RIV/00216208:11110/14:10284106 RIV/00216208:11120/14:43906480 RIV/65269705:_____/14:00061641 RIV/00159816:_____/14:00061641 and 4 more

Result on the web

<a href="https://link.springer.com/article/10.1007/s11739-012-0862-1" target="_blank" >https://link.springer.com/article/10.1007/s11739-012-0862-1</a>

DOI - Digital Object Identifier

<a href="http://dx.doi.org/10.1007/s11739-012-0862-1" target="_blank" >10.1007/s11739-012-0862-1</a>

Result language

angličtina

Original language name

ECG in patients with acute heart failure can predict in-hospital and long-term mortality

Original language description

Initial risk stratification in patients with acute heart failure (AHF) is poorly validated. Previous studies tended to evaluate the prognostic significance of only one or two selected ECG parameters. The aim of this study was to evaluate the impact of multiple ECG parameters on mortality in AHF. The Acute Heart Failure Database (AHEAD) registry collected data from 4,153 patients admitted for AHF to seven hospitals with Catheter Laboratory facilities. Clinical variables, heart rate, duration of QRS, QT and QTC intervals, type of rhythm and ST-T segment changes on admission were collected in a web-based database. 12.7 % patients died during hospitalisation, the remainder were discharged and followed for a median of 16.2 months. The most important parameters were a prolonged QRS and a junctional rhythm, which independently predict both in-hospital mortality [QRS >100 ms, odds ratio (OR) 1.329, 95 % CI 1.052-1.680; junctional rhythm, OR 3.715, 95 % CI 1.748-7.896] and long-term mortality (QRS > 120 ms, OR 1.428, 95 % CI 1.160-1.757; junctional rhythm, OR 2.629, 95 % CI 1.538-4.496). Increased hospitalisation mortality is predicted by ST segment elevation (OR 1.771, 95 % CI 1.383-2.269) and prolonged QTC interval >475 ms (OR 1.483, 95 % CI 1.016-2.164). Presence of atrial fibrillation and bundle branch block is associated with increased unadjusted long-term mortality, but mostly reflects more advanced heart disease, and their predictive significance is attenuated in the multivariate analysis. ECG in patients admitted for acute heart failure carries significant short- and long-term prognostic information, and should be carefully evaluated.

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

30218 - General and internal medicine

Project

—

Continuities

V - Vyzkumna aktivita podporovana z jinych verejnych zdroju

Publication year

2014

Confidentiality

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

Name of the periodical

Internal and Emergency Medicine

ISSN

1828-0447

e-ISSN

1970-9366

Volume of the periodical

9

Issue of the periodical within the volume

3

Country of publishing house

IT - ITALY

Number of pages

9

Pages from-to

283-291

UT code for WoS article

000336422300005

EID of the result in the Scopus database

2-s2.0-84897026152