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

Kód výsledku v 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>

Nalezeny alternativní kódy

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

Výsledek na webu

<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>

Jazyk výsledku

angličtina

Název v původním jazyce

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

Popis výsledku v původním jazyce

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.

Název v anglickém jazyce

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

Popis výsledku anglicky

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.

Druh

J_imp - Článek v periodiku v databázi Web of Science

CEP obor

—

OECD FORD obor

30201 - Cardiac and Cardiovascular systems

Projekt

—

Návaznosti

I - Institucionalni podpora na dlouhodoby koncepcni rozvoj vyzkumne organizace

Rok uplatnění

2023

Kód důvěrnosti údajů

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

Název periodika

Acta Cardiologica

ISSN

0001-5385

e-ISSN

1784-973X

Svazek periodika

78

Číslo periodika v rámci svazku

4

Stát vydavatele periodika

BE - Belgické království

Počet stran výsledku

11

Strana od-do

389-399

Kód UT WoS článku

000738401800001

EID výsledku v databázi Scopus

2-s2.0-85122268788