Inferior vena cava collapsibility index, renal dysfunction, and adverse outcomes in patients with broad spectrum cardiovascular disease
Aims The clinical implication of the inferior vena cava collapsibility index (IVCCI) has not been well evaluated in patients with various cardiovascular diseases. Method and results The relationships between clinical characteristics and echocardiographic indicators of the systemic intravascular volu...
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| Veröffentlicht in: | Echocardiography (Mount Kisco, N.Y.) N.Y.), 2017-01, Vol.34 (1), p.20-28 |
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| container_title | Echocardiography (Mount Kisco, N.Y.) |
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| creator | Kim, Yong‐Hyun Kim, Sunwon Kim, Jin‐Seok Lim, Sang‐Yup Shim, Wan‐Joo Ahn, Jeong‐Cheon Song, Woo‐Hyuk |
| description | Aims
The clinical implication of the inferior vena cava collapsibility index (IVCCI) has not been well evaluated in patients with various cardiovascular diseases.
Method and results
The relationships between clinical characteristics and echocardiographic indicators of the systemic intravascular volume status [IVCCI; the ratio of the early transmitral and early myocardial diastolic velocities (E/Em)] were evaluated at baseline, and the clinical status during follow‐up was compared across the IVCCI levels. Among 1166 patients (mean age=63.8±13.4 years), 934, 171, and 61 had high (≥50%), intermediate (25%–50%), and low (15 (P |
| doi_str_mv | 10.1111/echo.13409 |
| format | Article |
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The clinical implication of the inferior vena cava collapsibility index (IVCCI) has not been well evaluated in patients with various cardiovascular diseases.
Method and results
The relationships between clinical characteristics and echocardiographic indicators of the systemic intravascular volume status [IVCCI; the ratio of the early transmitral and early myocardial diastolic velocities (E/Em)] were evaluated at baseline, and the clinical status during follow‐up was compared across the IVCCI levels. Among 1166 patients (mean age=63.8±13.4 years), 934, 171, and 61 had high (≥50%), intermediate (25%–50%), and low (<25%) IVCCIs, respectively. Age‐, sex‐, and body mass index‐adjusted serum creatinine (sCr) levels were highest in patients with low IVCCI (P=.002) and E/Em >15 (P<.001). During follow‐up (1108±463 days), 67 patients died, and 38 of these deaths were cardiovascular related. Age, body mass index, heart failure (HF), sCr levels, and a low IVCCI (vs high IVCCI: hazard ratio [HR]=3.193, 95% confidence interval [CI]=1.297–7.857, P=.012) were associated with all‐cause mortality in multivariable analysis. HF, diuretic use, and a low IVCCI (vs high IVCCI: HR=4.428, 95% CI=1.406–13.104, P=.007) were significantly associated with cardiovascular mortality.
Conclusion
A low IVCCI was significantly associated with reduced renal function and was an independent risk factor for adverse outcomes, regardless of underlying cardiovascular disease and renal function.</description><identifier>ISSN: 0742-2822</identifier><identifier>EISSN: 1540-8175</identifier><identifier>DOI: 10.1111/echo.13409</identifier><identifier>PMID: 27813262</identifier><language>eng</language><publisher>United States</publisher><subject>Aged ; cardiovascular death ; Cardiovascular Diseases - complications ; Cardiovascular Diseases - diagnosis ; Cardiovascular Diseases - mortality ; Cause of Death - trends ; Central Venous Pressure - physiology ; Echocardiography - methods ; Female ; Follow-Up Studies ; heart failure ; Humans ; inferior vena cava ; Male ; Middle Aged ; renal function ; Renal Insufficiency - etiology ; Renal Insufficiency - physiopathology ; Republic of Korea - epidemiology ; Retrospective Studies ; Risk Factors ; Survival Rate - trends ; Vena Cava, Inferior - diagnostic imaging ; Vena Cava, Inferior - physiopathology</subject><ispartof>Echocardiography (Mount Kisco, N.Y.), 2017-01, Vol.34 (1), p.20-28</ispartof><rights>2016, Wiley Periodicals, Inc.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c3219-4d81c4239802828a2cdeaa07a846d478e9d9999109fca3b59fd2ee1f253738ea3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fecho.13409$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fecho.13409$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,778,782,1414,27907,27908,45557,45558</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/27813262$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Kim, Yong‐Hyun</creatorcontrib><creatorcontrib>Kim, Sunwon</creatorcontrib><creatorcontrib>Kim, Jin‐Seok</creatorcontrib><creatorcontrib>Lim, Sang‐Yup</creatorcontrib><creatorcontrib>Shim, Wan‐Joo</creatorcontrib><creatorcontrib>Ahn, Jeong‐Cheon</creatorcontrib><creatorcontrib>Song, Woo‐Hyuk</creatorcontrib><title>Inferior vena cava collapsibility index, renal dysfunction, and adverse outcomes in patients with broad spectrum cardiovascular disease</title><title>Echocardiography (Mount Kisco, N.Y.)</title><addtitle>Echocardiography</addtitle><description>Aims
The clinical implication of the inferior vena cava collapsibility index (IVCCI) has not been well evaluated in patients with various cardiovascular diseases.
Method and results
The relationships between clinical characteristics and echocardiographic indicators of the systemic intravascular volume status [IVCCI; the ratio of the early transmitral and early myocardial diastolic velocities (E/Em)] were evaluated at baseline, and the clinical status during follow‐up was compared across the IVCCI levels. Among 1166 patients (mean age=63.8±13.4 years), 934, 171, and 61 had high (≥50%), intermediate (25%–50%), and low (<25%) IVCCIs, respectively. Age‐, sex‐, and body mass index‐adjusted serum creatinine (sCr) levels were highest in patients with low IVCCI (P=.002) and E/Em >15 (P<.001). During follow‐up (1108±463 days), 67 patients died, and 38 of these deaths were cardiovascular related. Age, body mass index, heart failure (HF), sCr levels, and a low IVCCI (vs high IVCCI: hazard ratio [HR]=3.193, 95% confidence interval [CI]=1.297–7.857, P=.012) were associated with all‐cause mortality in multivariable analysis. HF, diuretic use, and a low IVCCI (vs high IVCCI: HR=4.428, 95% CI=1.406–13.104, P=.007) were significantly associated with cardiovascular mortality.
Conclusion
A low IVCCI was significantly associated with reduced renal function and was an independent risk factor for adverse outcomes, regardless of underlying cardiovascular disease and renal function.</description><subject>Aged</subject><subject>cardiovascular death</subject><subject>Cardiovascular Diseases - complications</subject><subject>Cardiovascular Diseases - diagnosis</subject><subject>Cardiovascular Diseases - mortality</subject><subject>Cause of Death - trends</subject><subject>Central Venous Pressure - physiology</subject><subject>Echocardiography - methods</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>heart failure</subject><subject>Humans</subject><subject>inferior vena cava</subject><subject>Male</subject><subject>Middle Aged</subject><subject>renal function</subject><subject>Renal Insufficiency - etiology</subject><subject>Renal Insufficiency - physiopathology</subject><subject>Republic of Korea - epidemiology</subject><subject>Retrospective Studies</subject><subject>Risk Factors</subject><subject>Survival Rate - trends</subject><subject>Vena Cava, Inferior - diagnostic imaging</subject><subject>Vena Cava, Inferior - physiopathology</subject><issn>0742-2822</issn><issn>1540-8175</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2017</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqNkU9P3DAQxa0KBFvKhQ-AfEQVof6TbOxjtaIsEhKX9hzN2hPhKolTT7Kwn6Bfu4bd9ljxDjOH-emNnh5jF1LcyKwv6J7ijdSlsB_YQlalKIysqyO2EHWpCmWUOmUfiX4KIWopyxN2qmojtVqqBft9P7SYQkx8iwNwB9s8YtfBSGETujDteBg8vlzzlO8d9ztq58FNIQ7XHAbPwW8xEfI4Ty72SBnnI0wBh4n4c5ie-CZF8JxGdFOa-_wi-RC3QG7uIHEfCIHwEztuoSM8P-wz9uPb7ffVunh4vLtffX0onFbSFqU30pVKWyNyLgPKeQQQNZhy6cvaoPU2SwrbOtCbyrZeIcpWVbrWBkGfsau975jirxlpavpADnPgAeNMjTRLo6WulH4Hqpe1MtaqjH7eoy5FooRtM6bQQ9o1UjSvHTWvHTVvHWX48uA7b3r0_9C_pWRA7oHn0OHuP1bN7Wr9uDf9AyYQnmk</recordid><startdate>201701</startdate><enddate>201701</enddate><creator>Kim, Yong‐Hyun</creator><creator>Kim, Sunwon</creator><creator>Kim, Jin‐Seok</creator><creator>Lim, Sang‐Yup</creator><creator>Shim, Wan‐Joo</creator><creator>Ahn, Jeong‐Cheon</creator><creator>Song, Woo‐Hyuk</creator><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>7QO</scope><scope>8FD</scope><scope>FR3</scope><scope>P64</scope></search><sort><creationdate>201701</creationdate><title>Inferior vena cava collapsibility index, renal dysfunction, and adverse outcomes in patients with broad spectrum cardiovascular disease</title><author>Kim, Yong‐Hyun ; Kim, Sunwon ; Kim, Jin‐Seok ; Lim, Sang‐Yup ; Shim, Wan‐Joo ; Ahn, Jeong‐Cheon ; Song, Woo‐Hyuk</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3219-4d81c4239802828a2cdeaa07a846d478e9d9999109fca3b59fd2ee1f253738ea3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2017</creationdate><topic>Aged</topic><topic>cardiovascular death</topic><topic>Cardiovascular Diseases - complications</topic><topic>Cardiovascular Diseases - diagnosis</topic><topic>Cardiovascular Diseases - mortality</topic><topic>Cause of Death - trends</topic><topic>Central Venous Pressure - physiology</topic><topic>Echocardiography - methods</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>heart failure</topic><topic>Humans</topic><topic>inferior vena cava</topic><topic>Male</topic><topic>Middle Aged</topic><topic>renal function</topic><topic>Renal Insufficiency - etiology</topic><topic>Renal Insufficiency - physiopathology</topic><topic>Republic of Korea - epidemiology</topic><topic>Retrospective Studies</topic><topic>Risk Factors</topic><topic>Survival Rate - trends</topic><topic>Vena Cava, Inferior - diagnostic imaging</topic><topic>Vena Cava, Inferior - physiopathology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Kim, Yong‐Hyun</creatorcontrib><creatorcontrib>Kim, Sunwon</creatorcontrib><creatorcontrib>Kim, Jin‐Seok</creatorcontrib><creatorcontrib>Lim, Sang‐Yup</creatorcontrib><creatorcontrib>Shim, Wan‐Joo</creatorcontrib><creatorcontrib>Ahn, Jeong‐Cheon</creatorcontrib><creatorcontrib>Song, Woo‐Hyuk</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>Biotechnology Research Abstracts</collection><collection>Technology Research Database</collection><collection>Engineering Research Database</collection><collection>Biotechnology and BioEngineering Abstracts</collection><jtitle>Echocardiography (Mount Kisco, N.Y.)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Kim, Yong‐Hyun</au><au>Kim, Sunwon</au><au>Kim, Jin‐Seok</au><au>Lim, Sang‐Yup</au><au>Shim, Wan‐Joo</au><au>Ahn, Jeong‐Cheon</au><au>Song, Woo‐Hyuk</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Inferior vena cava collapsibility index, renal dysfunction, and adverse outcomes in patients with broad spectrum cardiovascular disease</atitle><jtitle>Echocardiography (Mount Kisco, N.Y.)</jtitle><addtitle>Echocardiography</addtitle><date>2017-01</date><risdate>2017</risdate><volume>34</volume><issue>1</issue><spage>20</spage><epage>28</epage><pages>20-28</pages><issn>0742-2822</issn><eissn>1540-8175</eissn><abstract>Aims
The clinical implication of the inferior vena cava collapsibility index (IVCCI) has not been well evaluated in patients with various cardiovascular diseases.
Method and results
The relationships between clinical characteristics and echocardiographic indicators of the systemic intravascular volume status [IVCCI; the ratio of the early transmitral and early myocardial diastolic velocities (E/Em)] were evaluated at baseline, and the clinical status during follow‐up was compared across the IVCCI levels. Among 1166 patients (mean age=63.8±13.4 years), 934, 171, and 61 had high (≥50%), intermediate (25%–50%), and low (<25%) IVCCIs, respectively. Age‐, sex‐, and body mass index‐adjusted serum creatinine (sCr) levels were highest in patients with low IVCCI (P=.002) and E/Em >15 (P<.001). During follow‐up (1108±463 days), 67 patients died, and 38 of these deaths were cardiovascular related. Age, body mass index, heart failure (HF), sCr levels, and a low IVCCI (vs high IVCCI: hazard ratio [HR]=3.193, 95% confidence interval [CI]=1.297–7.857, P=.012) were associated with all‐cause mortality in multivariable analysis. HF, diuretic use, and a low IVCCI (vs high IVCCI: HR=4.428, 95% CI=1.406–13.104, P=.007) were significantly associated with cardiovascular mortality.
Conclusion
A low IVCCI was significantly associated with reduced renal function and was an independent risk factor for adverse outcomes, regardless of underlying cardiovascular disease and renal function.</abstract><cop>United States</cop><pmid>27813262</pmid><doi>10.1111/echo.13409</doi><tpages>9</tpages></addata></record> |
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| subjects | Aged cardiovascular death Cardiovascular Diseases - complications Cardiovascular Diseases - diagnosis Cardiovascular Diseases - mortality Cause of Death - trends Central Venous Pressure - physiology Echocardiography - methods Female Follow-Up Studies heart failure Humans inferior vena cava Male Middle Aged renal function Renal Insufficiency - etiology Renal Insufficiency - physiopathology Republic of Korea - epidemiology Retrospective Studies Risk Factors Survival Rate - trends Vena Cava, Inferior - diagnostic imaging Vena Cava, Inferior - physiopathology |
| title | Inferior vena cava collapsibility index, renal dysfunction, and adverse outcomes in patients with broad spectrum cardiovascular disease |
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