Noninvasive Monitoring of Left Ventricular End-Diastolic Pressure Reduces Rehospitalization Rates in Patients Hospitalized for Heart Failure: A Randomized Controlled Trial

Abstract Background In patients admitted for heart failure (HF), unrecognized elevation of left ventricular end-diastolic pressure (LVEDP) at the time of discharge may have a role in the high rehospitalization rate for HF on follow-up. Methods and Results In a small, prospective study (n = 50), pati...

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Veröffentlicht in:	Journal of cardiac failure 2011-09, Vol.17 (9), p.718-725
Hauptverfasser:	Sharma, G.V.R.K., MD, Woods, Patricia A., RN, MSN, Lindsey, Nancy, MS, APNP, O’Connell, Carol, Connolly, Louise, Joseph, Jacob, MD, McIntyre, Kevin M., MD, JD
Format:	Artikel
Sprache:	eng
Schlagworte:	Aged Blood Pressure Monitoring, Ambulatory - methods Blood Pressure Monitoring, Ambulatory - trends Cardiovascular Follow-Up Studies heart failure Heart Failure - diagnosis Heart Failure - physiopathology Heart Failure - therapy hospitalization Hospitalization - trends Humans left ventricular end-diastolic pressure Male outcomes Patient Readmission - trends Prospective Studies Single-Blind Method Stroke Volume - physiology Valsalva maneuver Ventricular Dysfunction, Left - diagnosis Ventricular Dysfunction, Left - physiopathology Ventricular Dysfunction, Left - therapy Ventricular Function, Left - physiology Ventricular Pressure - physiology
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Zusammenfassung:	Abstract Background In patients admitted for heart failure (HF), unrecognized elevation of left ventricular end-diastolic pressure (LVEDP) at the time of discharge may have a role in the high rehospitalization rate for HF on follow-up. Methods and Results In a small, prospective study (n = 50), patients admitted for HF were randomized to management guided by daily noninvasive estimated LVEDP monitoring (Group I, open) to a target LVEDP of
ISSN:	1071-9164 1532-8414
DOI:	10.1016/j.cardfail.2011.04.014