Abstract 10652: Clinical Utility of Left Atrial Strain to Predict Functional Recovery in Patients With Optimal Treatments of Heart Failure

BackgroundHeart failure (HF) has been reported to recovery left ventricular ejection fraction (LVEF) with appropriate treatment. Heart failure recovered ejection fraction (HFrecEF) has also been shown to have a better prognosis than heart failure with reduced ejection fraction (HFrEF). However, the...

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Veröffentlicht in:Circulation (New York, N.Y.) N.Y.), 2019-11, Vol.140 (Suppl_1 Suppl 1), p.A10652-A10652
Hauptverfasser: Torii, Yuta, Kusunose, Kenya, Nao, Yamada, Yuichiro, Okushi, Tomonori, Takahashi, Sae, Morita, Hirata, Yukina, Nishio, Susumu, Yamada, Hirotsugu, Sata, Masataka
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container_end_page A10652
container_issue Suppl_1 Suppl 1
container_start_page A10652
container_title Circulation (New York, N.Y.)
container_volume 140
creator Torii, Yuta
Kusunose, Kenya
Nao, Yamada
Yuichiro, Okushi
Tomonori, Takahashi
Sae, Morita
Hirata, Yukina
Nishio, Susumu
Yamada, Hirotsugu
Sata, Masataka
description BackgroundHeart failure (HF) has been reported to recovery left ventricular ejection fraction (LVEF) with appropriate treatment. Heart failure recovered ejection fraction (HFrecEF) has also been shown to have a better prognosis than heart failure with reduced ejection fraction (HFrEF). However, the factor that predicts HFrecEF is unclear.HypothesisWe hypothesized that strain imaging including LV and left atrium (LA ) at admission helps for prediction of HFrecEF.MethodsWe enrolled 100 hospitalized HF patients who patients were diagnosed with HFrEF at admission (LVEF
doi_str_mv 10.1161/circ.140.suppl_1.10652
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Heart failure recovered ejection fraction (HFrecEF) has also been shown to have a better prognosis than heart failure with reduced ejection fraction (HFrEF). However, the factor that predicts HFrecEF is unclear.HypothesisWe hypothesized that strain imaging including LV and left atrium (LA ) at admission helps for prediction of HFrecEF.MethodsWe enrolled 100 hospitalized HF patients who patients were diagnosed with HFrEF at admission (LVEF &lt;40%) and underwent optimal treatments of heart failure. We used echocardiography indices performed at admission for all cases.ResultsThere were 28 patients improved to HFrecEF during 24±13 months of follow-up. In the clinical background, there were significantly more women and less atrial fibrillation in the HFrecEF group than in the HFrEF group, but there were no significant differences in medical history, laboratory data and medications. In the univariate logistic regression analysis, in HFrecEF group was echocardiographic indices at admission were significantly higher LVEF, LV global longitudinal strain, right ventricular strain and LA strain than the HFrEF group. In the multivariate logistic regression analysis, LA strain was an independent predictor of HFrecEF even after correction with age, gender and LVEF (OR4.1, p &lt;0.001).ConclusionsLA strain at admission predicts HFrecEF in patients with optimal treatments of heart failure.</description><identifier>ISSN: 0009-7322</identifier><identifier>EISSN: 1524-4539</identifier><identifier>DOI: 10.1161/circ.140.suppl_1.10652</identifier><language>eng</language><publisher>by the American College of Cardiology Foundation and the American Heart Association, Inc</publisher><ispartof>Circulation (New York, N.Y.), 2019-11, Vol.140 (Suppl_1 Suppl 1), p.A10652-A10652</ispartof><rights>2019 by the American College of Cardiology Foundation and the American Heart Association, Inc.</rights><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,27901,27902</link.rule.ids></links><search><creatorcontrib>Torii, Yuta</creatorcontrib><creatorcontrib>Kusunose, Kenya</creatorcontrib><creatorcontrib>Nao, Yamada</creatorcontrib><creatorcontrib>Yuichiro, Okushi</creatorcontrib><creatorcontrib>Tomonori, Takahashi</creatorcontrib><creatorcontrib>Sae, Morita</creatorcontrib><creatorcontrib>Hirata, Yukina</creatorcontrib><creatorcontrib>Nishio, Susumu</creatorcontrib><creatorcontrib>Yamada, Hirotsugu</creatorcontrib><creatorcontrib>Sata, Masataka</creatorcontrib><title>Abstract 10652: Clinical Utility of Left Atrial Strain to Predict Functional Recovery in Patients With Optimal Treatments of Heart Failure</title><title>Circulation (New York, N.Y.)</title><description>BackgroundHeart failure (HF) has been reported to recovery left ventricular ejection fraction (LVEF) with appropriate treatment. Heart failure recovered ejection fraction (HFrecEF) has also been shown to have a better prognosis than heart failure with reduced ejection fraction (HFrEF). However, the factor that predicts HFrecEF is unclear.HypothesisWe hypothesized that strain imaging including LV and left atrium (LA ) at admission helps for prediction of HFrecEF.MethodsWe enrolled 100 hospitalized HF patients who patients were diagnosed with HFrEF at admission (LVEF &lt;40%) and underwent optimal treatments of heart failure. We used echocardiography indices performed at admission for all cases.ResultsThere were 28 patients improved to HFrecEF during 24±13 months of follow-up. In the clinical background, there were significantly more women and less atrial fibrillation in the HFrecEF group than in the HFrEF group, but there were no significant differences in medical history, laboratory data and medications. In the univariate logistic regression analysis, in HFrecEF group was echocardiographic indices at admission were significantly higher LVEF, LV global longitudinal strain, right ventricular strain and LA strain than the HFrEF group. In the multivariate logistic regression analysis, LA strain was an independent predictor of HFrecEF even after correction with age, gender and LVEF (OR4.1, p &lt;0.001).ConclusionsLA strain at admission predicts HFrecEF in patients with optimal treatments of heart failure.</description><issn>0009-7322</issn><issn>1524-4539</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2019</creationdate><recordtype>article</recordtype><sourceid/><recordid>eNqdj91Kw0AQhRdRMP68guwLJO5k80O8K8XSC6FFK16GdZ2Q0W0SdieWvoJP7VJ8Ai-GYc5858AR4g5UBlDBvSVvMyhUFuZpci1koKoyPxMJlHmRFqVuzkWilGrSWuf5pbgK4TOela7LRPws3gN7Y1meXA9y6Wgga5x8ZXLERzl28gk7lgv2FOWXSNMgeZRbjx8Ujat5sEzjEJ_PaMdv9EcZia1hwoGDfCPu5WZi2kdi59Hw_qTH4DUaHwMMudnjjbjojAt4-7evRbF63C3X6WF0jD58ufmAvu3ROO7b2EBpBXWaK2gA4qRKFbrR_7T9AlTgY_U</recordid><startdate>20191119</startdate><enddate>20191119</enddate><creator>Torii, Yuta</creator><creator>Kusunose, Kenya</creator><creator>Nao, Yamada</creator><creator>Yuichiro, Okushi</creator><creator>Tomonori, Takahashi</creator><creator>Sae, Morita</creator><creator>Hirata, Yukina</creator><creator>Nishio, Susumu</creator><creator>Yamada, Hirotsugu</creator><creator>Sata, Masataka</creator><general>by the American College of Cardiology Foundation and the American Heart Association, Inc</general><scope/></search><sort><creationdate>20191119</creationdate><title>Abstract 10652: Clinical Utility of Left Atrial Strain to Predict Functional Recovery in Patients With Optimal Treatments of Heart Failure</title><author>Torii, Yuta ; Kusunose, Kenya ; Nao, Yamada ; Yuichiro, Okushi ; Tomonori, Takahashi ; Sae, Morita ; Hirata, Yukina ; Nishio, Susumu ; Yamada, Hirotsugu ; Sata, Masataka</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-wolterskluwer_health_00003017-201911191-004393</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2019</creationdate><toplevel>online_resources</toplevel><creatorcontrib>Torii, Yuta</creatorcontrib><creatorcontrib>Kusunose, Kenya</creatorcontrib><creatorcontrib>Nao, Yamada</creatorcontrib><creatorcontrib>Yuichiro, Okushi</creatorcontrib><creatorcontrib>Tomonori, Takahashi</creatorcontrib><creatorcontrib>Sae, Morita</creatorcontrib><creatorcontrib>Hirata, Yukina</creatorcontrib><creatorcontrib>Nishio, Susumu</creatorcontrib><creatorcontrib>Yamada, Hirotsugu</creatorcontrib><creatorcontrib>Sata, Masataka</creatorcontrib><jtitle>Circulation (New York, N.Y.)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Torii, Yuta</au><au>Kusunose, Kenya</au><au>Nao, Yamada</au><au>Yuichiro, Okushi</au><au>Tomonori, Takahashi</au><au>Sae, Morita</au><au>Hirata, Yukina</au><au>Nishio, Susumu</au><au>Yamada, Hirotsugu</au><au>Sata, Masataka</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Abstract 10652: Clinical Utility of Left Atrial Strain to Predict Functional Recovery in Patients With Optimal Treatments of Heart Failure</atitle><jtitle>Circulation (New York, N.Y.)</jtitle><date>2019-11-19</date><risdate>2019</risdate><volume>140</volume><issue>Suppl_1 Suppl 1</issue><spage>A10652</spage><epage>A10652</epage><pages>A10652-A10652</pages><issn>0009-7322</issn><eissn>1524-4539</eissn><abstract>BackgroundHeart failure (HF) has been reported to recovery left ventricular ejection fraction (LVEF) with appropriate treatment. Heart failure recovered ejection fraction (HFrecEF) has also been shown to have a better prognosis than heart failure with reduced ejection fraction (HFrEF). However, the factor that predicts HFrecEF is unclear.HypothesisWe hypothesized that strain imaging including LV and left atrium (LA ) at admission helps for prediction of HFrecEF.MethodsWe enrolled 100 hospitalized HF patients who patients were diagnosed with HFrEF at admission (LVEF &lt;40%) and underwent optimal treatments of heart failure. We used echocardiography indices performed at admission for all cases.ResultsThere were 28 patients improved to HFrecEF during 24±13 months of follow-up. In the clinical background, there were significantly more women and less atrial fibrillation in the HFrecEF group than in the HFrEF group, but there were no significant differences in medical history, laboratory data and medications. In the univariate logistic regression analysis, in HFrecEF group was echocardiographic indices at admission were significantly higher LVEF, LV global longitudinal strain, right ventricular strain and LA strain than the HFrEF group. In the multivariate logistic regression analysis, LA strain was an independent predictor of HFrecEF even after correction with age, gender and LVEF (OR4.1, p &lt;0.001).ConclusionsLA strain at admission predicts HFrecEF in patients with optimal treatments of heart failure.</abstract><pub>by the American College of Cardiology Foundation and the American Heart Association, Inc</pub><doi>10.1161/circ.140.suppl_1.10652</doi></addata></record>
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title Abstract 10652: Clinical Utility of Left Atrial Strain to Predict Functional Recovery in Patients With Optimal Treatments of Heart Failure
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