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 |
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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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fullrecord | <record><control><sourceid>wolterskluwer</sourceid><recordid>TN_cdi_wolterskluwer_health_00003017-201911191-00439</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>00003017-201911191-00439</sourcerecordid><originalsourceid>FETCH-wolterskluwer_health_00003017-201911191-004393</originalsourceid><addsrcrecordid>eNqdj91Kw0AQhRdRMP68guwLJO5k80O8K8XSC6FFK16GdZ2Q0W0SdieWvoJP7VJ8Ai-GYc5858AR4g5UBlDBvSVvMyhUFuZpci1koKoyPxMJlHmRFqVuzkWilGrSWuf5pbgK4TOela7LRPws3gN7Y1meXA9y6Wgga5x8ZXLERzl28gk7lgv2FOWXSNMgeZRbjx8Ujat5sEzjEJ_PaMdv9EcZia1hwoGDfCPu5WZi2kdi59Hw_qTH4DUaHwMMudnjjbjojAt4-7evRbF63C3X6WF0jD58ufmAvu3ROO7b2EBpBXWaK2gA4qRKFbrR_7T9AlTgY_U</addsrcrecordid><sourcetype>Publisher</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype></control><display><type>article</type><title>Abstract 10652: Clinical Utility of Left Atrial Strain to Predict Functional Recovery in Patients With Optimal Treatments of Heart Failure</title><source>American Heart Association Journals</source><source>Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals</source><source>Journals@Ovid Complete</source><creator>Torii, Yuta ; Kusunose, Kenya ; Nao, Yamada ; Yuichiro, Okushi ; Tomonori, Takahashi ; Sae, Morita ; Hirata, Yukina ; Nishio, Susumu ; Yamada, Hirotsugu ; Sata, Masataka</creator><creatorcontrib>Torii, Yuta ; Kusunose, Kenya ; Nao, Yamada ; Yuichiro, Okushi ; Tomonori, Takahashi ; Sae, Morita ; Hirata, Yukina ; Nishio, Susumu ; Yamada, Hirotsugu ; Sata, Masataka</creatorcontrib><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 <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 <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 <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 <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 <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 <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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