Acoltzin-Vidal JRC

Language: Spanish
References: 18
Page: 692-695
PDF size: 240.75 Kb.

ABSTRACT

Background: Viewing heart failure as a clinical syndrome delays treatment and impairs prognosis, which leads to the question: Is it possible to make an early diagnosis based on echocardiography studies?
Methods: It was carried out a review of medical records of asymptomatic heart disease patients, with no treatment, who were studied by echocardiogram in order to measure cardiac output (CO) and total peripheral vascular resistance (TPVR), for which mean blood pressure was calculated. It is descr bed the hemodynamic regime on the basis of the proportion of three integrated groups according to CO and TPVR.
Results: The hemodynamic regime in 200 heart disease patients was hypokinetic in 36%, hyperkinetic in 17% and eukinetic in 47%.
Conclusion: Non-invasive hemodynamic study identified asymptomatic heart failure in one third of the cases.

REFERENCES

1. Hunt SH, Baker D, Chiu M, Cinquegrani M, Feldman A, Francis CS, et al;. American College of Cardiology/ American Heart Association. ACC/AHA Guidelines for the evaluation and management of the chronic heart failure in the adult: Executive summary. A report of the American College of Cardiology/American Heart Association Task Force on practice guidelines (Committee to revise the 1995 guidelines for the evaluation and management of heart failure). Circulation 2001;104:2996-3007. Disponible en http://circ. ahajournals.org/content/104/24/2996.long

2. Yancy CW, Jessup M, Bozkurt B, Butler J, Casey DE Jr, Drazner MH, et al. (WRITING COMMITTEE MEMBERS); American College of Cardiology Foundation/American Heart Association Task Force on Practice Guidelines. 2013 ACCF/AHA guideline for the management of heart failure: a report of the American College of Cardiology Foundation/American Heart Association Task Force on practice guidelines. Circulation. 2013 Oct 15;128(16):e240-327. doi: 10.1161/CIR.0b013e31829e8776. Dispon ble en http://circ.ahajournals.org/content/128/16/e240.long

3. Skromne-Kadlubik D, Aguilar-Romero R, Chávez- Domínguez R, Enciso-Muñoz JM, Hernández- García H, Meaney-Mendiolea E et al. Insuficiencia cardiaca. En: I Consenso Nacional de Insuficiencia Cardiaca. Rev Mex Cardiol. 2000;11(2):224-34.

4. Dickstein K, Cohen-Solal A, Filippatos G, McMurray JJ, Ponikowski P, Poole-Wilson PA, et al.; ESC Committee for Practice Guidelines (CPG). ESC guidelines for the diagnosis and treatment of acute and chronic heart failure 2008: the Task Force for the diagnosis and treatment of acute and chronic heart failure 2008 of the European Society of Cardiology. Developed in collaboration with the Heart Failure Association of the ESC (HFA) and endorsed by the European Society of Intensive Care Medicine (ESICM). Eur J Heart Fail. 2008 Oct;10(10):933-89. doi: 10.1016/j.ejheart.2008.08.005.

5. McMurray JJ, Adamopoulos S, Anker SD, Auricchio A, Böhm M, Dickstein K, et al.; ESC Committee for Practice Guidelines. ESC guidelines for the diagnosis and treatment of acute and chronic heart failure 2012: The Task Force for the Diagnosis and Treatment of Acute and Chronic Heart Failure 2012 of the European Society of Cardiology. Developed in collaboration with the Heart Failure Association (HFA) of the ESC. Eur J Heart Fail. 2012 Aug;14(8):803-69. doi: 10.1093/eurjhf/hfs105. Disponible en http://eurheartj. oxfordjournals.org/content/33/14/1787.full.pdf

6. Grosman W. Cardiac Catheterization and angiography. Second Edition. Philadelphia, USA: Lea and Febiger; 1980. p. 415.

7. Partiere JM, Logeart D, Beauvais F, Chavelas C, Kesri L, Tabet JY, et al. Non-invasive radial pulse wave assessment for the evaluation of the ventricular systolic performance in heart failure. Eur J Heart Failure. 2007;9(5):477-83.

8. Senny M, Rodeheffer RJ, Tribouilloy CM, Evans JM, Jacobsen SJ, Bailey KR, et al. Use of echocardiography in the management of congestive heart failure in the community. J Am Coll Cardiol. 1999;33(1):164-70.

9. Akosa KO, Moncher K, Schaper A, Havl k P, Devine S. Chronic Heart Failure in the community: missed diagnosis and missed opportunities. J Card Fail. 2001;7(3):232-8.

10. Wang TJ, Evans JC, Benjamin EJ, Levy D, Le Roy EC, Vasan RS. Natural history of asymptomatic left ventricular systolic dysfunction in the community. Circulation. 2003;108(8):977-82.

11. Wang TJ, Levy D, Benjamin EJ, Vasan RS. The epidemiology of “asymptomatic” left ventricular systolic dysfunction: implications for screening. Ann Intern Med. 2003;138(11):907-16.

12. Redfield MM, Jacobsen SJ, Burnet JC Jr, Mahoney DW, Bailey KR, Rodeheffer RJ. Burden of systolic and diastolic ventricular dysfunction in the community: appreciating the scope of the heart failure epidemic. JAMA. 2003;289(2):194-202.

13. Lloyd-Jones DM. The risk of congestive Heart failure: sobering lessons from the Framingham Heart Study. Curr Cardiol Rep. 2001;3(3):184-90.

14. Vasan RS, Larso MG, Benjamin EJ, Evans JC, Reiss CK, Levy D. Congestive Heart Failure in subjects with normal versus reduced left ventricular ejection fraction: prevalence and mortality based on a populationbased cohort. J Am Coll Cardiol. 1999;33(7): 1948-55.

15. Ammar KA, Jacobsen SJ, Mahoney DW, Kors JA, Redfield MM, Burnett JC Jr, et al. Prevalence and prognostic significance of heart failure stages: Applications of the American College of Cardiology/American Heart Association heart failure stating criteria in the community. Circulation. 2007;115:1563-70. Dispon ble en http://circ.ahajournals.org/content/115/12/1563.long

16. Ojji D, Parsonage W, Dooris M, Adebiyi A, Oladapo O, Adeleye J, et al. Left ventricular diastolic function in normotensive type-2 diabetic subjects. J Natl Med Assoc. 2008 Sep;100(9):1066-72.

17. Kosmala W, Wong C, Kuliczkowska J, Leano R, Prezewlocka- Kosmala H, Marwick TH. Use of body weight and insulin resistance to select obese patients for echocardiographic assessment of subclinical left ventricular dysfunction. Am J Cardiol. 2008;101(9): 1334-40.

18. Holland DJ, Prasad SB, Marwick TH. Contribution of exercise echocardiography to the diagnosis of heart failure with preserved ejection fraction (HCpEF). Heart. 2010;96(13):1024-8.