Journal of Isfahan Medical School

Journal of Isfahan Medical School

The Value of E/e'/Stroke Volume Index in Patients Admitted with Acute Decompensation of Systolic Heart Failure

Document Type : Original Article (s)

Authors
Maryam Shojaeifard 1
Nasim Naderi 1
Farideh Akhoundi 2
Sajjad Erami 3
Hossein Dehghani-Mohammadabadi 3
Hamideh Khesali 4
Rozita Jalalian 5
Mohammad Reza Baay
1 Associate Professor, Rajaie Cardiovascular, Medical, and Research Center, Tehran, Iran
2 Rajaie Cardiovascular, Medical, and Research Center, Tehran, Iran
3 Department of Cardiology, School of Medicine, Shahid Sadoughi University of Medical Sciences, Yazd, Iran
4 Assistant Professor, Rajaie Cardiovascular, Medical, and Research Center, Tehran, Iran
5 Assistant Professor, Cardiovascular Research Center, Mazandaran University of Medical Sciences, Sari, Iran
10.22122/jims.v37i537.12185
Abstract
Background: Heart failure (HF) is a global pandemic and a serious health issue in elderly population. It is among the leading causes of mortality, which imposes immense economic burden and premature deaths. In the present study we evaluate the value of E velocity of mitral inflow/E’ wave of mitral annular velocity/stroke volume (E/e'/SV) index in relation to in-hospital outcomes in patients with acute decompensation of systolic HF.Methods: In this descriptive-cross sectional study, 59 patient admitted with the diagnosis of decompensated HF were selected, and echocardiography was done before initiation of treatment. E/e′/SV ratio calculated for them before initiation of treatment, and then this index compared with duration of admission, treatment type, in-hospital mortality, and other echocardiographic finding including tricuspid regurgitation gradient (TRG), right ventricle (RV) size, RV function, and left atrium (LA) size. Pro-brain natriuretic peptide (Pro-BNP) and cardiac troponin-I (cTN-I) levels were also recorded.Findings: There was a significant statistical relationship between E/e’/SV index with LV and RV function, ejection fraction (EF), and functional class (FC) factor, as well as prior hospital admissions rate.Conclusion: According to the results of present study, E/e’/SV index is not related to the severity of disease, but has a significant relationship with FC and the number of previous admissions.
Keywords
Heart Failure
Stroke volume
Prognosis
Hospitalization
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Journal of Isfahan Medical School
Volume 37, Issue 537 - Serial Number 537
July and August 2019
Pages 910-915

  • Receive Date 19 September 2019
  • Accept Date 06 April 2022