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Association of survival time with transthoracic echocardiography in stable patients with heart failure: Is routine follow-up ever appropriate?





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Abstract
Background: The appropriateness of repeat transthoracic echocardiography (TTE) for stable heart failure (HF) is based on timing of the follow-up examination, but this lacks scientific support. We sought the association of routine follow-up TTE on survival and readmission in stable HF.Methods: Patients with HF were selected from consecutive HF admissions from 2008 to 2012. Groups were divided into: no follow-up TTE; routine Results: Of 550 HF patients, 141 had a follow-up TTE, including 41 (29%) within 1year. The event-free time in years was similar between no TTE (1.10years [95%CI: 0.69, 1.49], routine TTE 1year (2.45years [95% CI: 1.37, 5.78]); all were greater than symptomatic patients (0.09years [95% CI: 0.02, 1.80]). HF readmission was independently associated with statins, renal disease, coronary angiography and NYHA class, but not follow-up TTE timing. There were no differences in the cumulative incidence for death between groups. There were no differences in change in management in routine TTE Conclusion: The distinction of appropriateness of routine repeat TTE in stable HF patients, based on testing
Item Type: | Article |
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Authors/Creators: | Fonseca, R and Otahal, P and Galligan, J and Neilson, S and Huynh, Q and Saito, M and Negishi, K and Marwick, TH |
Keywords: | Appropriate use, echocardiography, heart failure |
Journal or Publication Title: | International Journal of Cardiology |
Publisher: | Elsevier Sci Ireland Ltd |
ISSN: | 0167-5273 |
DOI / ID Number: | 10.1016/j.ijcard.2016.12.043 |
Copyright Information: | Copyright 2016 Elsevier Ireland Ltd. |
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