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

Fonseca, R ORCID: 0000-0003-4480-2542, Otahal, P ORCID: 0000-0003-4042-1769, Galligan, J, Neilson, S, Huynh, Q ORCID: 0000-0003-1368-5160, Saito, M, Negishi, K ORCID: 0000-0002-9086-2565 and Marwick, TH ORCID: 0000-0001-9065-0899 2017 , 'Association of survival time with transthoracic echocardiography in stable patients with heart failure: Is routine follow-up ever appropriate?' , International Journal of Cardiology, vol. 230 , pp. 619-624 , doi: 10.1016/j.ijcard.2016.12.043.

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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
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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