Risk stratification in chronic heart failure

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Risk stratification in chronic heart failure.

Despite advances in medical and surgical management, the prognosis of chronic heart failure remains poor. Few patients with chronic heart failure can be considered to have a good prognosis, but different trials have indicated a 6 month mortality between 5% and 60% depending on the severity of heart failure; identifying patients at truly low risk is difficult. A host of factors have been identif...

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Acute heart failure risk stratification: can we define low risk?

The emergency department evaluation and management of patients who have potential acute heart failure syndromes (AHFS) has remained a significant challenge for decades. The emergency physician's diagnostic tools for heart failure have remained limited, and the complexity of the syndrome itself has led to risk-averse practice styles with extremely high admission rates. Recently, new diagnostic m...

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Chronic heart failure in the elderly: value of cardiopulmonary exercise testing in risk stratification.

OBJECTIVE To assess the value of cardiopulmonary exercise testing in predicting prognosis in a cohort of elderly patients with chronic heart failure (CHF). DESIGN A retrospective cohort study of all patients with CHF over the age of 70 years assessed between January 1992 and May 1997. SETTING Tertiary centre. PATIENTS 50 patients (mean (SD) age 75.9 (4.5) years, 8 women) with CHF New York...

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Use of myeloperoxidase for risk stratification in acute heart failure.

BACKGROUND Myeloperoxidase (MPO) is a biomarker of inflammation and oxidative stress produced by neutrophils, monocytes, and endothelial cells. Concentrations of MPO predict mortality in patients with chronic heart failure. This study sought to investigate the diagnostic accuracy and prognostic value of MPO in patients with acute heart failure (AHF). METHODS We prospectively enrolled 667 pati...

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Molecular risk stratification in advanced heart failure patients

Risk stratification in advanced heart failure (HF) is crucial for the individualization of therapeutic strategy, in particular for heart transplantation and ventricular assist device implantation. We tested the hypothesis that cardiac gene expression profiling can distinguish between HF patients with different disease severity. We obtained tissue samples from both left (LV) and right (RV) ventr...

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ژورنال

عنوان ژورنال: European Heart Journal

سال: 1998

ISSN: 0195-668X

DOI: 10.1053/euhj.1997.0820