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Evaluation of Pulse Pressure and Proportional Pulse Pressure as Predictors of Severity among Patients Having Heart Failure with Reduced Ejection Fraction

INTRODUCTION: Proportional Pulse Pressure (PPP) is a significant risk indicator in heart failure. PPP is a simple, inexpensive and easily measurable clinical index. This non-invasive test provides useful prognostic information for patients with heart failure with reduced ejection fraction (EF) parti...

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Autores principales: Kothai, Gnanamoorthy, Janani, A, Malathy, Athanallur Raman, Suthakaran, Prasanna Karthik
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Wolters Kluwer - Medknow 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7694704/
https://www.ncbi.nlm.nih.gov/pubmed/32820731
http://dx.doi.org/10.4103/aam.aam_43_19
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author Kothai, Gnanamoorthy
Janani, A
Malathy, Athanallur Raman
Suthakaran, Prasanna Karthik
author_facet Kothai, Gnanamoorthy
Janani, A
Malathy, Athanallur Raman
Suthakaran, Prasanna Karthik
author_sort Kothai, Gnanamoorthy
collection PubMed
description INTRODUCTION: Proportional Pulse Pressure (PPP) is a significant risk indicator in heart failure. PPP is a simple, inexpensive and easily measurable clinical index. This non-invasive test provides useful prognostic information for patients with heart failure with reduced ejection fraction (EF) particularly in those with an EF < 30% where lower proportional pulse pressure independently predicts mortality. METHODS: A prospective observational study involving 150 patients with reduced ejection fraction was done. Detailed history, clinical examination and parameters like pulse pressure, proportional pulse pressure were evaluated and correlated with ejection fraction. RESULTS: The mean age of the patients was 58.99 ± 11.03 years and the majority of the study participants (57.33 %) were between 45 and 65 years of age. The most common etiology of heart failure (HF) was coronary heart disease in this study (76%). Proportional Pulse pressure showed significant association with ejection fraction. The specificity for detecting heart failure was more for proportional pulse pressure and systolic blood pressure (95 % each). CONCLUSION: Proportional Pulse Pressure may help to identify HF patients who present with low cardiac output, low ejection fraction, and worse prognosis. Our current observations reinforce the importance of clinically based skills that must not be forgotten when managing HF.
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spelling pubmed-76947042020-12-02 Evaluation of Pulse Pressure and Proportional Pulse Pressure as Predictors of Severity among Patients Having Heart Failure with Reduced Ejection Fraction Kothai, Gnanamoorthy Janani, A Malathy, Athanallur Raman Suthakaran, Prasanna Karthik Ann Afr Med Original Article INTRODUCTION: Proportional Pulse Pressure (PPP) is a significant risk indicator in heart failure. PPP is a simple, inexpensive and easily measurable clinical index. This non-invasive test provides useful prognostic information for patients with heart failure with reduced ejection fraction (EF) particularly in those with an EF < 30% where lower proportional pulse pressure independently predicts mortality. METHODS: A prospective observational study involving 150 patients with reduced ejection fraction was done. Detailed history, clinical examination and parameters like pulse pressure, proportional pulse pressure were evaluated and correlated with ejection fraction. RESULTS: The mean age of the patients was 58.99 ± 11.03 years and the majority of the study participants (57.33 %) were between 45 and 65 years of age. The most common etiology of heart failure (HF) was coronary heart disease in this study (76%). Proportional Pulse pressure showed significant association with ejection fraction. The specificity for detecting heart failure was more for proportional pulse pressure and systolic blood pressure (95 % each). CONCLUSION: Proportional Pulse Pressure may help to identify HF patients who present with low cardiac output, low ejection fraction, and worse prognosis. Our current observations reinforce the importance of clinically based skills that must not be forgotten when managing HF. Wolters Kluwer - Medknow 2020 2020-08-19 /pmc/articles/PMC7694704/ /pubmed/32820731 http://dx.doi.org/10.4103/aam.aam_43_19 Text en Copyright: © 2020 Annals of African Medicine http://creativecommons.org/licenses/by-nc-sa/4.0 This is an open access journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms.
spellingShingle Original Article
Kothai, Gnanamoorthy
Janani, A
Malathy, Athanallur Raman
Suthakaran, Prasanna Karthik
Evaluation of Pulse Pressure and Proportional Pulse Pressure as Predictors of Severity among Patients Having Heart Failure with Reduced Ejection Fraction
title Evaluation of Pulse Pressure and Proportional Pulse Pressure as Predictors of Severity among Patients Having Heart Failure with Reduced Ejection Fraction
title_full Evaluation of Pulse Pressure and Proportional Pulse Pressure as Predictors of Severity among Patients Having Heart Failure with Reduced Ejection Fraction
title_fullStr Evaluation of Pulse Pressure and Proportional Pulse Pressure as Predictors of Severity among Patients Having Heart Failure with Reduced Ejection Fraction
title_full_unstemmed Evaluation of Pulse Pressure and Proportional Pulse Pressure as Predictors of Severity among Patients Having Heart Failure with Reduced Ejection Fraction
title_short Evaluation of Pulse Pressure and Proportional Pulse Pressure as Predictors of Severity among Patients Having Heart Failure with Reduced Ejection Fraction
title_sort evaluation of pulse pressure and proportional pulse pressure as predictors of severity among patients having heart failure with reduced ejection fraction
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7694704/
https://www.ncbi.nlm.nih.gov/pubmed/32820731
http://dx.doi.org/10.4103/aam.aam_43_19
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