PMID- 19521019
OWN - NLM
STAT- MEDLINE
DCOM- 20091215
LR  - 20220311
IS  - 1347-4820 (Electronic)
IS  - 1346-9843 (Linking)
VI  - 73
IP  - 8
DP  - 2009 Aug
TI  - Incidence and clinical predictors of deep vein thrombosis in patients 
      hospitalized with heart failure in Japan.
PG  - 1513-7
AB  - BACKGROUND: The aim of this study was to clarify the incidence and clinical 
      predictors of deep vein thrombosis (DVT) in patients with congestive heart 
      failure (CHF) in Japan. METHODS AND RESULTS: Between January 2003 and January 
      2008, 161 patients were admitted to Mie University Hospital with a diagnosis of 
      CHF and underwent venous compression ultrasonography. Of them, 18 patients 
      (11.2%) were diagnosed with DVT. As defined by New York Heart Association (NYHA) 
      functional class, class IV patients had a higher incidence rate of DVT than those 
      in class II or III (class II: 3 patients (4.4%), class III: 2 patients (4.8%), 
      class IV: 13 patients (25.5%), P<0.01). Multiple logistic regression analysis 
      identified that NYHA functional class and poor collapsibility of the inferior 
      vena cava on ultrasonography as independent predictors of DVT (odds ratios (OR) 
      3.74, 95% confidence interval (CI) 1.72-8.16, P<0.01 and OR 4.43, 95%CI 
      1.36-14.43, P<0.05, respectively). Therapy without anticoagulation also indicated 
      a significant increase in DVT incidence in CHF patients (OR 3.71, 95%CI 
      1.13-12.18, P<0.05). CONCLUSIONS: Patients with CHF have a high risk for DVT and 
      the risk increases according to NYHA functional class, poor IVC collapsibility or 
      therapy without anticoagulation.
FAU - Ota, Satoshi
AU  - Ota S
AD  - Department of Cardiology, Mie University Graduate School of Medicine, Tsu, Japan.
FAU - Yamada, Norikazu
AU  - Yamada N
FAU - Tsuji, Akihiro
AU  - Tsuji A
FAU - Ishikura, Ken
AU  - Ishikura K
FAU - Nakamura, Mashio
AU  - Nakamura M
FAU - Ito, Masaaki
AU  - Ito M
LA  - eng
PT  - Journal Article
DEP - 20090612
PL  - Japan
TA  - Circ J
JT  - Circulation journal : official journal of the Japanese Circulation Society
JID - 101137683
SB  - IM
MH  - Female
MH  - Heart Failure/*complications/epidemiology
MH  - Heart Function Tests
MH  - Hospitalization
MH  - Humans
MH  - Incidence
MH  - Japan
MH  - Logistic Models
MH  - Male
MH  - Predictive Value of Tests
MH  - Prospective Studies
MH  - Risk Factors
MH  - Ultrasonography
MH  - Vena Cava, Inferior/diagnostic imaging
MH  - Venous Thrombosis/diagnostic imaging/*epidemiology/*etiology
EDAT- 2009/06/13 09:00
MHDA- 2009/12/16 06:00
CRDT- 2009/06/13 09:00
PHST- 2009/06/13 09:00 [entrez]
PHST- 2009/06/13 09:00 [pubmed]
PHST- 2009/12/16 06:00 [medline]
AID - JST.JSTAGE/circj/CJ-08-0990 [pii]
AID - 10.1253/circj.cj-08-0990 [doi]
PST - ppublish
SO  - Circ J. 2009 Aug;73(8):1513-7. doi: 10.1253/circj.cj-08-0990. Epub 2009 Jun 12.