PMID- 21423465
OWN - NLM
STAT- MEDLINE
DCOM- 20110707
LR  - 20211020
IS  - 1526-6702 (Electronic)
IS  - 0730-2347 (Print)
IS  - 0730-2347 (Linking)
VI  - 38
IP  - 1
DP  - 2011
TI  - Usefulness of the Echocardiographic Multi-Parameter Score (EMPS) in evaluating 
      left ventricular global heart function.
PG  - 27-34
AB  - In this study, we established a new index by combining several echocardiographic 
      parameters to quantify heart failure. We selected 233 consecutive patients who 
      underwent both echocardiographic and plasma B-type natriuretic peptide (BNP) 
      tests within 24 hours after referral for suspected heart failure. The 
      echocardiographic parameters included systolic function, diastolic function, left 
      ventricular chamber remodeling, valvular lesions, systolic pulmonary arterial 
      pressure, and regional wall-motion abnormality. Each factor was scored from 1 to 
      3 points according to its severity. The total point from these 6 factors is the 
      echocardiographic multi-parameter score (EMPS).The EMPS for 37, 51, 77, and 38 
      patients from New York Heart Association (NYHA) functional classes I, II, III, 
      and IV, respectively, were 1.24 +/- 1.25, 2.98 +/- 1.83, 5.96 +/- 2.38, and 7.21 +/- 
      1.99, which were significantly different from the mean score of our 30 normal 
      patients (P <0.001). Sensitivity, specificity, and accuracy of an EMPS >/=2 for 
      diagnosis of NYHA classes II to IV were 93%, 83%, and 89%, respectively. The area 
      under the receiver operating characteristic curve was 0.94 (95% confidence 
      interval, 0.92-0.98; P <0.001). There were significant correlations between 
      logBNP and EMPS (r=0.81, P <0.001) or Tei index (r=0.48, P <0.001). In 
      multilinear regression analysis, EMPS, early/late transmitral flow, and peak 
      systolic velocity from tissue Doppler were entered into the model (P <0.001). The 
      standardized regression coefficient (r=0.68) of EMPS was much higher than those 
      of the other 2 factors, which suggests that EMPS is a powerful predictor of BNP 
      levels.
FAU - Zhou, Bingyuan
AU  - Zhou B
AD  - Department of Cardiology, the First Affiliated Hospital of Soochow University, 
      Suzhou 215006, People's Republic of China.
FAU - Yang, Junhua
AU  - Yang J
FAU - Yang, Xiangjun
AU  - Yang X
FAU - He, Yongming
AU  - He Y
FAU - Zhao, Caiming
AU  - Zhao C
FAU - Xu, Sudan
AU  - Xu S
FAU - Wang, Huifeng
AU  - Wang H
LA  - eng
PT  - Evaluation Study
PT  - Journal Article
PL  - United States
TA  - Tex Heart Inst J
JT  - Texas Heart Institute journal
JID - 8214622
RN  - 0 (Biomarkers)
RN  - 114471-18-0 (Natriuretic Peptide, Brain)
SB  - IM
MH  - Adult
MH  - Aged
MH  - Aged, 80 and over
MH  - Biomarkers/blood
MH  - Blood Pressure
MH  - China
MH  - *Echocardiography, Doppler
MH  - Female
MH  - Heart Failure/blood/*diagnostic imaging/physiopathology
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - Myocardial Contraction
MH  - Natriuretic Peptide, Brain/blood
MH  - Pilot Projects
MH  - Predictive Value of Tests
MH  - Pulmonary Artery/diagnostic imaging/physiopathology
MH  - Regression Analysis
MH  - Retrospective Studies
MH  - Sensitivity and Specificity
MH  - Severity of Illness Index
MH  - *Ventricular Function, Left
MH  - Ventricular Remodeling
MH  - Young Adult
PMC - PMC3060736
OTO - NOTNLM
OT  - Blood pres-sure
OT  - cardiovascular diseases/etiology
OT  - diagnostic techniques, cardiovas-cular
OT  - echocardiography/standards
OT  - heart failure/diagnosis/physiopathology/statistics & numerical data
OT  - heart function tests/methods
OT  - heart valve diseases/complications
OT  - hypertension, pulmonary
OT  - natriuretic peptide, brain
OT  - predictive value of tests
OT  - pulmonary wedge pressure
OT  - stroke volume
OT  - ventricular function, left/diagnosis/ultrasonography
OT  - ventricular remodeling
EDAT- 2011/03/23 06:00
MHDA- 2011/07/08 06:00
PMCR- 2011/01/01
CRDT- 2011/03/23 06:00
PHST- 2011/03/23 06:00 [entrez]
PHST- 2011/03/23 06:00 [pubmed]
PHST- 2011/07/08 06:00 [medline]
PHST- 2011/01/01 00:00 [pmc-release]
AID - 0010801-201102000-00006 [pii]
PST - ppublish
SO  - Tex Heart Inst J. 2011;38(1):27-34.