PMID- 21449997
OWN - NLM
STAT- MEDLINE
DCOM- 20110719
LR  - 20161125
IS  - 1751-7133 (Electronic)
IS  - 1527-5299 (Linking)
VI  - 17
IP  - 2
DP  - 2011 Mar-Apr
TI  - Routine serial echocardiography in systolic heart failure: is it time for the 
      heart failure guidelines to change?
PG  - 85-9
LID - 10.1111/j.1751-7133.2011.00213.x [doi]
AB  - The authors sought to obtain objective evidence for impacting the American 
      College of Cardiology Heart Failure Guidelines for the routine use of serial 
      echocardiography by assessing the reliability of the use of clinician-assessed 
      patient symptoms and New York Heart Association (NYHA) functional classification 
      compared with ejection fraction (EF) measured by echocardiography. A prospective 
      study in 256 patients with systolic heart failure (HF) enrolled into an HF 
      disease management program with EF </=40% and at least 2 annual echocardiograms 
      were included. Only 86 of 256 (33.5%) patients were correctly classified by NYHA 
      class as showing improvement, no change, or deterioration as compared with 
      echocardiographic assessments. Patients whose NYHA class showed no change between 
      echocardiograms had the lowest survival rate. Quantification in patient's status 
      with NYHA classification is not always a reliable assessment to evaluate 
      prognosis and guide medical therapy for patients with systolic HF.
CI  - (c) 2011 Wiley Periodicals, Inc.
FAU - Hebert, Kathy
AU  - Hebert K
AD  - Department of Medicine, University of Miami Miller School of Medicine, 1611 NW 
      12th Avenue, Miami, FL 33136, USA. khebert1@gmail.com
FAU - Macedo, Francisco Yuri Bulcao
AU  - Macedo FY
FAU - Trahan, Patrick
AU  - Trahan P
FAU - Tamariz, Leonardo
AU  - Tamariz L
FAU - Dias, Andre
AU  - Dias A
FAU - Palacio, Ana
AU  - Palacio A
FAU - Arcement, Lee M
AU  - Arcement LM
LA  - eng
PT  - Journal Article
PL  - United States
TA  - Congest Heart Fail
JT  - Congestive heart failure (Greenwich, Conn.)
JID - 9714174
SB  - IM
MH  - Echocardiography/*methods
MH  - Female
MH  - Heart Failure, Systolic/*diagnostic imaging
MH  - Humans
MH  - Male
MH  - *Practice Guidelines as Topic
MH  - Prognosis
MH  - Prospective Studies
MH  - Systole
EDAT- 2011/04/01 06:00
MHDA- 2011/07/20 06:00
CRDT- 2011/04/01 06:00
PHST- 2011/04/01 06:00 [entrez]
PHST- 2011/04/01 06:00 [pubmed]
PHST- 2011/07/20 06:00 [medline]
AID - 10.1111/j.1751-7133.2011.00213.x [doi]
PST - ppublish
SO  - Congest Heart Fail. 2011 Mar-Apr;17(2):85-9. doi: 
      10.1111/j.1751-7133.2011.00213.x.