Author + information
- Renata R.T. Castro,
- Shweta Motiwala,
- Emer Joyce,
- Lynne Stevenson,
- Michael Givertz,
- Akshay Desai and
- Eldrin Lewis
Background: Heart failure (HF) therapies are initiated to decrease mortality but are often adjusted in response to limitation of activities and quality of life (QOL).
Objectives: To analyze the relationship between QOL and standard echocardiographic parameters in ambulatory HF.
Methods: During routine clinic visits, 681 pts completed questionnaires including a visual analog scale for QOL and a statement regarding whether they were worse, better, or the same as 6 months before. They were divided in 2 groups by QOL scale (0-100): more impaired (< 60) and less impaired (≥60). Echo results within 18 months were reviewed for standard parameters of HF disease severity. Univariate analysis and multivariate logistic regression were performed.
Results: Clinical stability was high as 83% of pts reported feeling the same or better. Patients with more impaired QOL (n=265) had the same left ventricular dimensions but higher pulmonary artery pressure (PASP) than those with less impaired QOL (n=416) and were over twice as likely to have PASP> 40 mmHg. Mitral and tricuspid regurgitation and right ventricular dysfunction were more common in impaired QOL group, but these differences were no longer significant when PASP was in the multivariate model (table 1).
Conclusions: High PASP is associated with impaired QOL in HF ambulatory pts and may guide therapy to improve patient-reported outcomes.
Poster Hall, Hall C
Saturday, March 18, 2017, 9:45 a.m.-10:30 a.m.
Session Title: Innovative Use of Echocardiography
Abstract Category: 28. Non Invasive Imaging: Echo
Presentation Number: 1197-209
- 2017 American College of Cardiology Foundation