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Association of survival time with transthoracic echocardiography in stable patients with heart failure: Is routine follow-up ever appropriate?
Citation
Fonseca, R and Otahal, P and Galligan, J and Neilson, S and Huynh, Q and Saito, M and Negishi, K and Marwick, TH, Association of survival time with transthoracic echocardiography in stable patients with heart failure: Is routine follow-up ever appropriate?, International Journal of Cardiology, 230 pp. 619-624. ISSN 0167-5273 (2017) [Refereed Article]
Copyright Statement
Copyright 2016 Elsevier Ireland Ltd.
DOI: doi:10.1016/j.ijcard.2016.12.043
Abstract
Methods: Patients with HF were selected from consecutive HF admissions from 2008 to 2012. Groups were divided into: no follow-up TTE; routine < 1 year with no change in status ("rarely appropriate"), ≥ 1 year follow-up with no change in status ("maybe appropriate") and TTE due to change in clinical status ("appropriate"). Survival analysis was performed for the combined endpoint of HF readmission and death, and a separate analysis was performed for HF readmission, with death as a competing risk.
Results: Of 550 HF patients, 141 had a follow-up TTE, including 41 (29%) within 1 year. The event-free time in years was similar between no TTE (1.10 years [95%CI: 0.69, 1.49], routine TTE < 1 year (2.61 years [95% CI: 1.08, 3.04], routine > 1 year (2.45 years [95% CI: 1.37, 5.78]); all were greater than symptomatic patients (0.09 years [95% CI: 0.02, 1.80]). HF readmission was independently associated with statins, renal disease, coronary angiography and NYHA class, but not follow-up TTE timing. There were no differences in the cumulative incidence for death between groups. There were no differences in change in management in routine TTE < 1 year and ≥ 1 year.
Conclusion: The distinction of appropriateness of routine repeat TTE in stable HF patients, based on testing < 1 or ≥ 1year after index admission appears unjustified.
Item Details
Item Type: | Refereed Article |
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Keywords: | appropriate use, echocardiography, heart failure |
Research Division: | Biomedical and Clinical Sciences |
Research Group: | Cardiovascular medicine and haematology |
Research Field: | Cardiology (incl. cardiovascular diseases) |
Objective Division: | Health |
Objective Group: | Clinical health |
Objective Field: | Clinical health not elsewhere classified |
UTAS Author: | Fonseca, R (Mr Ricardo Fonseca Diaz) |
UTAS Author: | Otahal, P (Mr Petr Otahal) |
UTAS Author: | Huynh, Q (Dr Quan Huynh) |
UTAS Author: | Saito, M (Dr Makoto Saito) |
UTAS Author: | Negishi, K (Dr Kazuaki Negishi) |
UTAS Author: | Marwick, TH (Professor Tom Marwick) |
ID Code: | 115828 |
Year Published: | 2017 |
Deposited By: | Menzies Institute for Medical Research |
Deposited On: | 2017-04-12 |
Last Modified: | 2018-05-29 |
Downloads: | 0 |
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