Is Low Ejection Fraction Sufficient to Define the Prognosis of a

SCVC - Abstract
Página 1 de 2
Home SVCC
Area: English
- Español - Português
Is Low Ejection Fraction Sufficient to
Define the Prognosis of a Patient or
Should we Characterize the Type of
Dyastolic Dysfunction?
Citelli, José E.; Villarraga, Héctor R.;
Sánchez, Jairo; Badiel, Marisol;
Olaya, Pastor; Rosso, Fernando
Echocardiographic and Hemodinamic Laboratory.
Fundación Valle del Lili, Cali, Colombia
Introduction:Low Ejection Fraction (EF) and restrictive physiology are known factors of poor prognosis.
However we do not know if other types of diastolic dysfunction carry also a bad prognosis.
Objective : Define the prognostic value of the non restrictive and restrictive patterns in patients with low
EF.
Design: Observational. Bi-directional cohort.
Methods: Patients were selected from the echocardiographic registry between May, 1998 and March 2000
with an EF of <40% with complete diastolic evaluation, an d classified as restrictive (R) and non restrictive
(NR). Follow-up was performed by a physician and status regarding death or alive, functional class (FC)
and cause of death was done by a phone call. Results: 83 patients, mean age 66 years, EF 30%±8.2, 42
patients were classified in Group R. Mean follow-up of 11±7 months. Mortality rate in group R was 23.8%
and 9.7% in group NR. The OR of mortality and FC III-IV group R compared with NR was 5.44 (CI95%
1.92-15.73, p=0.001). There wasn't differences in both groups with respect to FE and demographic
characteristics.
Conclusion: Non restrictive diastolic physiology in patients with systolic dysfunction provide a better
prognosis than those with restrictive physiology, independent of EF, therefore in large trials their subtypes
should be further characterized due to its good prognosis.
Top
Questions, contributions and commentaries to the authors: send an e-mail message (up to 15 lines,
without attachments) to echo -pcvc@fac.org.ar, written either in English, Spanish, or Portuguese.
2nd Virtual Congress of Cardiology
Dr. Florencio Garófalo
Dr. Raúl Bretal
Dr. Armando Pacher
Steering Committee
President
Scientific Committee
President
Technical Committee - CETIFAC
President
fgaro@fac.org.ar
fgaro@satlink.com
rbretal@fac.org.ar
rbretal@netverk.com.ar
apacher@fac.org.ar
apacher@satlink.com
file://D:\fac\scvc\llave\abstract\tl202\TMP1005265117.htm
08/11/2001
SCVC - Abstract
Página 2 de 2
Copyright© 1999-2001 Argentine Federation of Cardiology
All rights reserved
This company contributed to the Congress:
file://D:\fac\scvc\llave\abstract\tl202\TMP1005265117.htm
08/11/2001