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Cutoff Value of Phase Angle by Bioelectrical Impedance Analysis at Admission as a Prognostic Factor in Patients with Acute Heart Failure
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Cutoff Value of Phase Angle by Bioelectrical Impedance Analysis at Admission as a Prognostic Factor in Patients with Acute Heart Failure

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[Prognostic evaluation in patients with heart failure]

Enrico Vizzardi1, Savina Nodari, Claudia Fiorina

  • 1Cattedra e U.O. di Cardiologia, Università degli Studi, Brescia.

Italian Heart Journal. Supplement : Official Journal of the Italian Federation of Cardiology
|November 26, 2003
PubMed

Insights

Heart failure is rising, with high mortality. Prognostic factors include clinical, hemodynamic, functional, biochemical, and electrophysiological patterns, aiding risk assessment and patient management.

Area of Science:

  • Cardiology
  • Internal Medicine
  • Clinical Research

Context:

  • Heart failure prevalence and mortality have significantly increased.
  • Identifying prognostic predictors is crucial for patient management.

Purpose:

  • To review various predictors of heart failure prognosis.
  • To highlight the importance of clinical, hemodynamic, functional, biochemical, and electrophysiological parameters.

Summary:

  • Clinical factors (age, sex, etiology), hemodynamic parameters (ejection fraction, cardiac output, pulmonary capillary wedge pressure), exercise capacity (maximum oxygen consumption, anaerobic threshold), and biochemical markers (noradrenaline, renin, aldosterone, natriuretic peptides) are key prognostic indicators.
  • Electrophysiological patterns like heart rate variability, ventricular late potentials, and T-wave alternans are associated with arrhythmia-related mortality.

Impact:

  • Provides a comprehensive overview of heart failure prognostic factors.
  • Aids clinicians in assessing patient risk and tailoring treatment strategies.
  • Informs future research directions in heart failure management.

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