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[Diagnostic value of Tei index in detection of chronic heart failure in elderly patients]

B Ia Bart, V N Larina, M N Alekhin

    Terapevticheskii Arkhiv
    |May 22, 2008
    PubMed

    Insights

    The Tei index effectively detects chronic heart failure (CHF) in elderly patients. This simple echocardiographic measurement shows high sensitivity and specificity for diagnosing heart failure in older adults.

    Area of Science:

    • Cardiology
    • Geriatrics
    • Diagnostic Imaging

    Background:

    • Chronic heart failure (CHF) is a significant health concern in the elderly population.
    • Accurate and accessible diagnostic tools are crucial for timely CHF management in older adults.

    Purpose of the Study:

    • To assess the diagnostic utility of the Tei index for detecting chronic heart failure (CHF) in elderly outpatients.
    • To determine the sensitivity and specificity of the Tei index in this demographic.

    Main Methods:

    • The study involved 101 elderly patients with coronary heart disease (CHD) and 46 age-matched controls without heart disease.
    • Doppler echocardiography was used to calculate the Tei index, defined as the ratio of isovolumic contraction time plus isovolumic relaxation time to left ventricular ejection time.

    Main Results:

    • The mean Tei index was significantly higher in CHF patients compared to controls.
    • The Tei index demonstrated high diagnostic accuracy for CHF, with a sensitivity of 90% and specificity of 87% at an optimal cutoff of 0.56.
    • The index was elevated in CHD patients with both low and normal left ventricular ejection fraction.

    Conclusions:

    • The Tei index is a valuable and reliable echocardiographic parameter for diagnosing chronic heart failure in elderly outpatients.
    • Its calculation is feasible across a wide range of echocardiographic visualization qualities, making it broadly applicable.
    Abstract

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