Diagnostic Value of Brachial-ankle Artery Pulse Wave Velocity in Patients of Heart Failure With Preserved Ejection Fraction
10.3969/j.issn.1000-3614.2014.10.013
- VernacularTitle:臂踝动脉脉搏波速度对射血分数保留心力衰竭的诊断价值
- Author:
Shasha JIANG
;
Tao CONG
;
Lei ZHONG
;
Yan LIU
;
Ke WANG
;
Dechun SU
- Publication Type:Journal Article
- Keywords:
Heart failure;
Diagnosis;
Differentiation;
Pulse wave velocity
- From:
Chinese Circulation Journal
2014;(10):809-813
- CountryChina
- Language:Chinese
-
Abstract:
Objective: To explore the diagnostic value of brachial-ankle artery pulse wave velocity (baPWv) in patients of heart failure with preserved ejection fraction (HFpEF). Methods: A total of 86 consecutive dyspnoea patients without coronary artery diseases (CAD) were studied and they were divided into 2 groups: HFpEF group,n=46 and Control group, the patients had no organic heart disease,n=40. The incremental diagnostic value of HFpEF by baPWv improving the echocardiographic index and plasma BNP level was assessed by logistic regression model, receiver operation curve (ROC) of multi-parameter combination and net reclassiifcation index analysis. Results: Multiple stepwise logistic regression analysis presented that the ratio of early mitral inlfow velocity to tissue Doppler velocity at the lateral mitral annulus, BNP level and baPWv had the independent predictive value for HFpEF diagnosis, P<0.05. The ROC for baPWv with the combination of 2 or 3 parameters was better than the ROC for a single parameter, P<0.05. The baPWv added with 2007 ESC consensus statement signiifcantly improved HFpEF diagnosis, NRI = 0.127,P<0.05. Conclusion: The baPWv combining with current diagnostic criteria could increase the diagnostic value in patients of HFpEF.
