scholarly journals Systolic blood pressure does not reliably identify vasoactive status in chronic heart failure

2005 ◽  
Vol 18 (2) ◽  
pp. 82-86 ◽  
Author(s):  
C PARROTT ◽  
C QUALE ◽  
D LEWIS ◽  
S FERGUSON ◽  
R BRUNT ◽  
...  
Keyword(s):  
Heart Failure ◽  
Blood Pressure ◽  
Chronic Heart Failure ◽  
Systolic Blood Pressure

scholarly journals Chronic Heart Failure in Early Rheumatoid Arthritis Patients Prior to Basic Antirheumatic Therapy

2020 ◽  
Vol 16 (1) ◽  
pp. 51-58
Author(s):  
I. G. Kirillova ◽  
D. S. Novikova ◽  
T. V. Popkova ◽  
H. V. Udachkina ◽  
E. I. Markelova ◽  
...  
Keyword(s):  
Rheumatoid Arthritis ◽  
Heart Failure ◽  
Blood Pressure ◽  
Chronic Heart Failure ◽  
Ejection Fraction ◽  
Systolic Blood Pressure ◽  
Early Rheumatoid Arthritis ◽  
Intima Media Thickness ◽  
Factors Associated ◽  
Early Ra

Aim. To study the clinical manifestations and factors associated with the presence of chronic heart failure (CHF) in patients with early rheumatoid arthritis (RA) prior to anti-inflammatory therapy. Material and methods. The study included 74 patients with valid diagnosis of RA (criteria ACR/EULAR, 2010), 56 women (74%), median age – 54 [46;61] years, disease duration – 7 [4;8] months; seropositive for IgM rheumatoid factor (87%) and/or antibodies to cyclic citrullinated peptide (100%) prior to taking disease modifying anti-rheumatic drugs and glucocorticoids. CHF was verified in accordance with actual guidelines. The assessment of traditional risk factors for cardiovascular diseases, echocardiography, tissue Doppler imaging, carotid artery ultrasound, were carried out before the start of therapy in all patients with early RA. The concentration of NT-proBNP was determined by electrochemiluminescence. The normal range for NT-proBNP was less than 125 pg/ml.Results. CHF was diagnosed in 24 (33%) patients: in 23 patients – CHF with preserved ejection fraction, in 1 patient – CHF with reduced ejection fraction. 50% of patients with RA under the age of 60 were diagnosed with CHF. NYHA class I was found in 5 (21%) patients, class II – in 15 (63%), class III – in 1 (4%). Positive predictive value of clinical symptoms did not exceed 38%. All patients with early RA were divided into two groups: 1 – with CHF, 2 – without CHF. Patients with RA+CHF compared with patients without CHF were older, had higher body mass index, frequency of carotid atherosclerosis, of ischemic heart disease (IHD), hypertension, C-reactive protein (CRP) levels and intima media thickness. Independent factors associated with the presence of CHF were identified by linear regression analysis: abdominal obesity, CRP level, systolic blood pressure, dyslipidemia, carotid intima thickness, IHD. The multiple coefficient of determination was R2=57.1 (R-0.76, p<0.001). Level of NT-proBNP in RA patients with CHF (192.0 [154.9; 255.7] pg/ml) was higher than in RA patients without CHF (77 [41.1; 191.2] pg/ml) and in control (49.0 [33.2; 65.8] pg/ml), p<0.0001 and p=0.01, respectively. To exclude CHF in patients with early RA, the optimal NT-proBNP level was 150.4 pg/ml (sensitivity – 80%, specificity – 79%), the area under the ROC curve = 0.957 (95% confidence interval 0.913-1.002, p<0.001).Conclusion. CHF was detected in a third of RA patients at the early stage of the disease. Factors associated with the presence of CHF were abdominal obesity, CRP level, systolic blood pressure, dyslipidemia, intima media thickness, IHD.

scholarly journals Initial Heart Rate and Systolic Blood Pressure Predict Outcomes in Chronic Heart Failure Patients who are Evaluated for Cardiac Transplant

2007 ◽  
Vol 30 (6) ◽  
pp. 282-287 ◽  
Author(s):  
Juan M. Aranda ◽  
Stephen E. McIntyre ◽  
Charles T. Klodell ◽  
Kaki M. York ◽  
Carl A. Dragstedt ◽  
...  
Keyword(s):  
Heart Failure ◽  
Blood Pressure ◽  
Heart Rate ◽  
Chronic Heart Failure ◽  
Systolic Blood Pressure ◽  
Cardiac Transplant ◽  
Heart Failure Patients

scholarly journals Usefulness of Combined Risk Stratification With Heart Rate and Systolic Blood Pressure in the Management of Chronic Heart Failure

2013 ◽  
Vol 77 (12) ◽  
pp. 2954-2962 ◽  
Author(s):  
Masanobu Miura ◽  
Yasuhiko Sakata ◽  
Satoshi Miyata ◽  
Kotaro Nochioka ◽  
Tsuyoshi Takada ◽  
...  
Keyword(s):  
Heart Failure ◽  
Blood Pressure ◽  
Heart Rate ◽  
Chronic Heart Failure ◽  
Risk Stratification ◽  
Systolic Blood Pressure

scholarly journals Quantifying the paradoxical effect of higher systolic blood pressure on mortality in chronic heart failure

Heart ◽  
2008 ◽  
Vol 95 (1) ◽  
pp. 56-62 ◽  
Author(s):  
C E Raphael ◽  
Z I Whinnett ◽  
J E Davies ◽  
M Fontana ◽  
E A Ferenczi ◽  
...  
Keyword(s):  
Heart Failure ◽  
Blood Pressure ◽  
Chronic Heart Failure ◽  
Systolic Blood Pressure ◽  
Paradoxical Effect

scholarly journals Influence of pretreatment systolic blood pressure on the effect of carvedilol in patients with severe chronic heart failure

2004 ◽  
Vol 43 (8) ◽  
pp. 1423-1429 ◽  
Author(s):  
Jean L Rouleau ◽  
Ellen B Roecker ◽  
Michal Tendera ◽  
Paul Mohacsi ◽  
Henry Krum ◽  
...  
Keyword(s):  
Heart Failure ◽  
Blood Pressure ◽  
Chronic Heart Failure ◽  
Systolic Blood Pressure ◽  
Severe Chronic Heart Failure
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