Author(s)

Ren Haohan ¹, Ren Jianxing ²

Affiliation(s)

¹ Gansu University of Traditional Chinese Medicine, Lanzhou, Gansu, 730000, China
² Tianshui First People's Hospital, Tianshui, Gansu, 741000, China

Corresponding Author

Ren Haohan

ABSTRACT

To investigate the predictive value of echocardiography for adverse events in patients with acute heart failure AHF, the study selected 100 AHF patients treated at a hospital from November 2022 to December 2023. Based on the occurrence of endpoint events during follow-up, the patients were divided into an event group 36cases and a non-event group 64cases. All patients underwent echocardiographic examinations upon admission, with measurements including left ventricular ejection fraction LVEF, E/A ratio, and Tei index. Logistic regression analysis was used to evaluate their impact on adverse events. The results indicated that the E/A ratio and LVEF were significantly lower in the event group compared to the non-event group, while the Tei index was significantly higher P<0.01. Logistic regression analysis revealed that the E/A ratio and LVEF were independent protective factors, whereas the Tei index and age were independent risk factors P<0.05orP<0.01. Receiver operating characteristic ROC curve analysis showed that the combined detection of the E/A ratio, LVEF, and Tei index yielded an area under the curve AUC of 0.903, which was higher than any single indicator. The combined detection demonstrated a sensitivity of 86.11% and specificity of 92.19%.These findings suggest that the E/A ratio, LVEF, and Tei index are effective in predicting the risk of adverse events in AHF patients, and their combined detection provides significantly greater predictive value compared to individual indicators. This offers valuable guidance for early risk stratification, clinical decision-making, and personalized treatment in AHF patients.

KEYWORDS

Acute heart failure (AHF); cardiac ultrasound; prognosis evaluation

CITE THIS PAPER

Ren Haohan, Ren Jianxing. The predictive value of cardiac ultrasound for adverse events in acute heart failure AHF. MEDS Clinical Medicine (2024) Vol. 5: 67-71. DOI: http://dx.doi.org/10.23977/medsc.2024.050510.

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