IVC diameter in patients with chronic heart failure: relationships and prognostic significance

The aim of this study was to assess the relation between inferior vena cava (IVC) diameter, clinical variables, and outcome in patients with chronic heart failure (HF). The IVC distends as right atrial pressure rises. Therefore it might represent an index of HF severity independent of left ventricul...

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Bibliographic Details
Published in:JACC. Cardiovascular imaging 2013-01, Vol.6 (1), p.16-28
Main Authors: Pellicori, Pierpaolo, Carubelli, Valentina, Zhang, Jufen, Castiello, Teresa, Sherwi, Nasser, Clark, Andrew L, Cleland, John G F
Format: Article
Language:English
Subjects:
Aged
Aged, 80 and over
Biomarkers - blood
Blood Pressure
Chi-Square Distribution
Chronic Disease
Community Health Services
Female
Heart Failure - blood
Heart Failure - diagnostic imaging
Heart Failure - mortality
Heart Failure - physiopathology
Heart Failure - therapy
Hospitalization
Humans
Kaplan-Meier Estimate
Linear Models
Male
Middle Aged
Multivariate Analysis
Natriuretic Peptide, Brain - blood
Outpatients
Peptide Fragments - blood
Predictive Value of Tests
Prognosis
Proportional Hazards Models
Retrospective Studies
Risk Assessment
Risk Factors
Stroke Volume
Time Factors
Ultrasonography
Vena Cava, Inferior - diagnostic imaging
Ventricular Function, Left
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Summary:The aim of this study was to assess the relation between inferior vena cava (IVC) diameter, clinical variables, and outcome in patients with chronic heart failure (HF). The IVC distends as right atrial pressure rises. Therefore it might represent an index of HF severity independent of left ventricular ejection fraction (LVEF). The relation between IVC diameter and other clinical variables and its prognostic significance in patients with HF has not been explored. Outpatients attending a community HF service between 2008 and 2010 were enrolled. Heart failure was defined as the presence of relevant symptoms and signs and objective evidence of cardiac dysfunction: either LVEF
ISSN:1876-7591
DOI:10.1016/j.jcmg.2012.08.012