Clinical classification and scoring systems in heart failure
Authors:
M. Špinarová 1; L. Špinarová 1; J. Špinar 2,3
Authors‘ workplace:
I. interní kardioangiologická klinika LF MU a FN u sv. Anny v Brně
1; Interní kardiologická klinika LF MU a FN Brno
2; Mezinárodní centrum klinického výzkumu, FN u sv. Anny v Brně
3
Published in:
Kardiol Rev Int Med 2015, 17(2): 131-135
Category:
Cardiology Review
Overview
Acute and chronic heart failure remains a diagnosis with poor prognosis. Therefore an exact description of the severity of the disease is crucial. Classification schemes such as NYHA classification, Forrester classification, Kilip classification or Meszaros classification of signs of congestion on chest x-ray are used. We do not have a good prognostic classification of heart failure. Hyponatraemia, renal insufficiency, old age, but also comorbidities like diabetes mellitus, hypertension or atrial fibrillation seem to be important prognostic markers.
Keywords:
heart failure – classification – prognosis
Sources
1. McMurray JJ, Adamopoulos S, Anker SD et al. ESC guidelines for the diagnosis and treatment of acute and chronic heart failure 2012. The Task Force for the Diagnosis and Treatment of Acute and Chronic Heart Failure 2012 of the European Society of Cardiology. Developed in collaboration with the Heart Failure Association (HFA) of the ESC. Eur Heart J 2012; 33: 1787– 1847. doi: 10.1093/ eurheartj/ ehs104.
2. Špinar J, Vítovec J, Hradec J et al. Czech Society of Cardiology guidelines for the diagnosis and treatment of chronic heart failure 2011. Cor Vasa 2012; 54: e114– e134.
3. Špinar J, Vítovec J, Hradec J et al. Doporučení pro diagnostiku a léčbu chronického srdečního selhání – ČKS 2011. Cor Vasa 2012; 54: 161– 182.
4. Špinar J, Janský P, Kettner J et al. Doporučení pro diagnostiku a léčbu akutního srdečního selhání. Cor Vasa 2006; 48: K3– K31.
5. Meszaros WT. Cardiac Roentgenolgy. Springfield: Charles C. Thomas 1969.
6. Meszaros WT. Lung changes in left heart failure. Circulation 1973; 47: 869– 872.
7. Špinar J, Vítovec J, Pličzka Z et al. Radiologic changes in chronic heart failure. Cor Vasa 1992; 34: 88– 99.
8. Killip T, Kimball JT. Treatment of myocardial infarction in a coronary care unit. A two year experience with 250 patients. Am J Cardiol 1967; 20: 457– 464.
9. Nohria A Tsang SW, Fang JC et al. Clinical assessment identifies hemodynamic profiles that predict autcomes in patients admitted with heart failure. J Am Coll Cardiol 2003; 41: 1797– 1804.
10. Ouwerkerk W, Voors AA, Zwinderman AH. Factors Influencing the predictive power of models for predicting mortality and/ or heart failure hospitalisation in patients with heart failure. JACC Heart Fail 2014; 2: 429– 436. doi: 10.1016/ j.jchf.2014.04.006.
11. Rahimi K, Bennett, D, Conrad N et al. Risk prediction in patiens with heart failure. A systematic review and analysis. JACC Heart Fail 2014; 2: 440– 446. doi: 10.1016/ j.jchf.2014.04.008.
12. Baggish AL, Siebert U, Lainchbury JG et al. A validated clinical and biochemical score for the diagnosis of acute heart failure: the ProBNP Investigation of Dyspnea in the Emergency Department (PRIDE) Acute Heart Failure Score. Am Heart J 2006; 151: 48– 54.
13. Spinar J, Parenica J, Vitovec J et al. Baseline characteristics and hospital mortality in the Acute Heart Failure Database (AHEAD) Main registry. Crit Care 2011; 15: R291. doi: 10.1186/ cc10584.
14. Spinarova L, Spinar J, Vitovec J et al. AHEAD investigators. Gender differences in total cholesterol levels in patients with acute heart failure and its importance for short and long term prognosis. Biomed Pap Med Fac Univ Palacky 2012; 156: 21– 28. doi: 10.5507/ bp.2012.015.
15. Dei Cas A, Khan SS, Butler J et al. Impact of diabetes on epidemiology, treatment, and outcomes of patiens with heart failure. JACC Heart Fail 2015; 2: 136– 145. doi: 10.1016/ j.jchf.2014.08.004.
16. Spinar J, Jarkovsky J, Spinarova L et al. AHEAD score – long‑term risk classification in acute heart failure. JAMA. In press 2015.
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Cardiology Review
2015 Issue 2
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