Clinical and prognostic significance of bendopnea in elderly outpatients
https://doi.org/10.15829/1728-8800-2019-6-45-50
Abstract
Aim. To assess clinical and prognostic significance of dyspnea when leaning forward in elderly outpatients.
Material and methods. The open, prospective, non-randomized study included 55 outpatients >60 years old with class II-IV (NYHA) chronic heart failure (CHF) as a result of coronary artery disease or hypertension and body mass index (BMI) <30 kg/m2. Routine physical examination, laboratory tests and echocardiography were conducted.
Results. Dyspnea when leaning forward was detected in 45% of patients. Bendopnea was associated with a history of myocardial infarction (p<0,001, odds ratio (OR) 11,5, 95% confidence interval (CI) 2,7-47,8), left ventricular aneurysm (p=0,005, OR 9,4, 95% CI 1,7-54,5), increased end-systolic dimension (p=0,003, OR 18,4, 95% CI 2,69-12,5), low ejection fraction (p<0,001, OR 19, 2, 95% CI 4,46-8,23) and hospitalizations (p=0,004, OR 2,6, 95% CI 1,4-4,9).
Conclusion. Thus, 45% of patients >60 years old with a BMI <30,0 kg/ m2 had dyspnea when leaning forward. It was not depended on BMI, and was closely associated with the clinical severity, echocardiographic parameters and hospitalizations. The results obtained allow us considering this symptom as a marker of severity of clinical condition and stasis in elderly outpatients with chronic heart failure without concomitant obesity.
About the Authors
V. N. Larina
Pirogov Russian National Research Medical University
Russian Federation
Moscow.
Russian Federation
Moscow.
M. G. Golovko
Pirogov Russian National Research Medical University
Russian Federation
Moscow.
Russian Federation
Moscow.
M. I. Zakharova
Pirogov Russian National Research Medical University
Russian Federation
Moscow.
Russian Federation
Moscow.
N. L. Bogush
Pirogov Russian National Research Medical University
Russian Federation
Moscow.
Russian Federation
Moscow.
G. V. Poryadin
Pirogov Russian National Research Medical University
Russian Federation
Moscow.
Russian Federation
Moscow.
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Review
For citations:
Larina V.N., Golovko M.G., Zakharova M.I., Bogush N.L., Poryadin G.V. Clinical and prognostic significance of bendopnea in elderly outpatients. Cardiovascular Therapy and Prevention. 2019;18(6):45-50. (In Russ.) https://doi.org/10.15829/1728-8800-2019-6-45-50
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