Document Detail

The effect of treatment on the presence of abnormal heart sounds in emergency department patients with heart failure.
MedLine Citation:
PMID:  16338505     Owner:  NLM     Status:  MEDLINE    
OBJECTIVE: We sought to assess the proportion of ED patients with an electronically detected S(3) or S(4), determine the relation of these heart sounds to heart failure (HF), and analyze how the proportion changes with ED treatment. METHODS: Heart sounds were assessed in ED patients with suspected HF. The presence or absence of HF and whether treatment with diuretics or vasodilators had occurred were recorded. RESULTS: Three hundred seventy-six patients had complete data. The proportion of patients with an S(3) and an S(4) was significantly higher for those with HF compared with those without (P < .001). Of 59 patients with HF evaluated before treatment, 57.6% had an S(3) and 35.6% had an S(4). For the 35 patients with HF evaluated after treatment, the proportions of both S(3) and S(4) were lower (28.6% and 8.6%, respectively; P < or = .0064). CONCLUSIONS: This study suggests the proportion of patients with an electronically detected S(3) in HF is more than 50%, and that its presence is affected by prior treatment with diuretics or vasodilators.
Sean P Collins; Christopher J Lindsell; W Frank Peacock; Virginia D Hedger; Alan B Storrow
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  The American journal of emergency medicine     Volume:  24     ISSN:  0735-6757     ISO Abbreviation:  Am J Emerg Med     Publication Date:  2006 Jan 
Date Detail:
Created Date:  2005-12-12     Completed Date:  2006-02-28     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  8309942     Medline TA:  Am J Emerg Med     Country:  United States    
Other Details:
Languages:  eng     Pagination:  25-32     Citation Subset:  IM    
Department of Emergency Medicine, University of Cincinnati, OH 45267-0769, USA.
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MeSH Terms
Case-Control Studies
Diuretics / therapeutic use
Emergency Service, Hospital*
Follow-Up Studies
Heart Failure / drug therapy*,  physiopathology*
Heart Sounds*
Middle Aged
Prospective Studies
Vasodilator Agents / therapeutic use
Reg. No./Substance:
0/Diuretics; 0/Vasodilator Agents

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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