Document Detail


The emerging role of echocardiography in the screening of patients at risk of heart failure.
MedLine Citation:
PMID:  16399092     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
A large number of patients without symptoms of heart failure (HF) have asymptomatic left ventricular (LV) dysfunction owing to the compensatory mechanisms acting through the autonomic nervous system and neurohormones. In the setting of screening for prevention, one must identify the subgroup of these patients at high risk for symptomatic HF to establish appropriate therapy. As a first step to identify the subgroup of patients at high risk, clinical screening scores and natriuretic peptide measurements are used. Second, the definite diagnosis of asymptomatic LV dysfunction must be confirmed with echocardiography, occasionally with the help of new technologic developments to establish prompt, appropriate treatment to prevent disease progression. Therefore, the screening role of echocardiography is the early identification of patients with structural cardiopathy who are at risk of developing symptomatic HF and detection of those without LV dysfunction (diabetic and hypertensive) whose condition is prone to advance rapidly to structural cardiopathy or to symptomatic HF.
Authors:
Paolo Colonna; Fausto J Pinto; Margherita Sorino; Francesco Bovenzi; Carlo D'Agostino; Italo de Luca
Publication Detail:
Type:  Journal Article; Review     Date:  2005-10-05
Journal Detail:
Title:  The American journal of cardiology     Volume:  96     ISSN:  0002-9149     ISO Abbreviation:  Am. J. Cardiol.     Publication Date:  2005 Dec 
Date Detail:
Created Date:  2006-01-09     Completed Date:  2006-03-06     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  0207277     Medline TA:  Am J Cardiol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  42L-51L     Citation Subset:  AIM; IM    
Affiliation:
Department of Cardiology, Policlinico of Bari, Piazza G. Cesare 11, 70124 Bari, Italy. colonna@tiscali.it
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MeSH Terms
Descriptor/Qualifier:
Echocardiography*
Heart Failure / epidemiology,  physiopathology,  therapy,  ultrasonography*
Humans
Hypertrophy, Left Ventricular / ultrasonography
Mass Screening / methods*
Risk Factors
Ventricular Dysfunction, Left / ultrasonography
Ventricular Remodeling

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


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