Dissertation
Dissertation > Medicine, health > Internal Medicine > Heart, blood vessels ( circulatory ) disease > Heart disease > Blood circulation failure

Application of Heart Function Echocardiographic Multi-Parameter Score (HF-EMPS) in Therapy and Follow-up of Chronic Heart Failure (CHF)

Author YeJiaBao
Tutor YangJunHua
School Suzhou University
Course Department of Cardiology
Keywords chronic heart failure echocardiography heart function score treatment
CLC R541.6
Type Master's thesis
Year 2012
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[Objective]:To study the value of Heart Function Echocardiographic Multi-Parameter Score (HF-EMPS) in assessment therapeutic effect of Chronic Heart Failure (CHF) patients.[Method]:We selected110patients with Chronic Heart Failure (CHF), measured their HF-EMPS which was composed of multiple basic echocardiography parameters and the New York Heart functional class; treated them according to the2009AHA heart failure guidelines; made follow-up visits regularly via the telephone or clinic visit; rechecked echocardiography HF-EMPS score within4-6months after the first diagnosis. And then:1. Analyzed the relationship between HF-EMPS and New York heart function class.2. Analyzed HF-EMPS and its constituent parameters before and after intensive treatment of intractable heart failure.3.Analyzed the echocardiography characteristic of intractable heart failure patients.4. Application HF-EMPS analyzed the therapeutic effect in different causes and different degrees HF-EMPS.[Results]:1. HF-EMPS values increased as the New York heart function class progressed and there was significant difference between every two class.2. after intensive treatment of intractable heart failure, the HF-EMPS and pulmonary artery pressure parameter and left ventricular diastolic function parameter of the second follow-up were notable lower than the first follow-up (P<0.05), but left ventricular remodeling parameter and left ventricular systolic function and valve regurgitation parameter were no significant difference (P>0.05); Continue intensive treatment, HF-EMPS and its constituent parameters were no significant difference between the second and third follow-up.3. Intractable heart failure patients’mitral regurgitation degree was more seriouser and mitral annulus was bigger than other CHF patients, and the the difference was significant (P<0.05); there were19patients Septal-to-posterior wall motion delay time longer than130ms in intractable heart failure.4. With the duration of treatment, the HF-EMPS values of all causes showed a decreasing trend, but the degree was not same, peripartum cardiomyopathy and hypertensivecardiopathy HF-EMPS decreased most obvious, and dilated cardiomyopathy decreased degree was littlest. Patients whose HF-EMPS values between4-7, their HF-EMPS values decreased most obvious after therapy, the higher HF-EMPS of first diagnosis, the higher after therapy.[Conclusions]:Heart function Echocardiographic Multi-Parameter Score (HF-EMPS) is valuable in assessment therapeutic effect of Chronic Heart Failure (CHF) patients, the higher HF-EMPS, the poorer effect after therapy, medium short-term drug therapy can stabilize haemodynamics, but hard to reverse remodeling. Echocardiography can be used to select CHF patients who receive poor effect after drug therapy among follow-up, and make other solution.

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