Heart failure & cardiomyopathies

Organ perfusion pressure at admission and clinical outcomes in patients hospitalized for acute heart failure

Eur Heart J Acute Cardiovasc CarePublished Secondary analysis of the SNIP-AHF retrospective cohort study

Authors' conclusion

In this retrospective analysis on patients hospitalized for AHF treated with sodium nitroprusside, on-admission OPP significantly predicted WHF at 48 h with high sensitivity.

Study context

Population
Patients hospitalised for acute HF treated with sodium nitroprusside, with mean arterial pressure (MAP) and invasive central venous pressure (CVP) dataof 200 in SNIP-AHF
Participants
146 patients
Primary endpoint
OPP as a predictor of WHF (worsening of HF signs and symptoms leading to intensification of therapy)
Follow-up
48 h
Methodological detailsmulticentre
  • Multicentre

Primary result

As reported in the abstract

WHF predicted by on-admission OPP
Worsening heart failure (WHF) incidence
14 (9.6%)
Organ perfusion pressure (OPP) at admission, multivariable OR for WHF (per mmHg), 95% CI 0.86-0.96, P-value = 0.001
0.91
Optimal OPP cut-off
67.5 mmHg
Specificity
47.3%
Sensitivity
100%
AUC
0.784 ± 0.054

Further findings

OPP in multivariable model with NYHA class, shock index, CVP, LV end-diastolic diameter · 48 h

OPP consistently and significantly predicted WHF

Original publication

Organ perfusion pressure at admission and clinical outcomes in patients hospitalized for acute heart failure. Eur Heart J Acute Cardiovasc Care. Published 26 October 2023. doi:10.1093/ehjacc/zuad133

Composed by AI from the published abstract and checked against it. How Briefs are made →

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