Heart failure & cardiomyopathies

Prognostic Role of TAPSE to PASP Ratio in Outpatients with Left Ventricular Systolic Dysfunction

ESC Heart FailPublished Retrospective cohort study

Authors' conclusion

TAPSE/PASP was independently associated with mortality or HF events among ambulatory patients with left ventricular systolic dysfunction.

Study context

Population
Outpatients with LV systolic dysfunction (EF ≤ 50%) evaluated January–December 2022
Participants
642 outpatients
Exposure
TAPSE/PASP tertiles
Outcome
Composite of:
  • All-cause mortality
  • HF events
Follow-up
Last available
Methodological detailssingle-centre
  • Single-centre

Main finding

As reported in the abstract

Estimated 1-year rate of primary outcome
Adjusted hazard ratio (95% CI)P value
Highest tertilevs Lowest tertilemultivariate analysis
0.61(0.38–0.99)
P = 0.044
TAPSE/PASP (continuous, per 0.1 mm/mmHg increase)predominantly driven by higher risk of HF events
0.91(0.84–0.98)
P = 0.009

Observational data: associations, not effects.

Further findings

Overall events during follow-up (whole cohort) · median 474 days [IQR 392-507 days]

Died
51 (8.0%)
CV-related deaths
24 (3.8%)
Composite outcome
179 (28.1%)
Heart failure (HF) events
158 (24.8%)

Baseline characteristics with lower TAPSE/PASP

Higher NYHA class
P < 0.001
More signs of congestion
P = 0.007
More likely to receive IV furosemide during visit
P < 0.001

Original publication

Prognostic Role of TAPSE to PASP Ratio in Outpatients with Left Ventricular Systolic Dysfunction. ESC Heart Fail. Published 24 December 2024. doi:10.1002/ehf2.15139

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

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