Heart failure & cardiomyopathies

The prognostic impact of follow-up cardiac metaiodobenzylguanidine imaging on left ventricular trajectory after acute decompensation

Eur Heart J Cardiovasc ImagingPublished Prospective cohort study

Authors' conclusion

Follow-up MIBG imaging after discharge could provide additional prognostic information in ADHF patients with recovered left ventricular function.

Study context

Population
Acute decompensated HF (ADHF) patients with reduced left ventricular ejection fraction (LVEF) <40%
Participants
145 patients
Exposure
Late HMR at 6-month follow-up by LVEF trajectory
  • HFcorEFn = 54
  • HFparEFn = 43
  • HFnorEFn = 48
Outcome
Cardiac events:
  • Readmission for worsening heart failure (HF)
  • Cardiac death
Follow-up
4.3 ± 2.6 years

Main finding

As reported in the abstract

Cardiac events by late HMR at 6FUP · 4.3 ± 2.6 years
  • 43 patients had cardiac events
  • Lower late HMR at 6FUP associated with greater risk of cardiac events in recovered LVEF, especially HFparEF; not observed in HFnorEF

Observational data: associations, not effects.

Further findings

Late HMR at 6FUP by LVEF trajectory · 6 months

Late HMR significantly greater in HFcorEF than in HFparEF and HFnorEF

Original publication

The prognostic impact of follow-up cardiac metaiodobenzylguanidine imaging on left ventricular trajectory after acute decompensation. Eur Heart J Cardiovasc Imaging. Published 14 March 2024. doi:10.1093/ehjci/jeae077

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

Get them every week

New studies on this topic in My Week and in your Monday e-mail.

We e-mail you a sign-in link and a code. No password, no spam.