Heart failure & cardiomyopathies

The Use of Echocardiography and Echocardiographic Findings in Patients Hospitalized for Acute Heart Failure

ESC Heart FailPublished Retrospective cohort study

Authors' conclusion

TTE was commonly performed in patients hospitalized for AHF, especially ones with more severe hospital courses. The outcomes were not different in patients who received TTE.

Study context

Population
Consecutive patients hospitalized for acute heart failure (AHF), tertiary care hospital in Thailand, July 2017 to June 2019
Participants
697 patients
Exposure
TTE vs no TTE during hospitalisation
  • TTEn = 362
Outcome
Use of TTE and factors associated with the decision to perform TTE
Methodological detailssingle-centre, tertiary care hospital
  • Single-centre
  • Tertiary care hospital

Main finding

As reported in the abstract

Use of TTE during hospitalization

TTE

51.9%

362

Independent factor for TTE: Intensive care unit (ICU) admission
aOR = 7.33
Independent factor for TTE: longer length of stay
aOR = 3.05
Independent factor for TTE: higher haemoglobin
aOR = 1.22
Independent factor for TTE: lower blood urea nitrogen (BUN)
aOR = 1.37

Observational data: associations, not effects.

Further findings

Women

P = 0.03

ICU admission, mechanical ventilation, inotrope use

P < 0.001 for all

ICU admission

Mechanical ventilation

Inotrope use

30-day mortality · did not reach statistical significance

P = 0.05

In-hospital mortality

Overall in-hospital mortality, not different between groups
5.5%

Original publication

The Use of Echocardiography and Echocardiographic Findings in Patients Hospitalized for Acute Heart Failure. ESC Heart Fail. Published 15 August 2025. doi:10.1002/ehf2.15268

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