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Pleural effusions identified by thoracic ultrasound predict poor quality of life in patients with acute decompensated heart failure.
Rendón-Ramírez, Erick Joel; Fraga-Enríquez, Víctor Manuel; Colunga-Pedraza, Perla Rocío; Nañez-Terreros, Homero; Flores-Ramírez, Ramiro; Canseco, Fernando; Porcel, José M; Carrizales-Sepúlveda, Edgar Francisco.
Affiliation
  • Rendón-Ramírez EJ; Pleura and Thoracic Ultrasound Unit, Pulmonary and Critical Care Service, Hospital Universitario "Dr. José Eleuterio González", Universidad Autónoma de Nuevo León, Monterrey, Nuevo León, Mexico; Internal Medicine Department, Hospital Universitario "Dr. José Eleuterio González", Universidad Autónoma
  • Fraga-Enríquez VM; Internal Medicine Department, Hospital Universitario "Dr. José Eleuterio González", Universidad Autónoma de Nuevo León, Monterrey, Nuevo León, Mexico.
  • Colunga-Pedraza PR; Internal Medicine Department, Hospital Universitario "Dr. José Eleuterio González", Universidad Autónoma de Nuevo León, Monterrey, Nuevo León, Mexico.
  • Nañez-Terreros H; Internal Medicine Department, Hospital Universitario "Dr. José Eleuterio González", Universidad Autónoma de Nuevo León, Monterrey, Nuevo León, Mexico; Pulmonary and Critical Care Service, Hospital Universitario "Dr. José Eleuterio González", Universidad Autónoma de Nuevo León, Monterrey, Nuevo León,
  • Flores-Ramírez R; Heart Failure Unit, Cardiology Service, Hospital Universitario "Dr. José Eleuterio González", Universidad Autónoma de Nuevo León, Monterrey, Nuevo León, Mexico.
  • Canseco F; Internal Medicine Department, Hospital Universitario "Dr. José Eleuterio González", Universidad Autónoma de Nuevo León, Monterrey, Nuevo León, Mexico.
  • Porcel JM; Pleural Medicine and Clinical Ultrasound Unit, Department of Internal Medicine, Arnau de Vilanova University Hospital, IRBLleida, University of Lleida, Avda Alcalde Rovira Roure 80, Lleida 25198, Spain. Electronic address: jporcelp@yahoo.es.
  • Carrizales-Sepúlveda EF; Heart Failure Unit, Cardiology Service, Hospital Universitario "Dr. José Eleuterio González", Universidad Autónoma de Nuevo León, Monterrey, Nuevo León, Mexico.
Heart Lung ; 68: 279-283, 2024.
Article in En | MEDLINE | ID: mdl-39154544
ABSTRACT

INTRODUCTION:

Pleural effusion (PE) is a common manifestation of acute decompensated heart failure (ADHF); however, its influence on the quality of life (QoL) is unknown.

OBJECTIVES:

To identify whether PE detected using thoracic ultrasound (TUS) is associated with poorer QoL in patients with ADHF and a reduced ejection fraction (≤40 %).

METHODS:

We conducted a prospective, longitudinal, descriptive, observational, single-center study at a university hospital in Mexico. We included participants with a reduced left ventricular ejection fraction who were admitted for ADHF. We performed TUS and the Minnesota Living with Heart Failure Questionnaire (MLHFQ) within the first 48 h of hospitalization.

RESULTS:

Forty patients with ADHF (30 males and 10 females; mean age, 51.24 ± 16.942 years) were included in this study. The participants were categorized into two groups those with (n = 25, 62.5 %) or without (n = 15, 37.5 %) PE on TUS. We found a statistically significant association between the presence of PEs and a worse perception of QoL. The mean MLHFQ score in the group of patients with PEs was 40 points, compared to 12 points in the group without PEs (p < 0.001). Poorer QoL was associated with a higher quantity of pleural fluid, as evidenced by the greater number of intercostal spaces occupied by the PE (p < 0.001).

CONCLUSIONS:

Patients with ADHF and a reduced ejection fraction who present with PE have a worse perception of QoL than patients without PE.
Subject(s)
Key words

Full text: 1 Collection: 01-internacional Database: MEDLINE Main subject: Pleural Effusion / Quality of Life / Ultrasonography / Heart Failure Limits: Adult / Aged / Female / Humans / Male / Middle aged Country/Region as subject: Mexico Language: En Journal: Heart Lung Year: 2024 Document type: Article Country of publication: United States

Full text: 1 Collection: 01-internacional Database: MEDLINE Main subject: Pleural Effusion / Quality of Life / Ultrasonography / Heart Failure Limits: Adult / Aged / Female / Humans / Male / Middle aged Country/Region as subject: Mexico Language: En Journal: Heart Lung Year: 2024 Document type: Article Country of publication: United States