The DOI matches its Crossref record; 22 of the 22 references it cites were found in a registry or an index.
Value of Clinician Assessment of Hemodynamics in Advanced Heart Failure: The ESCAPE Trial
Open accessAbstract
Background— We determined whether estimated hemodynamics from history and physical examination (H&P) reflect invasive measurements and predict outcomes in advanced heart failure. The role of the H&P in medical decision making has declined in favor of diagnostic tests, perhaps because of the lack of evidence for utility. Methods and Results— We compared H&P estimates of filling pressures and cardiac index with invasive measurements in 194 patients in the Evaluation Study of Congestive Heart Failure and Pulmonary Artery Catheterization Effectiveness (ESCAPE) trial. H&P estimates were compared with 6-month outcomes in 388 patients enrolled in ESCAPE. Measured right atrial pressure was <8 mm Hg in 82% of patients with right atrial pressure estimated from jugular veins as <8 mm Hg, and was >12 mm Hg in 70% of patients when estimated as >12 mm Hg. From the H&P, only estimated right atrial pressure ≥12 mm Hg (odds ratio, 4.6; P <0.001) and orthopnea ≥2 pillows (odds ratio, 3.6; P <0.05) were associated with pulmonary capillary wedge pressure ≥30 mm Hg. Estimated cardiac index did not reliably reflect the measured cardiac index ( P =0.09), but “cold” versus “warm” profile was associated with lower median measured cardiac index (1.75 versus 2.0 L/(min�m 2 ); P =0.004). In Cox regression analysis, discharge “cold” or “wet” profile conveyed a 50% increased risk of death or rehospitalization. Conclusions— In advanced heart failure, the presence of orthopnea and increased jugular venous pressure is useful to detect increased pulmonary capillary wedge pressure, and a global assessment of inadequate perfusion (“cold” profile) is useful to detect reduced cardiac index. Hemodynamic profiles estimated from the discharge H&P identify patients at increased risk of early events.
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Cites
Cuffe, M. S. (2002) · JAMA · doi:10.1001/jama.287.12.1541 · Cited by 1,175
Plasma brain natriuretic peptide concentration: impact of age and gender
Redfield, M. M., Rodeheffer, R. J., Jacobsen, S. J., Mahoney, D. W., Bailey, K. R., & Burnett, J. C. (2002) · Journal of the American College of Cardiology · doi:10.1016/s0735-1097(02)02059-4 · Cited by 1,138
The Limited Reliability of Physical Signs for Estimating Hemodynamics in Chronic Heart Failure
Stevenson, L. W. (1989) · JAMA: The Journal of the American Medical Association · doi:10.1001/jama.1989.03420060100040 · Cited by 1,025
Nohria, A., Tsang, S. W., Fang, J. C., Lewis, E. F., Jarcho, J. A., Mudge, G. H., & Stevenson, L. W. (2003) · Journal of the American College of Cardiology · doi:10.1016/s0735-1097(03)00309-7 · Cited by 715
Self-citationDrazner, M. H., Rame, J. E., Stevenson, L. W., & Dries, D. L. (2001) · New England Journal of Medicine · doi:10.1056/nejmoa010641 · Cited by 655
Self-citationThe rational clinical examination
Devitt, N. F. (1992) · JAMA · doi:10.1001/jama.268.16.2164c · Cited by 616
Mangione, S. (1997) · JAMA · doi:10.1001/jama.278.9.717 · Cited by 507
Connors, A. F., McCaffree, D. R., & Gray, B. A. (1983) · New England Journal of Medicine · doi:10.1056/nejm198302033080508 · Cited by 365
Can the Clinical Examination Diagnose Left-Sided Heart Failure in Adults?
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2013 ACCF/AHA Guideline for the Management of Heart Failure
Yancy, C. W., Jessup, M., Bozkurt, B., Butler, J., Casey, D. E., Drazner, M. H., Fonarow, G. C., Geraci, S. A., Horwich, T., Januzzi, J. L., et al. (2013) · Journal of the American College of Cardiology · doi:10.1016/j.jacc.2013.05.019 · Cited by 12,536
Self-citationHeidenreich, P. A., Bozkurt, B., Aguilar, D., Allen, L. A., Byun, J. J., Colvin, M. M., Deswal, A., Drazner, M. H., Dunlay, S. M., Evers, L. R., et al. (2022) · Circulation · doi:10.1161/cir.0000000000001063 · Cited by 4,922
Self-citationYancy, C. W., Jessup, M., Bozkurt, B., Butler, J., Casey, D. E., Drazner, M. H., Fonarow, G. C., Geraci, S. A., Horwich, T., Januzzi, J. L., et al. (2013) · Circulation · doi:10.1161/cir.0b013e31829e8807 · Cited by 3,304
Self-citation2022 AHA/ACC/HFSA Guideline for the Management of Heart Failure
Heidenreich, P. A., Bozkurt, B., Aguilar, D., Allen, L. A., Byun, J. J., Colvin, M. M., Deswal, A., Drazner, M. H., Dunlay, S. M., Evers, L. R., et al. (2022) · Journal of the American College of Cardiology · doi:10.1016/j.jacc.2021.12.012 · Cited by 2,862
Self-citationYancy, C. W., Jessup, M., Bozkurt, B., Butler, J., Casey, D. E., Drazner, M. H., Fonarow, G. C., Geraci, S. A., Horwich, T., Januzzi, J. L., et al. (2013) · Circulation · doi:10.1161/cir.0b013e31829e8776 · Cited by 2,106
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Metadata
- Authors
- Drazner, M. H., Hellkamp, A. S., Leier, C. V., Shah, M. R., Miller, L. W., Russell, S. D., Young, J. B., Califf, R. M., & Nohria, A.
- Venue
- Circulation: Heart Failure
- Published
- 2008-09
- Volume
- 1
- Issue
- 3
- Pages
- 170-177
- ISSN
- 1941-3289 (ISSN-L)
- 1941-3297
- OpenAlex
- W2140634971
- Cited by
- 265
- References
- 22
- FWCI
- 6.60
- Type
- journal article
- Language
- en
- Open access
- bronze
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- Drazner, M. H., Hellkamp, A. S., Leier, C. V., Shah, M. R., Miller, L. W., Russell, S. D., Young, J. B., Califf, R. M., & Nohria, A. (2008). Value of Clinician Assessment of Hemodynamics in Advanced Heart Failure: The ESCAPE Trial. Circulation: Heart Failure. https://doi.org/10.1161/circheartfailure.108.769778
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