Heart failure is a widespread syndrome involving several organs, still characterized by high mortality and morbidity, and whose clinical course is heterogeneous and hardly predictable. In this scenario, the assessment of heart failure prognosis represents a fundamental step in clinical practice. A single parameter is always unable to provide a very precise prognosis. Therefore, risk scores based on multiple parameters have been introduced, but their clinical utility is still modest. Methods In this review, we evaluated several prognostic models for acute, right, chronic, and end-stage heart failure based on multiple parameters. In particular, for chronic heart failure we considered risk scores essentially based on clinical evaluation, comorbidities analysis, baroreflex sensitivity, heart rate variability, sleep disorders, laboratory tests, echocardiographic imaging, and cardiopulmonary exercise test parameters. Results What is at present established is that a single parameter is not sufficient for an accurate prediction of prognosis in heart failure because of the complex nature of the disease. However, none of the scoring systems available is widely used, being in some cases complex, not user-friendly, or based on expensive or not easily available parameters. Conclusion We believe that multiparametric scores for risk assessment in heart failure are promising but their widespread use needs to be experienced.

Mantegazza, V., Badagliacca, R., Nodari, S., Parati, G., Lombardi, C., Somma, S., et al. (2016). Management of heart failure in the new era: The role of scores. JOURNAL OF CARDIOVASCULAR MEDICINE, 17(8), 569-580 [10.2459/JCM.0000000000000152].

Management of heart failure in the new era: The role of scores

PARATI, GIANFRANCO;LOMBARDI, CAROLINA;
2016

Abstract

Heart failure is a widespread syndrome involving several organs, still characterized by high mortality and morbidity, and whose clinical course is heterogeneous and hardly predictable. In this scenario, the assessment of heart failure prognosis represents a fundamental step in clinical practice. A single parameter is always unable to provide a very precise prognosis. Therefore, risk scores based on multiple parameters have been introduced, but their clinical utility is still modest. Methods In this review, we evaluated several prognostic models for acute, right, chronic, and end-stage heart failure based on multiple parameters. In particular, for chronic heart failure we considered risk scores essentially based on clinical evaluation, comorbidities analysis, baroreflex sensitivity, heart rate variability, sleep disorders, laboratory tests, echocardiographic imaging, and cardiopulmonary exercise test parameters. Results What is at present established is that a single parameter is not sufficient for an accurate prediction of prognosis in heart failure because of the complex nature of the disease. However, none of the scoring systems available is widely used, being in some cases complex, not user-friendly, or based on expensive or not easily available parameters. Conclusion We believe that multiparametric scores for risk assessment in heart failure are promising but their widespread use needs to be experienced.
Articolo in rivista - Review Essay
Heart failure; multiparametric scores; prognosis; scoring indexes;
Heart failure; multiparametric scores; prognosis; scoring indexes; Cardiology and Cardiovascular Medicine
English
2016
17
8
569
580
none
Mantegazza, V., Badagliacca, R., Nodari, S., Parati, G., Lombardi, C., Somma, S., et al. (2016). Management of heart failure in the new era: The role of scores. JOURNAL OF CARDIOVASCULAR MEDICINE, 17(8), 569-580 [10.2459/JCM.0000000000000152].
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/10281/131571
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