The prognostic value of the physical examination in patients with chronic heart failure

J. Eduardo Rame, Daniel L. Dries, Mark H. Drazner

Research output: Contribution to journalArticle

18 Citations (Scopus)

Abstract

The importance placed on the physical examination in the assessment of patients with cardiovascular disorders appears to be declining, perhaps in part due to a paucity of data showing its value in the modern era. To determine whether the physical examination provides important prognostic information in patients with chronic heart failure, the authors performed a post-hoc analysis of 2479 participants from the Studies of Left Ventricular Dysfunction (SOLVD) treatment trial. The presence of elevated jugular venous pressure and a third heart sound at baseline were each associated with subsequent heart failure hospitalization, the composite end point of death or heart failure hospitalization, and pump-failure death, independently of many other markers of disease severity. The subgroup of patients with at least one of these two physical examination findings was at increased risk for all-cause mortality. The authors believe that additional studies assessing the prognostic value of the physical examination should be conducted and, if favorable, likely would lead to a renewed interest in the physical examination.

Original languageEnglish (US)
Pages (from-to)170-175+178
JournalCongestive Heart Failure
Volume9
Issue number3
StatePublished - May 2003

Fingerprint

Physical Examination
Heart Failure
Hospitalization
Heart Sounds
Venous Pressure
Left Ventricular Dysfunction
Neck
Mortality
Therapeutics

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

Cite this

The prognostic value of the physical examination in patients with chronic heart failure. / Rame, J. Eduardo; Dries, Daniel L.; Drazner, Mark H.

In: Congestive Heart Failure, Vol. 9, No. 3, 05.2003, p. 170-175+178.

Research output: Contribution to journalArticle

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