Analysis of the Diagnostic Value of Echocardiography in Patients with Chronic Heart Failure
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Keywords

Chronic heart failure
Echocardiography
Cardiac function

DOI

10.26689/jcnr.v7i5.5337

Submitted : 2023-08-23
Accepted : 2023-09-07
Published : 2023-09-22

Abstract

Objective: This study aims to analyze the diagnostic value of echocardiography in patients with chronic heart
failure. Methods: 30 patients with chronic heart failure admitted to our hospital during January 2021 to January 2023 were selected as the observation group, and 30 healthy people who received physical examination in our hospital during the same period were selected as the reference group. Both groups received echocardiography, and the results of the ultrasound examination were compared, and the subjects in the observation group were grouped according to the New York Heart Association (NYHA) cardiac function grading standard. The results of echocardiography in patients with chronic heart failure of different cardiac function grades were compared. Results: The left ventricular ejection fraction (LVEF) and ratio of maximum blood flow in the early diastole (E) to movement speed (A) (E/A) in the observation group were lower than those in the reference group, while the left ventricular posterior wall thickness (LVPWd), left ventricular end-diastolic diameter (LVEDD), left ventricular end-systolic diameter (LVESD), left atrial diameter (LAD), and interventricular septal thickness (IVS) were higher than those of the reference group (P < 0.05). With the continuous increase of cardiac function grades, the levels of LVEF and E/A in patients with chronic heart failure continued to decrease, while the levels of LVPWd, LVEDD, LVESD, LAD, and IVS continued to increase, and there were significant differences among the groups (P < 0.05).
Conclusion: The application of echocardiography in the clinical diagnosis of chronic heart failure can accurately evaluate the changes of cardiac shape and cardiac function, and provide a reliable basis for clinical diagnosis with a high application value.

References

Zhao Y, Qiao X, 2021, Evaluation Value of Cardiac Color Doppler Ultrasound Combined with NT-proBNP Level in Long-Term Prognosis of Patients with Chronic Heart Failure. Journal of Medical Imaging, 31(1): 47–50.

Zhang X, Sha R, 2020, Echocardiographic Diagnosis of Hypertensive Left Ventricular Hypertrophy with Left Heart Failure. Chinese Medicine and Clinic, 20(11): 1806–1807.

Hu L, Tang C, Hao L, et al., 2020, Study on the Value of Serum cTnI level Combined with Pulmonary Artery CT Imaging and Echocardiography in Evaluating the Prognosis of Elderly Patients with Heart Failure. Hebei Medicine, 42(1): 24–27 + 32.

Gong L, 2020, Analysis of Clinical Diagnostic Value of Cardiac Color Doppler Ultrasound in Chronic Heart Failure with Multiple Etiologies. Imaging Research and Medical Application, 4(9): 215–216.

Nong J, Xu J, Nong H, et al., 2023, Research on the Evaluation Value of Echocardiography for Abnormal Left Ventricular Diastolic Function in Heart Failure. Imaging Research and Medical Application, 7(6): 72–74.

Cardiovascular Branch of Chinese Medical Association, 2014, Guidelines for Diagnosis and Treatment of Heart Failure in China 2014. Chinese Journal of Cardiovascular Diseases, 42(2): 3–10.

Niu W, Li J, Qu C, 2022, Correlation Analysis of ECG, Cardiac Ultrasound and Cardiac Function in Emergency Heart Failure Patients. Chinese Journal of Evidence-Based Cardiovascular Medicine, 14(7): 851–853 + 857.

Zhang C, 2022, Application of Echocardiography in the Diagnosis of Hypertensive Left Ventricular Hypertrophy with Left Heart Failure and Analysis of its Impact on Systolic and Diastolic Blood Pressure Levels. Life Science Instruments, 20(1): 265.

Mao Y, Yang L, Liu B, et al., 2019, Clinical Value of Echocardiography in Evaluating Cardiac Function in Patients with Hypertensive Left Ventricular Hypertrophy and Left Heart Failure and its Relationship with NYHA Classification. Modern Biomedicine Progress, 2019(23): 4474–4478.

Huang B, Liu D, 2023, Evaluation Value Analysis of Color Doppler Ultrasound in Patients with Chronic Heart Failure. Clinical Medical Engineering, 30(5): 595–596.

Guan X, Tang H, Wang C, 2023, Application Analysis of Echocardiography in the Diagnosis of Patients with Chronic Heart Failure. World Compound Medicine, 9(1): 148–151.

Li H, Du X, Zhang B, 2020, Clinical Value of Heart Failure Ultrasound Index in Evaluating Cardiac Function in Patients with Chronic Heart Failure. Journal of Medical Imaging, 30(9): 1607–1610.

Yang Y, 2022, Evaluation Value of Cardiac Color Ultrasound Combined with Serum Albumin on the Prognosis of Patients with Coronary Heart Disease Complicated with Chronic Heart Failure. China Health Engineering, 21(5): 822–824.

Yan Q, Wang J, Wu X, et al., 2020, Evaluation Value of Cardiac Color Doppler Ultrasound Combined with Serum Albumin in the Prognosis of Patients with Chronic Heart Failure. Journal of Medical Imaging, 30(8): 1512–1515.

Song F, 2022, Effect Analysis of Echocardiographic Diagnosis in Patients with Chronic Heart Failure. China Urban and Rural Enterprise Health, 37(3): 146–147.