Evidence map›Paper›PMID 24274028›Full record

ArticleBMC research notes2013

Relationship between clinically assessed heart failure severity and the Tei index in Nigerian patients.

Olarinde Jeffrey Ogunmola, Anthony Olubunmi Akintomide, Adeyemi Michael Olamoyegun

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Article in BMC research notes, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

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2citing papers in PubMed
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3 · Its place in the literature

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2 citing papers in PubMed.

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5 · Who and what money

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3 authors.

Olarinde Jeffrey OgunmolaCardiac Centre, Department of Internal Medicine, Federal Medical Centre, P,M,B, 201, Ido Ekiti, Ekiti State, Nigeria. joogunmola@yahoo.com.
Anthony Olubunmi Akintomide
Adeyemi Michael Olamoyegun

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe Tei index is a Doppler-derived myocardial performance index. It is a measure of the combined systolic and diastolic myocardial performance of both the left and right ventricles. The incidence of heart failure (HF) is increasing globally, and its severity can be clinically assessed using the New York Heart Association (NYHA) functional classification and more objectively using echocardiographic assessment of systolic and diastolic functions. Thus, a measure of the combined systolic and diastolic myocardial performance could be a useful predictor of the severity of the clinical status of patients with HF.

resultsSeventy-five newly presenting patients with HF of NYHA class II to IV and 60 normal controls were consecutively recruited. Using conventional two-dimensional and Doppler echocardiography techniques, the left ventricular parameters assessed were the isovolumic relaxation time (IVRT), isovolumic contraction time (IVCT), ejection time (ET), ejection fraction (EF), and end-diastolic volume (EDV). The Tei index was determined using the formula IVCT + IVRT/ET. The mean Tei index of patients was significantly higher than that of controls (0.884 ± 0.321 vs. 0.842 ± 0.14; p < 0.001). The Tei index ranged from 0.33 to 1.94 in patients and from 0.56 to 1.24 in controls. The mean EF was lower in patients than in controls (50.47% ± 19.01% vs. 68.35% ± 7.75%; p = 0.001). The mean EDV was higher in patients than in controls (171.39 ± 100.96 vs. 94.15 ± 28.54; p < 0.001). Comparison of the mean Tei indices of patients with HF of NYHA classes II, III, and IV showed statistically significant differences among all three groups (p < 0.001).

conclusionsThe Tei index seems to be a clinically relevant indicator of cardiac function. It is reflective of the severity of HF as clinically assessed using the NYHA functional classification in patients with HF.

Indexed as

Severity of Illness IndexAdolescentAdultAgedCase-Control StudiesEchocardiography, DopplerFemaleHeart FailureHumansMaleMiddle AgedNigeriaYoung Adult

Identifiers

PMID24274028
PMCPMC4222090

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