PMID- 27427508
OWN - NLM
STAT- MEDLINE
DCOM- 20171109
LR  - 20180210
IS  - 1879-0844 (Electronic)
IS  - 1388-9842 (Linking)
VI  - 19
IP  - 1
DP  - 2017 Jan
TI  - Assessment of bendopnea impact on decompensated heart failure.
PG  - 111-115
LID - 10.1002/ejhf.610 [doi]
AB  - AIMS: We have often found that patients with heart failure had shortness of
      breath when bending forward. The frequency of bendopnea in patients with
      decompensated heart failure (DHF), its repercussions on quality of life (QoL),
      and its prognosis have not yet been studied. This study was carried out to
      evaluate the characteristics, degree of limitation, and short-term prognosis of
      patients with bendopnea and DHF. METHODS AND RESULTS: We conducted a study of 250
      patients admitted with DHF. Bendopnea was considered when shortness of breath
      occurred within 30 s of bending forward. It was present in 122 patients (48.8%). 
      The mean time of onset was 13.4 +/- 6.9 s. Patients with bendopnea presented a
      higher frequency of orthopnoea, paroxysmal nocturnal dyspnoea, oliguria, oedema, 
      elevated jugular venous pressure, abdominal fullness, and worse functional class 
      (P < 0.001). An enlargement of both atria was more frequent in these patients (P 
      < 0.001). Pulmonary artery systolic pressure (PASP) was higher in the bendopnea
      group (P = 0.001). Body mass index and LVEF were not associated with presence of 
      bendopnea. Subjective QoL limitation was present in 80.3% (36.1% mild, 44.2%
      moderate to severe limitation). Patients with bendopnea had a higher mortality
      rate (P = 0.025) and more advanced NYHA class (P < 0.001). Patients who died had 
      a lower LVEF (P = 0.001), increased PASP (P = 0.08), and lower mean duration of
      shortness of breath than those who survived (P = 0.01). CONCLUSION: Bendopnea is 
      related to advanced HF symptoms and it is associated with mortality in the short 
      term and advanced NYHA functional class. This symptom produces moderate to severe
      limitation of QoL.
CI  - (c) 2016 The Authors. European Journal of Heart Failure (c) 2016 European Society
      of Cardiology.
FAU - Baeza-Trinidad, Ramon
AU  - Baeza-Trinidad R
AD  - Internal Medicine Department, Hospital San Pedro, Logrono, Spain.
FAU - Mosquera-Lozano, Jose Daniel
AU  - Mosquera-Lozano JD
AD  - Internal Medicine Department, Hospital San Pedro, Logrono, Spain.
FAU - El Bikri, Laila
AU  - El Bikri L
AD  - Internal Medicine Department, Hospital San Pedro, Logrono, Spain.
LA  - eng
PT  - Journal Article
DEP - 20160718
PL  - England
TA  - Eur J Heart Fail
JT  - European journal of heart failure
JID - 100887595
SB  - IM
MH  - Aged
MH  - Aged, 80 and over
MH  - Disease Progression
MH  - Dyspnea/etiology/*physiopathology
MH  - Edema/etiology
MH  - Female
MH  - Heart Failure/complications/*physiopathology
MH  - Humans
MH  - Jugular Veins
MH  - Male
MH  - *Mortality
MH  - Oliguria/etiology
MH  - *Posture
MH  - Pressure
MH  - Prognosis
MH  - Pulmonary Artery
MH  - *Quality of Life
MH  - Severity of Illness Index
MH  - Stroke Volume
MH  - Systole
OTO - NOTNLM
OT  - *Bendopnea
OT  - *Decompensated heart failure
OT  - *Mortality
OT  - *Quality of life
EDAT- 2016/07/19 06:00
MHDA- 2017/11/10 06:00
CRDT- 2016/07/19 06:00
PHST- 2016/02/29 00:00 [received]
PHST- 2016/05/18 00:00 [revised]
PHST- 2016/06/09 00:00 [accepted]
PHST- 2016/07/19 06:00 [pubmed]
PHST- 2017/11/10 06:00 [medline]
PHST- 2016/07/19 06:00 [entrez]
AID - 10.1002/ejhf.610 [doi]
PST - ppublish
SO  - Eur J Heart Fail. 2017 Jan;19(1):111-115. doi: 10.1002/ejhf.610. Epub 2016 Jul
      18.