Diabetes, Heart and Cardiovascular Diseases News Chronicle Diabetes, Cardiovascular and Heart Diseases. Article 283
Published on January 1, 2018 at 3:00 AM GMT

Tool to predict 30-day risk of death or mortality for acute heart failure patients

Tool to predict 30-day risk of death or mortality for acute heart failure patients. Currently physicians in the emergency department of a hospital can not reliably classify patients suffering with acute heart failure symptoms according to their death risk. Now, a simple, highly reliable and accurate tool to predict 30-day risk of death for acute heart failure patients, who are under treatment in the emergency medical department has been developed by researchers from the Spanish Ministry of Health.

Researchers tested the 30-day risk of death prediction tool in 4,867 heart patients in Spain between 2009 and 2011. They further corroborated the functioning of the tool by predicting 30-day risk of death in 3,229 heart patients for about three years. The tool in its risk of death prediction uses factors such as

Lead author of the study was Oscar Miro, Hospital Clinic, Barcelona, Spain. The study findings were published October 2, 2017 in the journal Annals of Internal Medicine. Title of the article was "Predicting 30-Day Mortality for Patients With Acute Heart Failure in the Emergency Department: A Cohort Study."

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Heart failure : See congestive heart failure.

Barthel index score : Barthel index score or Barthel ADL index was introduced in the year 1965. The score ranges from 0-100 and used to measure ability of the patient to live independently. This score index shows stroke patient's dependence in performing daily routine activities. This index scores patient's ability in performing ten routine functions such as bathing, using steps, dressing, moving from bed to chair, walking, eating, toilet usage, grooming etc.


Heart attack or stroke risk with an exciting sport event
High heart beat and heart attack or stroke risk with an exciting live sport event in TV or in stadium. A study done by researchers shows watching a live sport in TV or at a stadium causes intense emotional stress and marked elevated heart rates. The elevated heart beat rates may trigger a cardiovascular event in a heart attack or stroke risk patients.

Researchers have found elevated heart beat rates during exciting moments of the game. Heart beat rate (measured with Holter monitors) of the fans were increased by 75 percent while watching in a live TV and by 110 percent while watching in a stadium. These heart beat rates are equal to cardiac stress caused with a vigorous exercise program. They observed that heart beat rates increases on an average by 92 percent.

Authors are advising GPs to warn high heart attack or stroke risk patients not to watch live hockey sport in a TV or at a stadium as "excitement with victory" or "pain with defeat" may cause negative effect on the cardiovascular system and subsequently trigger heart attack or stroke event.

Senior investigator of the study was Professor Paul Khairy, MD, PhD, Montreal Heart Institute, affiliated to Montreal University, Montreal, Quebec, Canada. The study findings were published October 5, 2017 in the Canadian Journal of Cardiology. Title of the article was "Heart Rate Response in Spectators of the Montreal Canadians Hockey Team."

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