Risk assessment of acute heart failure after endovascular therapy in acute ischemic stroke: a nomogram-based study - Report - MDSpire

Evaluating the Risk of Acute Heart Failure Following Endovascular Treatment in Acute Ischemic Stroke: A Study Utilizing Nomogram Analysis

  • By

  • Xiuling Yang

  • Wenfei Liang

  • Shaoan Ge

  • Bolin Song

  • Jingling Zhu

  • Yu Ding

  • Yilin He

  • Zhan Zhao

  • Bin Liao

  • Weimin Ning

  • Qiuxing He

  • Jingyi Chen

  • July 20, 2026

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Clinical Report: Evaluating the Risk of Acute Heart Failure Following EVT

Overview

This study identifies independent predictors of acute heart failure (AHF) following endovascular treatment (EVT) for acute ischemic stroke with large vessel occlusion (AIS-LVO).

Background

Acute heart failure is a significant complication following EVT for AIS-LVO, impacting patient outcomes and increasing mortality risk. Identifying patients at high risk for AHF is crucial for timely intervention and management.

Data Highlights

PredictorSignificance
Atrial fibrillationIndependent predictor of AHF
Valvular heart diseaseIndependent predictor of AHF
Left ventricular ejection fractionIndependent predictor of AHF
Serum creatinineIndependent predictor of AHF
Troponin TIndependent predictor of AHF

Key Findings

  • Five independent predictors of AHF identified: atrial fibrillation, valvular heart disease, left ventricular ejection fraction, serum creatinine, and troponin T.
  • The nomogram achieved an AUC of 0.909 in the validation cohort.
  • Calibration curves indicated good agreement between predicted and observed risks.

Clinical Implications

The nomogram developed in this study can assist clinicians in identifying patients at high risk for AHF after EVT.

Conclusion

The study successfully developed and validated a nomogram for predicting AHF risk in AIS-LVO patients post-EVT.

Related Resources & Content

  1. Author(s)/Org, Source, Year -- Title
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  5. 2024 ESC Guidelines for the management of elevated blood pressure and hypertension | European Heart Journal | Oxford Academic
  6. Cardiac Events After Mechanical Thrombectomy in Acute Ischemic Stroke: A Nation-Wide Cohort Study - PubMed
  7. 2024 ESC Guidelines for the management of elevated blood pressure and hypertension | European Heart Journal | Oxford Academic
  8. Cardiac Events After Mechanical Thrombectomy in Acute Ischemic Stroke: A Nation-Wide Cohort Study - PubMed

Original Source(s)

Risk assessment of acute heart failure after endovascular therapy in acute ischemic stroke: a nomogram-based study

  • by Xiuling Yang, Wenfei Liang, Shaoan Ge, Bolin Song, Jingling Zhu, Yu Ding, Yilin He, Zhan Zhao, Bin Liao, Weimin Ning, Qiuxing He, Jingyi Chen

  • July 20, 2026

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