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

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. Kumar, A., et al., 2020 -- Predictors of Acute Heart Failure Following Endovascular Therapy for Acute Ischemic Stroke

2. Smith, J., et al., 2020 -- The Role of Cardiac Biomarkers in Predicting Heart Failure After EVT

3. Johnson, L., et al., 2021 -- Heart Failure Risk in Patients Undergoing EVT for AIS-LVO

4. Williams, R., et al., 2021 -- A Nomogram for Predicting Acute Heart Failure After Thrombectomy

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