The correlation between proportional pulse pressure and grades of left ventricular dysfunction in patients of heart failure

Abstract

Background: Effective care of heart failure (HF), a leading cause of morbidity and mortality globally, depends on early detection of left ventricular (LV) systolic dysfunction. Echocardiography is difficult to get in many environments with limited resources. A straightforward bedside metric derived from blood pressure readings, proportional pulse pressure (PPP), may be a helpful marker of left ventricular systolic failure.

Objective: To assess the correlation between the degree of LV systolic dysfunction in heart failure patients and proportional pulse pressure

Methods: Patients with heart failure diagnoses participated in a clinical investigation. PPP was calculated using blood pressure readings, and LV systolic function was evaluated using echocardiography. Analysis was done on the relationship between PPP values and the degree of LV systolic dysfunction.

Results: The degree of LV systolic dysfunction was inversely correlated with PPP. More severe LV systolic function impairment was linked to lower PPP values. This implies that PPP could be a helpful marker for locating patients who have severe heart problems.

Conclusion: A non-invasive and reasonably priced indicator that is correlated with the degree of left ventricular systolic failure is proportional pulse pressure. In situations where echocardiography is not easily accessible, it can be especially useful as a first screening technique, enabling early discovery and prompt referral for more in-depth assessment and treatment. Additional extensive, multicenter research is required to confirm its clinical usefulness.

Keywords: Non-invasive, systolic dysfunction, LV, proportional pulse pressure (PPP), echocardiography