Araoye and Olowoyeye developed a score for diagnosing hypertensive heart failure in a patient based on clinical findings. The authors are from the University of Ilorin in Nigeria.
Parameters:
(1) age in years
(2) cardiac arrhythmia
(3) organic heart murmur
(4) aortic valve closure sound (A2)
(5) ethanol abuse
(6) chronic pulmonary disease
(7) retinal changes of arteriolosclerosis
(8) size of the aorta in the chest X-ray
(9) involutional arteriosclerosis (palpable thickening of the arterial wall in peripheral arteries)
|
Parameter |
Finding |
Points |
|
aortic valve closure sound (A2) |
normal |
0 |
|
|
loud or tambour |
1 |
|
retinal changes |
normal or Grade I |
0 |
|
|
Grade II or higher |
2 |
|
size of the aorta |
normal |
0 |
|
|
dilated or tortuous |
1 |
|
palpable thickening of arteries |
absent |
0 |
|
|
present |
3 |
|
age, arrhythmia, murmur, ethanol use, chronic pulmonary disease |
age >= 40 years, no arrhythmia, no organic heart murmur, no ethanol abuse AND no chronic pulmonary disease |
3 |
|
|
age < 40 OR arrhythmia OR organic heart murmur OR ethanol abuse OR chronic pulmonary disease |
0 |
total score =
= SUM(points for all of the parameters)
Interpretation:
• minimum score: 0
• maximum score: 10
|
Total Score |
Diagnosis |
|
0 to 3 |
not hypertensive HF |
|
4 to 6 |
probable hypertensive HF |
|
7 to 10 |
definite hypertensive HF |
Purpose: To evaluate a patient with heart failure for evidence of underlying hypertension using the score of Araoye and Olowoyeye.
Specialty: Cardiology
Objective: imaging studies, laboratory tests, criteria for diagnosis
ICD-10: I11.0,
