Huttin et al reported the MEDIA Echo score for stratifying the risk of heart failure with preserved ejection fraction (HFpEF). The authors are from multiple institutions in France, the United Kingdom and the Netherlands.
MEDIA was named for the MEtabolic Road to DIAstolic heart failure multicenter study.
Patient selection: heart failure with preserved ejection fraction
Outcomes: death or cardiovascular hospitalization
Exam: echocardiography
Parameters:
(1) pulmonary arterial systolic pressure in mm Hg
(2) respiratory variation in diameter of the inferior vena cava
(3) E/e' ratio
(4) lateral mitral annular s' in cm/s
Parameter
Finding
Points
PA systolic pressure
<= 40 mm Hg
0
> 40 mm Hg
1
respiratory variation in IVC diameter
<= 0.5
0
> 0.5
1
E/e' ratio
<= 9
0
> 9
1
lateral mitral annular s'
< 7 cm/s
1
>= 7 cm/s
0
total score =
= SUM(points for all of the parameters)
Interpretation:
• minimum score: 0
• maximum score: 4
Total Score
Risk Category
Percent with Outcome at 1 Year
0 or 1
low
8%
2
intermediate
3 or 4
high
38%
Performance:
• The c-index was 0.70.
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