d'Humieres et al identified factors associated with hospital mortality for a patient with cardiac amyloidosis presenting with acute heart failure. The authors are from Henri-Mondor University Hospital, University Hospital of Montpellier and Clinique Ambroise-Pare in France.
Patient selection: cardiac amyloidosis with heart failure, admitted to the intensive care unit
Predictors of hospital mortality:
(1) cardiogenic shock (OR 10)
(2) blood urea concentration in mmol/L (OR 1.2)
where:
• The blood urea concentration was 10 +/- 5 mmol/L in survivors and 20 +/- 11 in those who died.
• Patients who died has a higher cumulative 48-hour furosemide dose in mg.
• The admission SOFA score was 2.7 +/- 1.9 for survivors and 5.5 +/- 2.1 for nonsurvivors.
Predictor of short-term evolution to cardiogenic shock while in a stable hemodynamic state: