학술논문

The safety and efficacy of compression therapy in patients with stable heart failure
Document Type
article
Source
International Journal of Cardiology: Heart & Vasculature, Vol 50, Iss , Pp 101343- (2024)
Subject
Venous dysfunction
Lymphatic dysfunction
Leg compression therapy
Diseases of the circulatory (Cardiovascular) system
RC666-701
Language
English
ISSN
2352-9067
Abstract
Background: Compression therapy is widely used as a therapeutic option for edema; however, concerns regarding its safety in patients with heart failure (HF) arose, particularly due to increased venous return, which increases pulmonary artery blood pressure. This study aimed to investigate the safety of compression therapy in patients with chronic HF. Methods: This study retrospectively enrolled patients with stable chronic HF who initiated treatment with compression therapy for lower extremity edema. The primary outcome was New York Heart Association (NYHA) class changes after 1 month of compression therapy, and adverse events were evaluated. Results: We analyzed 101 patients who initiated compression therapy. The number of patients continuing compression therapy at one month was 86. Overall, 61.6 % were female and the median age was 81 years. The proportion of patients with heart failure and preserved ejection fraction (HFpEF) was 50.4 %. Brain natriuretic peptide levels were significantly lower than baseline levels at 1 month, (baseline vs 1 month: 486 (360–696) vs 311 (211–511), p