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Development of heart failure in asymptomatic patients with Bendopnea

Published:January 21, 2020DOI:https://doi.org/10.1016/j.ejim.2020.01.004
      A new symptom of heart failure (HF) has been described in recent years, that is being called bendopnea [
      • Thibodeau J.T.
      • Turer A.T.
      • Gualano S.K.
      • Ayers C.R.
      • Velez-Martinez M.
      • Mishkin J.D.
      • et al.
      Characterization of a novel symptom of advanced heart failure: bendopnea.
      ]. This type of dyspnea is experienced while bending forward when putting on shoes or tying them up within the first 30 s. It is secondary to an increase in cardiac filling pressures [
      • Thibodeau J.T.
      • Turer A.T.
      • Gualano S.K.
      • Ayers C.R.
      • Velez-Martinez M.
      • Mishkin J.D.
      • et al.
      Characterization of a novel symptom of advanced heart failure: bendopnea.
      ]. In addition to being very prevalent in these patients (between 28 and 48.8%), it is a short term predictor of readmission in stable HF and mortality in decompensated HF [
      • Baeza-Trinidad R.
      • Mosquera-Lozano J.D.
      • El Bikri L
      Assessment of bendopnea impact on decompensated heart failure.
      ,
      • Thibodeau J.T.
      • Jenny B.E.
      • Maduka J.O.
      • Divanji P.H.
      • Ayers C.R.
      • Araj F.
      • et al.
      Bendopnea and risk of adverse clinical outcomes in ambulatory patients with systolic heart failure.
      ]. On the other hand, this symptom has recently been described in the general population without HF (6.7%) [
      • Baeza-Trinidad R.
      • Isaula-Jimenez O.
      • Peinado-Adiego C.
      • Mosquera-Lozano J.D
      Prevalence of bendopnea in general population without heart failure.
      ]. We conducted the present study to evaluate bendopnea as a risk factor of HF in general healthy population.

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