Assessment of Bendopnea and Its Association With Clinical and Para‐Clinical Findings in Systolic Heart Failure: A Cross‐Sectional Study
ABSTRACT Background and Aims Bendopnea is a symptom found in patients with heart failure (HF) defined as shortness of breath when bending forward. The present study examined the correlation between bendopnea with other cardiac symptoms, echocardiographic findings, and cardiac function parameters. Me...
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2025-01-01
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| Online Access: | https://doi.org/10.1002/hsr2.70354 |
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| author | Elmira Javanmardi Tara Reshadmanesh Sepehr Gohari Amir Hossein Behnoush Hassan Ahangar |
| author_facet | Elmira Javanmardi Tara Reshadmanesh Sepehr Gohari Amir Hossein Behnoush Hassan Ahangar |
| author_sort | Elmira Javanmardi |
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| description | ABSTRACT Background and Aims Bendopnea is a symptom found in patients with heart failure (HF) defined as shortness of breath when bending forward. The present study examined the correlation between bendopnea with other cardiac symptoms, echocardiographic findings, and cardiac function parameters. Methods This was a single‐center prospective cross‐sectional study of patients diagnosed with systolic HF. Medical history, bending tests, laboratory tests, electrocardiography (ECG), echocardiography, and 6‐min walking test (6‐MWT) were evaluated. Patients with reduced ejection fraction were followed to assess the 2‐year outcomes for cardiovascular death and rehospitalization. Results A total of 80 patients were included in this study, of whom 54 (67.5%) were male. Bendopnea was present in 34 (42.5%) and their mean age was 62.44 years (compared to group without bendopnea, p = 0.869). Symptoms of HF such as dyspnea of exertion (DOE) and orthopnea were significantly related to the presence of bendopnea (p = 0.001, odds ratio (OR): 6.87, and p = 0.016, OR: 3.18, respectively). The bendopnea‐positive group had a higher New York Heart Association (NYHA) class (p = 0.005). ECG results showed no significant difference between the two groups. The echocardiographic findings showed that the inferior vena cava (IVC) respiratory collapse was significantly lower in the bendopnea‐positive group (p = 0.019, OR: 0.339, 95% CI:0.13–0.85). Moreover, they had a substantially lower performance in 6‐MWT (387.39 vs. 325.58 m, p = 0.015). Neither rehospitalization nor death was related to bendopnea after a 2‐year follow‐up (p = 0.454). Conclusion Bendopnea was associated with several signs and symptoms of HF, including orthopnea, DOE, NYHA class, lower IVC collapse, and impaired functional capacity measured via 6‐MWT. However, there was no association between bendopnea and ECG findings, ejection fraction, and NT‐proBNP levels. Further studies with larger sample sizes are needed to assess the associations with long‐term outcomes and confirm our findings. |
| format | Article |
| id | doaj-art-2fe319d12b6543429ba1ba0bf8a6a50b |
| institution | Kabale University |
| issn | 2398-8835 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | Wiley |
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| spelling | doaj-art-2fe319d12b6543429ba1ba0bf8a6a50b2025-01-29T03:42:39ZengWileyHealth Science Reports2398-88352025-01-0181n/an/a10.1002/hsr2.70354Assessment of Bendopnea and Its Association With Clinical and Para‐Clinical Findings in Systolic Heart Failure: A Cross‐Sectional StudyElmira Javanmardi0Tara Reshadmanesh1Sepehr Gohari2Amir Hossein Behnoush3Hassan Ahangar4Department of Cardiology Mousavi Hospital Zanjan University of Medical Science Zanjan IranSchool of Medicine, Student Research Center Zanjan University of Medical Science Zanjan IranSchool of Medicine, Student Research Center Zanjan University of Medical Science Zanjan IranSchool of Medicine Tehran University of Medical Sciences Tehran IranDepartment of Cardiology Mousavi Hospital Zanjan University of Medical Science Zanjan IranABSTRACT Background and Aims Bendopnea is a symptom found in patients with heart failure (HF) defined as shortness of breath when bending forward. The present study examined the correlation between bendopnea with other cardiac symptoms, echocardiographic findings, and cardiac function parameters. Methods This was a single‐center prospective cross‐sectional study of patients diagnosed with systolic HF. Medical history, bending tests, laboratory tests, electrocardiography (ECG), echocardiography, and 6‐min walking test (6‐MWT) were evaluated. Patients with reduced ejection fraction were followed to assess the 2‐year outcomes for cardiovascular death and rehospitalization. Results A total of 80 patients were included in this study, of whom 54 (67.5%) were male. Bendopnea was present in 34 (42.5%) and their mean age was 62.44 years (compared to group without bendopnea, p = 0.869). Symptoms of HF such as dyspnea of exertion (DOE) and orthopnea were significantly related to the presence of bendopnea (p = 0.001, odds ratio (OR): 6.87, and p = 0.016, OR: 3.18, respectively). The bendopnea‐positive group had a higher New York Heart Association (NYHA) class (p = 0.005). ECG results showed no significant difference between the two groups. The echocardiographic findings showed that the inferior vena cava (IVC) respiratory collapse was significantly lower in the bendopnea‐positive group (p = 0.019, OR: 0.339, 95% CI:0.13–0.85). Moreover, they had a substantially lower performance in 6‐MWT (387.39 vs. 325.58 m, p = 0.015). Neither rehospitalization nor death was related to bendopnea after a 2‐year follow‐up (p = 0.454). Conclusion Bendopnea was associated with several signs and symptoms of HF, including orthopnea, DOE, NYHA class, lower IVC collapse, and impaired functional capacity measured via 6‐MWT. However, there was no association between bendopnea and ECG findings, ejection fraction, and NT‐proBNP levels. Further studies with larger sample sizes are needed to assess the associations with long‐term outcomes and confirm our findings.https://doi.org/10.1002/hsr2.70354bendopneaechocardiographyelectrocardiographyheart failure |
| spellingShingle | Elmira Javanmardi Tara Reshadmanesh Sepehr Gohari Amir Hossein Behnoush Hassan Ahangar Assessment of Bendopnea and Its Association With Clinical and Para‐Clinical Findings in Systolic Heart Failure: A Cross‐Sectional Study Health Science Reports bendopnea echocardiography electrocardiography heart failure |
| title | Assessment of Bendopnea and Its Association With Clinical and Para‐Clinical Findings in Systolic Heart Failure: A Cross‐Sectional Study |
| title_full | Assessment of Bendopnea and Its Association With Clinical and Para‐Clinical Findings in Systolic Heart Failure: A Cross‐Sectional Study |
| title_fullStr | Assessment of Bendopnea and Its Association With Clinical and Para‐Clinical Findings in Systolic Heart Failure: A Cross‐Sectional Study |
| title_full_unstemmed | Assessment of Bendopnea and Its Association With Clinical and Para‐Clinical Findings in Systolic Heart Failure: A Cross‐Sectional Study |
| title_short | Assessment of Bendopnea and Its Association With Clinical and Para‐Clinical Findings in Systolic Heart Failure: A Cross‐Sectional Study |
| title_sort | assessment of bendopnea and its association with clinical and para clinical findings in systolic heart failure a cross sectional study |
| topic | bendopnea echocardiography electrocardiography heart failure |
| url | https://doi.org/10.1002/hsr2.70354 |
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