Abstract: Objective To explore and analysis the risk assessment value of multi parameter echocardiography scoring in the prognosis of heart failure patients. Methods 72 cases patients with heart failure who were hospitalized at Yanliang District Hospital of Traditional Chinese Medicine from February 2019 to May 2021 were selected as the research subjects. All patients were subjected to echocardiography examination and their multiparameter echocardiography scores were recorded. The major adverse cardiovascular events (MACE) in all patients were recorded, and correlation analysis was conducted. Results In the 72 patients, there were 22 cases(MACE group) had major cardiovascular adverse events during a 2-year follow-up, accounted for 30.6%. There were no significant differences in heart rate, gender, age, body mass index, systolic and diastolic blood pressure compared between the MACE group and the non MACE group (P>0.05). The left atrial diameter, left ventricular end diastolic diameter, and Tei index of the MACE group were significantly higher than those of the non MACE group (P<0.05), and the E/A value were significantly lower compared to the non MACE group (P<0.05). The left ventricular end diastolic volume index and left ventricular end systolic volume index in the MACE group were significantly higher than those in the non MACE group (P<0.05). There were no significant difference in the apical ejection fraction, middle ejection fraction, and basal ejection fraction between the two groups (P>0.05). In the 72 patients with heart failure, Spearman analysis showed that the incidence of MACE was related with left ventricular end diastolic volume index, left ventricular end systolic volume index, left atrial diameter, left ventricular end diastolic diameter, Tei index, E/A value after follow-up (P<0.05). Conclusion The incidence of MACE in the prognosis of heart failure patients is relatively high, and the multi-parameter score of echocardiography has great value in assessing the risk of prognosis in heart failure patients.

Key words: heart failure, major cardiovascular adverse events, echocardiography, correlation, left ventricular end diastolic diameter, Tei index, left ventricular end-diastolic volume index