Comparative heart failure profile over a 3-year period in a Romanian general hospital

Dana Pop,1 Oana Maria Penciu,1 Adela Viviana Sitar-Taut,2 Dumitru Tudor Zdrenghea11Department of Cardiology, Clinical Rehabilitation Hospital, "Iuliu Hatieganu" University of Medicine and Pharmacy, Cluj-Napoca, Romania; 2"Babes-Bolyai" University, Cluj-Napoca, Rom...

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Autores principales:	Pop D, Penciu OM, Sitar-Taut AV, Zdrenghea DT
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2013
Materias:	Heart failure profile evolution LVEF Geriatrics RC952-954.6
Acceso en línea:	https://doaj.org/article/0b6734d255e44fca83f78323b88152c2
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spelling	oai:doaj.org-article:0b6734d255e44fca83f78323b88152c22021-12-02T02:47:26ZComparative heart failure profile over a 3-year period in a Romanian general hospital1178-1998https://doaj.org/article/0b6734d255e44fca83f78323b88152c22013-07-01T00:00:00Zhttps://www.dovepress.com/comparative-heart-failure-profile-over-a-3-year-period-in-a-romanian-g-peer-reviewed-article-CIAhttps://doaj.org/toc/1178-1998Dana Pop,1 Oana Maria Penciu,1 Adela Viviana Sitar-Taut,2 Dumitru Tudor Zdrenghea11Department of Cardiology, Clinical Rehabilitation Hospital, "Iuliu Hatieganu" University of Medicine and Pharmacy, Cluj-Napoca, Romania; 2"Babes-Bolyai" University, Cluj-Napoca, RomaniaBackground: Heart failure (HF) has become an increasingly significant public health problem, associated with repeated hospitalizations, high costs, low quality of life, and decreased survival rate. The progress of the disease may be slowed if treatment is administered in accordance with current guidelines.Objectives: To compare the clinical profile of HF patients in a Romanian general hospital over a 3-year period.Methods and results: We studied two cohorts of patients admitted in the cardiology department of a rehabilitation hospital with a diagnosis of chronic HF New York Heart Association class II–IV. The first, in 2006, included 415 patients, 67.08 ± 10.59 years; the second, in 2009, included 500 patients, 67.31 ± 11.27 years. Considering all patients, the left ventricle ejection fraction (LVEF) was not statistically different in the two cohorts. Compared to the 2006 cohort, the 2009 female cohort had higher LVEF (60.49% ± 13.41% vs 64.42% ± 13.79%, P < 0.05), while males over 65 years of age had lower LVEF (52.75% ± 15.02% vs 54.37% ± 15.23%, P = NS). For females, the probability of having LVEF ,45% was higher in 2006 (odds ratio = 1.573). HF with preserved LVEF was more common in females, both in 2006 (78.2% vs 54.2%) and 2009 (87.2% vs 57.3%). In the 2009 cohort, LVEF was higher both in young patients (59.08% ± 14.22% vs 55.35% ± 14.92%) and patients ≥ than 75 years of age (62.28% ± 13.81% vs 56.79% ± 14.81%) compared to the 2006 cohort. Ischemic heart disease was the main underlying cause for HF in both cohorts.Conclusion: HF appeared to have the same clinical profile over a 3-year period. Females diagnosed with HF showed higher rates of preserved LVEF.Keywords: heart failure, profile, progress, LVEFPop DPenciu OMSitar-Taut AVZdrenghea DTDove Medical PressarticleHeart failureprofileevolutionLVEFGeriatricsRC952-954.6ENClinical Interventions in Aging, Vol Volume 8, Pp 999-1005 (2013)
institution	DOAJ
collection	DOAJ
language	EN
topic	Heart failure profile evolution LVEF Geriatrics RC952-954.6
spellingShingle	Heart failure profile evolution LVEF Geriatrics RC952-954.6 Pop D Penciu OM Sitar-Taut AV Zdrenghea DT Comparative heart failure profile over a 3-year period in a Romanian general hospital
description	Dana Pop,1 Oana Maria Penciu,1 Adela Viviana Sitar-Taut,2 Dumitru Tudor Zdrenghea11Department of Cardiology, Clinical Rehabilitation Hospital, "Iuliu Hatieganu" University of Medicine and Pharmacy, Cluj-Napoca, Romania; 2"Babes-Bolyai" University, Cluj-Napoca, RomaniaBackground: Heart failure (HF) has become an increasingly significant public health problem, associated with repeated hospitalizations, high costs, low quality of life, and decreased survival rate. The progress of the disease may be slowed if treatment is administered in accordance with current guidelines.Objectives: To compare the clinical profile of HF patients in a Romanian general hospital over a 3-year period.Methods and results: We studied two cohorts of patients admitted in the cardiology department of a rehabilitation hospital with a diagnosis of chronic HF New York Heart Association class II–IV. The first, in 2006, included 415 patients, 67.08 ± 10.59 years; the second, in 2009, included 500 patients, 67.31 ± 11.27 years. Considering all patients, the left ventricle ejection fraction (LVEF) was not statistically different in the two cohorts. Compared to the 2006 cohort, the 2009 female cohort had higher LVEF (60.49% ± 13.41% vs 64.42% ± 13.79%, P < 0.05), while males over 65 years of age had lower LVEF (52.75% ± 15.02% vs 54.37% ± 15.23%, P = NS). For females, the probability of having LVEF ,45% was higher in 2006 (odds ratio = 1.573). HF with preserved LVEF was more common in females, both in 2006 (78.2% vs 54.2%) and 2009 (87.2% vs 57.3%). In the 2009 cohort, LVEF was higher both in young patients (59.08% ± 14.22% vs 55.35% ± 14.92%) and patients ≥ than 75 years of age (62.28% ± 13.81% vs 56.79% ± 14.81%) compared to the 2006 cohort. Ischemic heart disease was the main underlying cause for HF in both cohorts.Conclusion: HF appeared to have the same clinical profile over a 3-year period. Females diagnosed with HF showed higher rates of preserved LVEF.Keywords: heart failure, profile, progress, LVEF
format	article
author	Pop D Penciu OM Sitar-Taut AV Zdrenghea DT
author_facet	Pop D Penciu OM Sitar-Taut AV Zdrenghea DT
author_sort	Pop D
title	Comparative heart failure profile over a 3-year period in a Romanian general hospital
title_short	Comparative heart failure profile over a 3-year period in a Romanian general hospital
title_full	Comparative heart failure profile over a 3-year period in a Romanian general hospital
title_fullStr	Comparative heart failure profile over a 3-year period in a Romanian general hospital
title_full_unstemmed	Comparative heart failure profile over a 3-year period in a Romanian general hospital
title_sort	comparative heart failure profile over a 3-year period in a romanian general hospital
publisher	Dove Medical Press
publishDate	2013
url	https://doaj.org/article/0b6734d255e44fca83f78323b88152c2
work_keys_str_mv	AT popd comparativeheartfailureprofileovera3yearperiodinaromaniangeneralhospital AT penciuom comparativeheartfailureprofileovera3yearperiodinaromaniangeneralhospital AT sitartautav comparativeheartfailureprofileovera3yearperiodinaromaniangeneralhospital AT zdrengheadt comparativeheartfailureprofileovera3yearperiodinaromaniangeneralhospital
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Comparative heart failure profile over a 3-year period in a Romanian general hospital

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