Características de la insuficiencia cardíaca en pacientes con fracción de eyección preservada: Resultados del Registro Nacional de Insuficiencia Cardíaca, Grupo ICARO

Características de la insuficiencia cardíaca en pacientes con fracción de eyección preservada: Resultados del Registro Nacional de Insuficiencia Cardíaca, Grupo ICARO

Background: Heart failure (HF) with preserved ejection fraction (EF) is a condition of growing interest due to its high prevalence and difficult management. Aim: To evaluate the clinical profile of patients hospitalized with HF and preserved EF in Chilean hospitals. Material and Methods: Prospective...

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Autores principales: Vukasovic R,José Luis, Castro G,Pablo, Sepúlveda M,Luis, Nazzal N,Carolina, Garcés F,Eduardo, Concepción Ch,Roberto, Soto S,Juan Ramón, Yovaniniz L,Patricio, Ferrada K,Marcela, Cavada Ch,Gabriel
Lenguaje:Spanish / Castilian
Publicado: Sociedad Médica de Santiago 2006
Materias:
Echocardiography
Heart failure
congestive
Heart function tests
Stroke volume
Acceso en línea:http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872006000500001
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spelling oai:scielo:S0034-988720060005000012006-06-22Características de la insuficiencia cardíaca en pacientes con fracción de eyección preservada: Resultados del Registro Nacional de Insuficiencia Cardíaca, Grupo ICAROVukasovic R,José LuisCastro G,PabloSepúlveda M,LuisNazzal N,CarolinaGarcés F,EduardoConcepción Ch,RobertoSoto S,Juan RamónYovaniniz L,PatricioFerrada K,MarcelaCavada Ch,Gabriel Echocardiography Heart failure congestive Heart function tests Stroke volume Background: Heart failure (HF) with preserved ejection fraction (EF) is a condition of growing interest due to its high prevalence and difficult management. Aim: To evaluate the clinical profile of patients hospitalized with HF and preserved EF in Chilean hospitals. Material and Methods: Prospective registry of 15 centers. Among 649 patients hospitalized in functional class III and IV, an echocardiogram was performed to 353. Preserved EF was defined quantitatively as an EF >50%. Results: Out the 353 patients, 45% presented an EF >50%. Mean age in patients with EF >50 and ­50% was 66±13 and 67±13 years, respectively. Among patients with HF and EF >50%, the proportion of women was higher (73.7 and 36.3%, p <0.001), the proportion of patients with a history of hypertension (76.8 and 65.5%, p <0.05) and the presence of atrial fibrillation was also higher (62.3 and 47.8%, p <0.01) and a history of myocardial infarction was lower (17.1 and 29.5%, p <0.05). The diastolic diameter of the left ventricle was significantly lower in HF with preserved EF (51.0+10 and 63.5+10 mm respectively, p <0.001). No differences in the length of hospital stay and mortality were observed between HF with depressed and preserved EF. Female gender was an independent predictor for the presence of HF with preserved EF (Odds ratio: 2.62; confidence intervals: 1.1-6.1). Conclusions: HF and preserved EF is common among hospitalized patients, particularly in women and subjects with a history of hypertension and atrial fibrillation. Hospitalization length and mortality were similar in patients with either preserved or depressed EFinfo:eu-repo/semantics/openAccessSociedad Médica de SantiagoRevista médica de Chile v.134 n.5 20062006-05-01text/htmlhttp://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872006000500001es10.4067/S0034-98872006000500001
institution Scielo Chile
collection Scielo Chile
language Spanish / Castilian
topic Echocardiography
Heart failure
congestive
Heart function tests
Stroke volume
spellingShingle Echocardiography
Heart failure
congestive
Heart function tests
Stroke volume
Vukasovic R,José Luis
Castro G,Pablo
Sepúlveda M,Luis
Nazzal N,Carolina
Garcés F,Eduardo
Concepción Ch,Roberto
Soto S,Juan Ramón
Yovaniniz L,Patricio
Ferrada K,Marcela
Cavada Ch,Gabriel
Características de la insuficiencia cardíaca en pacientes con fracción de eyección preservada: Resultados del Registro Nacional de Insuficiencia Cardíaca, Grupo ICARO
description Background: Heart failure (HF) with preserved ejection fraction (EF) is a condition of growing interest due to its high prevalence and difficult management. Aim: To evaluate the clinical profile of patients hospitalized with HF and preserved EF in Chilean hospitals. Material and Methods: Prospective registry of 15 centers. Among 649 patients hospitalized in functional class III and IV, an echocardiogram was performed to 353. Preserved EF was defined quantitatively as an EF >50%. Results: Out the 353 patients, 45% presented an EF >50%. Mean age in patients with EF >50 and ­50% was 66±13 and 67±13 years, respectively. Among patients with HF and EF >50%, the proportion of women was higher (73.7 and 36.3%, p <0.001), the proportion of patients with a history of hypertension (76.8 and 65.5%, p <0.05) and the presence of atrial fibrillation was also higher (62.3 and 47.8%, p <0.01) and a history of myocardial infarction was lower (17.1 and 29.5%, p <0.05). The diastolic diameter of the left ventricle was significantly lower in HF with preserved EF (51.0+10 and 63.5+10 mm respectively, p <0.001). No differences in the length of hospital stay and mortality were observed between HF with depressed and preserved EF. Female gender was an independent predictor for the presence of HF with preserved EF (Odds ratio: 2.62; confidence intervals: 1.1-6.1). Conclusions: HF and preserved EF is common among hospitalized patients, particularly in women and subjects with a history of hypertension and atrial fibrillation. Hospitalization length and mortality were similar in patients with either preserved or depressed EF
author Vukasovic R,José Luis
Castro G,Pablo
Sepúlveda M,Luis
Nazzal N,Carolina
Garcés F,Eduardo
Concepción Ch,Roberto
Soto S,Juan Ramón
Yovaniniz L,Patricio
Ferrada K,Marcela
Cavada Ch,Gabriel
author_facet Vukasovic R,José Luis
Castro G,Pablo
Sepúlveda M,Luis
Nazzal N,Carolina
Garcés F,Eduardo
Concepción Ch,Roberto
Soto S,Juan Ramón
Yovaniniz L,Patricio
Ferrada K,Marcela
Cavada Ch,Gabriel
author_sort Vukasovic R,José Luis
title Características de la insuficiencia cardíaca en pacientes con fracción de eyección preservada: Resultados del Registro Nacional de Insuficiencia Cardíaca, Grupo ICARO
title_short Características de la insuficiencia cardíaca en pacientes con fracción de eyección preservada: Resultados del Registro Nacional de Insuficiencia Cardíaca, Grupo ICARO
title_full Características de la insuficiencia cardíaca en pacientes con fracción de eyección preservada: Resultados del Registro Nacional de Insuficiencia Cardíaca, Grupo ICARO
title_fullStr Características de la insuficiencia cardíaca en pacientes con fracción de eyección preservada: Resultados del Registro Nacional de Insuficiencia Cardíaca, Grupo ICARO
title_full_unstemmed Características de la insuficiencia cardíaca en pacientes con fracción de eyección preservada: Resultados del Registro Nacional de Insuficiencia Cardíaca, Grupo ICARO
title_sort características de la insuficiencia cardíaca en pacientes con fracción de eyección preservada: resultados del registro nacional de insuficiencia cardíaca, grupo icaro
publisher Sociedad Médica de Santiago
publishDate 2006
url http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872006000500001
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