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http://hdl.handle.net/2445/175089
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DC Field | Value | Language |
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dc.contributor.author | Formiga Pérez, Francesc | - |
dc.contributor.author | Moreno González, Rafael | - |
dc.contributor.author | Chivite, David | - |
dc.contributor.author | Yun, Sergi | - |
dc.contributor.author | Ariza Solé, Albert | - |
dc.contributor.author | Corbella, Xavier | - |
dc.date.accessioned | 2021-03-15T12:02:13Z | - |
dc.date.available | 2021-03-15T12:02:13Z | - |
dc.date.issued | 2019-07-01 | - |
dc.identifier.uri | http://hdl.handle.net/2445/175089 | - |
dc.description.abstract | Background: Systolic blood pressure (SBP) is an acknowledged prognostic factor in patients with heart failure (HF). Admission SBP should be a risk factor for 1-year mortality even in elderly patients experiencing a first admission for HF, and this risk may persist in the oldest subset of patients. Design: Methods: We reviewed the medical records of 1031 patients aged 70 years or older admitted within a 3-year period for a first episode of acute heart failure (AHF). The cohort was divided according to admission SBP values in quartiles. We analyzed all-cause mortality as a function of these admission SBP quartiles. Results: Mean age was 82.2 ± 6 years; their mean admission SBP was 138.6 ± 25 mmHg. A statistically significant association was present between mortality at 30 (p < 0.0001), 90 (p < 0.0001), and 365 days (p < 0.0001) after hospital discharge and lower admission SBP quartiles. One-year mortality ranged from 14.7% for patients within the upper SBP quartile to 41.4% for those in the lowest quartile. The multivariate analysis confirmed this association (HR: 0.884; 95% CI: 0.615-0.76; p = 0.0001), which remained significant when admission SBP was evaluated as a continuous variable (HR: 0.980; 95% CI: 0.975-0.985; p = 0.0001). The association between SBP and 1-year mortality remained when the sample was divided into old (70-82 years) and "oldest-old" (>82 years) patients. Conclusions: Lower SBP at admission is an independent predictor of midterm postdischarge mortality for elderly patients experiencing a first admission for AHF. | - |
dc.format.extent | 6 p. | - |
dc.format.mimetype | application/pdf | - |
dc.language.iso | eng | - |
dc.publisher | Elsevier B. v. | - |
dc.relation.isformatof | Reproducció del document publicat a: https://doi.org/10.1016/j.hjc.2018.08.004 | - |
dc.relation.ispartof | Hellenic Journal of Cardiology, 2019, vol. 60, num. 4, p. 224-229 | - |
dc.relation.uri | https://doi.org/10.1016/j.hjc.2018.08.004 | - |
dc.rights | cc by-nc-nd (c) Hellenic Society of Cardiology, 2018 | - |
dc.rights.uri | http://creativecommons.org/licenses/by-nc-nd/3.0/es/ | * |
dc.source | Articles publicats en revistes (Institut d'lnvestigació Biomèdica de Bellvitge (IDIBELL)) | - |
dc.subject.classification | Insuficiència cardíaca | - |
dc.subject.classification | Pressió sanguínia | - |
dc.subject.classification | Mortalitat | - |
dc.subject.other | Heart failure | - |
dc.subject.other | Blood pressure | - |
dc.subject.other | Mortality | - |
dc.title | Lower admission blood pressure is an independent predictor of one-year mortality in elderly patients experiencing a first hospitalization because of acute heart failure | - |
dc.type | info:eu-repo/semantics/article | - |
dc.type | info:eu-repo/semantics/publishedVersion | - |
dc.date.updated | 2021-03-10T09:06:36Z | - |
dc.rights.accessRights | info:eu-repo/semantics/openAccess | - |
dc.identifier.pmid | 30130621 | - |
Appears in Collections: | Articles publicats en revistes (Institut d'lnvestigació Biomèdica de Bellvitge (IDIBELL)) |
Files in This Item:
File | Description | Size | Format | |
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1-s2.0-S110996661830229X-main.pdf | 1.48 MB | Adobe PDF | View/Open |
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