Influencia de la presión arterial al inicio de las descompensaciones en el pronóstico de pacientes con insuficiencia cardiaca

Content Provider	Scilit
Author	Iranzo, Silvia Torrente Horna, Vanesa Garcés Laorden, Claudia Josa Gracia, Jorge Rubio Laiglesia, Fernando José Ruiz Marteles, Marta Sánchez Calvo, Juan Ignacio Pérez
Copyright Year	2017
Description	Journal: Medicina Clinica An inverse relationship has been described between blood pressure and the prognosis in heart failure (HF). The characteristics of this relationship are not well unknown. The objective of this study was to determine if this relationship is maintained in a non-selected cohort of patients with HF and if it can be modified by treatment. Prospective study of cohorts including patients hospitalized for decompensated HF in Internal Medicine departments and followed as outpatients in a monographic consultation. Patients were classified according to their levels of systolic (SBP) and diastolic blood pressure (DBP). Clinical characteristics, all-cause mortality and readmissions after the first, third and sixth month of follow-up were analysed. Two hundred and twenty-one patients were included after their admission to the hospital for acute HF. Mean patient age was 79.5 years(SD 8.09); 115 patients were male. No significant differences between SBP quartiles and basal characteristics were found. Patients with lower SBP (Q1) had higher mortality rates (20%, P<.05). No significant differences between mortality/readmissions and DBP were found. However, the Kaplan-Meier analysis showed higher all-cause mortality rates for the group of patients with lower SBP and DBP (log-rank=0.011 and 0.041, respectively). The pharmacological treatment did not differ significantly between both study groups. For non-selected patients suffering HF, higher SBP upon the admission is associated with significantly lower all-cause mortality rates during follow-up. Pharmacological treatment of HF does not seem to influence this inverse relationship between SBP at admission and patient mortality.
Related Links	http://zaguan.unizar.es/record/87676/files/texto_completo.pdf
Ending Page	152
Page Count	6
Starting Page	147
ISSN	00257753
e-ISSN	15788989
DOI	10.1016/j.medcli.2017.01.028
Journal	Medicina Clinica
Issue Number	4
Volume Number	149
Language	English
Publisher	Elsevier BV
Publisher Date	2017-08-01
Access Restriction	Open
Subject Keyword	Journal: Medicina Clinica Blood Pressure Epidemiología Reversa Heart Failure Insuficiencia Cardiaca Presión Arterial Reverse Epidemiology
Content Type	Text
Resource Type	Article
Subject	Medicine