Please use this identifier to cite or link to this item: http://hdl.handle.net/10553/51007
DC FieldValueLanguage
dc.contributor.authorSalamanca-Bautista, Pradoen_US
dc.contributor.authorConde-Martel, Aliciaen_US
dc.contributor.authorAramburu-Bodas, Óscaren_US
dc.contributor.authorFormiga, Francescen_US
dc.contributor.authorTrullàs, Joan Carlesen_US
dc.contributor.authorQuesada-Simón, Ma Angustiasen_US
dc.contributor.authorCasado-Cerrada, Jesúsen_US
dc.contributor.authorRuiz-Laiglesia, Fernandoen_US
dc.contributor.authorManzano, Luisen_US
dc.contributor.authorMontero-Pérez-Barquero, Manuelen_US
dc.date.accessioned2018-11-24T20:37:58Z-
dc.date.available2018-11-24T20:37:58Z-
dc.date.issued2016en_US
dc.identifier.issn0167-5273en_US
dc.identifier.urihttp://hdl.handle.net/10553/51007-
dc.description.abstractAim To evaluate precipitating factors (PF) of exacerbation in heart failure (HF) and their relationship with age, preserved vs. reduced left ventricular ejection fraction (LVEF) and short-term prognosis. Methods We included and followed 2962 patients admitted with acute HF to Internal Medicine Units. Several PF were identified. Differences in PF according to preserved vs. reduced LVEF and age (patients ≥ 80 years vs. younger) were analyzed. Primary endpoints were readmission due to worsening HF and all-cause mortality at 3 months follow-up. Multivariable Cox models were conducted to identify the independent predictors of 3-months mortality and readmission. Results More than half of the patients were 80 years and over, 47% were women and 61% had preserved LVEF. Atrial fibrillation (AF) and myocardial ischemia were the more common cause of decompensation among octogenarians. It was more frequent to find myocardial ischemia or non-adherence to treatment as precipitants in patients with systolic dysfunction. However, respiratory infections, AF and poor control of blood pressure were more usual in patients with preserved LVEF compared to those with LVEF < 50%. Patients admitted for HF precipitated by myocardial ischemia had a higher risk of readmission at 3 months (HR 1.49; CI 95%: 1.12–1.99, p = 0.006) and the longest hospital stay (12 days). PF showed no predictive value for mortality. Conclusion Myocardial ischemia as a PF was an independent marker for HF readmissions at 3-months follow-up. Precipitants are different depending on the age and LVEF of patients. Their identification could improve risk stratification and prevention strategies.en_US
dc.languageengen_US
dc.relation.ispartofInternational Journal of Cardiologyen_US
dc.sourceInternational Journal of Cardiology[ISSN 0167-5273],v. 219, p. 150-155 (Septiembre 2016)en_US
dc.subject32 Ciencias médicasen_US
dc.subject320501 Cardiologíaen_US
dc.subject.otherHeart failureen_US
dc.subject.otherPrecipitating factorsen_US
dc.subject.otherElderlyen_US
dc.titlePrecipitating factors of heart failure admission: Differences related to age and left ventricular ejection fractionen_US
dc.typeinfo:eu-repo/semantics/articleen_US
dc.typeArticleen_US
dc.identifier.doi10.1016/j.ijcard.2016.06.040en_US
dc.identifier.scopus84975065663-
dc.contributor.authorscopusid55892758400-
dc.contributor.authorscopusid7004460826-
dc.contributor.authorscopusid6507424399-
dc.contributor.authorscopusid24474137200-
dc.contributor.authorscopusid6602076626-
dc.contributor.authorscopusid6505546369-
dc.contributor.authorscopusid16642196900-
dc.contributor.authorscopusid6603881121-
dc.contributor.authorscopusid7003478009-
dc.contributor.authorscopusid55914854300-
dc.description.lastpage155en_US
dc.description.firstpage150en_US
dc.relation.volume219en_US
dc.investigacionCiencias de la Saluden_US
dc.type2Artículoen_US
dc.description.numberofpages6en_US
dc.utils.revisionen_US
dc.date.coverdateSeptiembre 2016en_US
dc.identifier.ulpgcen_US
dc.contributor.buulpgcBU-MEDen_US
dc.description.sjr1,534-
dc.description.jcr6,189-
dc.description.sjrqQ2-
dc.description.jcrqQ1-
dc.description.scieSCIE-
item.fulltextSin texto completo-
item.grantfulltextnone-
crisitem.author.deptGIR IUIBS: Patología y Tecnología médica-
crisitem.author.deptIU de Investigaciones Biomédicas y Sanitarias-
crisitem.author.deptDepartamento de Ciencias Médicas y Quirúrgicas-
crisitem.author.orcid0000-0002-2540-3880-
crisitem.author.parentorgIU de Investigaciones Biomédicas y Sanitarias-
crisitem.author.fullNameConde Martel, Alicia-
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