0 252

Cited 4 times in

Prognostic impact of preexisting hypertension and high systolic blood pressure at admission in patients hospitalized for systolic heart failure.

Authors
 Ji Hyun Lee  ;  Jun-Won Lee  ;  Young-Jin Youn  ;  Min Soo Ahn  ;  Sung Gyun Ahn  ;  Jang Young Kim  ;  Seung-Hwan Lee  ;  Junghan Yoon  ;  Jaewon Oh  ;  Seok-Min Kang  ;  Eun-Seok Jeon  ;  Dong-Ju Choi  ;  Kyu-Hyung Ryu  ;  Byung-Su Yoo 
Citation
 JOURNAL OF CARDIOLOGY, Vol.67(5) : 418-423, 2016 
Journal Title
 JOURNAL OF CARDIOLOGY 
ISSN
 0914-5087 
Issue Date
2016
MeSH
Aged ; Diabetes Mellitus/epidemiology ; Female ; Heart Failure, Systolic/mortality* ; Hospitalization* ; Humans ; Hypertension/mortality* ; Male ; Middle Aged ; Prognosis ; Registries ; Renal Insufficiency, Chronic/epidemiology ; Republic of Korea/epidemiology ; Systole
Keywords
Heart failure ; Hypertension ; Systolic blood pressure
Abstract
BACKGROUND: Higher systolic blood pressure (SBP) has been reported to be associated with a better prognosis in heart failure (HF) patients. This study aimed to investigate the prognostic impact of hypertension in patients hospitalized with systolic HF. METHODS: Pooled analysis of data from three Korean observational studies was performed. Patients ≥18 years hospitalized with systolic HF (ejection fraction ≤45%) (n=3538) were compared for the incidence of 1-year all-cause mortality according to the presence of preexisting hypertension and SBP quartiles on admission. RESULTS: Patients with hypertension (prevalence, 51.6%) presented more often with diabetes (43.9% vs. 23.0%, p<0.001) and chronic kidney disease (14.1% vs. 5.7%, p<0.001). During the 1-year follow-up, patients with hypertension showed similar cumulative incidences of all-cause mortality as those without hypertension (8.3% vs. 8.4%, p=0.900). Conversely, patients with higher SBP on admission had a lower incidence of all-cause death (quartile 4 vs. 1: 6.7% vs. 11.3%, p for trend=0.004). In the multivariate analysis, an increase in SBP of 10 mmHg was associated with an 8.5% risk reduction of all-cause death (hazard ratio: 0.915, 95% confidence interval: 0.853-0.981, p=0.013). CONCLUSIONS: Higher SBP on admission was independently associated with a lower risk of 1-year all-cause mortality in systolic HF.
Full Text
http://www.sciencedirect.com/science/article/pii/S0914508715002439
DOI
10.1016/j.jjcc.2015.08.005
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Internal Medicine (내과학교실) > 1. Journal Papers
Yonsei Authors
Kang, Seok Min(강석민) ORCID logo https://orcid.org/0000-0001-9856-9227
Oh, Jae Won(오재원) ORCID logo https://orcid.org/0000-0002-4585-1488
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/147185
사서에게 알리기
  feedback

qrcode

Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.

Browse