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Autor
Belohlavek, Jan 1 Cohen Solal, Alain 1 Dusek, Ladislav 1 Felsoci, Marian 1 Fougerousse, Françoise 1 Jarkovsky, Jiri 1 Kettner, Jiri 1 Linhart, Ales 1 Lokaj, Petr 1 Malek, Filip 1 Mebazaa, Alexandre 1 Miklik, Roman 1 Ostadal, Petr 1 Parenica, Jiri 1 Spinar, Jindrich 1 Spinarova, Lenka 1 Tyl, Benoit 1 Vaclavik, Jan 1 Vitovec, Jiri 1 Widimsky, Petr 1
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1st Department of Cardiovascular Inte... 1 2nd Department of Cardiovascular Inte... 1 Cardiology Department Hospital Podles... 1 Cardiology Department Lariboisière Un... 1 Cardiology Department University Hosp... 1 Department of Anaesthesiology and Cri... 1 Department of Cardiology Institute of... 1 Department of Cardiology Na Homolce H... 1 Department of Cardiology University H... 1 Department of Cardiovascular Translat... 1 Department of Internal Medicine Unive... 1 Institute of Biostatistics and Analys... 1 Medical Faculty Masaryk University Br... 1 U 942 INSERM Paris France 1 University Hospital Kralovske Vinohra... 1 Université Paris Diderot PRES Sorbonn... 1
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Autor
Belohlavek, Jan 1 Cohen Solal, Alain 1 Dusek, Ladislav 1 Felsoci, Marian 1 Fougerousse, Françoise 1 Jarkovsky, Jiri 1 Kettner, Jiri 1 Linhart, Ales 1 Lokaj, Petr 1 Malek, Filip 1 Mebazaa, Alexandre 1 Miklik, Roman 1 Ostadal, Petr 1 Parenica, Jiri 1 Spinar, Jindrich 1 Spinarova, Lenka 1 Tyl, Benoit 1 Vaclavik, Jan 1 Vitovec, Jiri 1 Widimsky, Petr 1
- Organizace
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Pracoviště
1st Department of Cardiovascular Inte... 1 2nd Department of Cardiovascular Inte... 1 Cardiology Department Hospital Podles... 1 Cardiology Department Lariboisière Un... 1 Cardiology Department University Hosp... 1 Department of Anaesthesiology and Cri... 1 Department of Cardiology Institute of... 1 Department of Cardiology Na Homolce H... 1 Department of Cardiology University H... 1 Department of Cardiovascular Translat... 1 Department of Internal Medicine Unive... 1 Institute of Biostatistics and Analys... 1 Medical Faculty Masaryk University Br... 1 U 942 INSERM Paris France 1 University Hospital Kralovske Vinohra... 1 Université Paris Diderot PRES Sorbonn... 1
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BACKGROUND: Heart rate (HR) at admission in patients with acute heart failure (AHF) has been shown to be an important risk marker of in-hospital mortality. However, its relation with mid and long-term prognosis as well as the impact of Ejection Fraction (EF) is unknown. Our objective was to study the relationship between long-term survival and HR at admission depending on EF in a cohort of patients hospitalized for AHF. METHODS: We analyzed the data of 2335 patients in sinus rhythm hospitalized for AHF from AHEAD registry. Patients with cardiogenic shock and AHF from surgical or non-cardiac etiology were excluded. RESULTS: Survival rates at 6 and 12 months were 84.8% and 78% respectively. Increased age, decreased diastolic BP, lack of PCI during hospitalization, increased creatinine level and increased HR (with different cut-offs according to EF categories) were found as predictors whatever the EF at 6 and 12 months. Optimal prognostic cut-offs of heart rate were identified for Heart Failure with reduced EF at 100 bpm, for Heart Failure with mid-range EF at 90 bpm and for Heart Failure with preserved EF at 80 bpm for both 6 and 12 months. CONCLUSION: Our study suggests that HR at admission appears to be an independent prognostic parameter in AHF patients in sinus rhythm irrespective of EF and can be used to classify patients according to the severity of the disease.
- MeSH
- hospitalizace MeSH
- kojenec MeSH
- koronární angioplastika * MeSH
- lidé MeSH
- mortalita v nemocnicích MeSH
- prognóza MeSH
- registrace MeSH
- srdeční frekvence MeSH
- srdeční selhání * MeSH
- tepový objem MeSH
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- kojenec MeSH
- lidé MeSH
- Publikační typ
- časopisecké články MeSH
- práce podpořená grantem MeSH
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