0290 : Clinical, epidemiological and etiological characteristics of pulmonary hypertension and its prognostic value in chronic systolic heart failure: a report from the Ibn Rochd-HF Registry
| Autor: | Fatima Arhlade, Mariam Abelhad, Fatimazahra Sabri, Rachida Habbal, Amina Asadi |
|---|---|
| Rok vydání: | 2015 |
| Předmět: |
medicine.medical_specialty
COPD education.field_of_study Ejection fraction business.industry Population medicine.disease Pulmonary hypertension chemistry.chemical_compound chemistry Internal medicine Heart failure medicine.artery Pulmonary artery Cardiology Spironolactone Medicine Decompensation business education Cardiology and Cardiovascular Medicine |
| Zdroj: | Archives of Cardiovascular Diseases Supplements. 7(2) |
| ISSN: | 1878-6480 |
| DOI: | 10.1016/s1878-6480(15)30126-9 |
| Popis: | Purpose Pulmonary hypertension (PH) is a predictor of mortality and morbidity in patients with chronic heart failure (HF) but it is poorly described in our population. We sought to study, the prevalence, determinants, and prognostic significance of PH in a large representative population with HF. Methods We retrospectively studied 1613 patients with HF. Systolic pulmonary artery pressure PASP was determined by echocardiography, PH was defined as PAPS> 50 mmHg. Results The proportion of patients with PASP>50mm Hg was: 12,15%(196/1613), with an average age of 69 years, there was 40,30% women and 59,70% men, 96,43% of patients had low LVEF(left ventricular ejection fraction) and only 1,02% had preserved LVEF. The ischemic etiology of HF was predominant (17,86%).Most patients were receiving diuretics (66,33%), beta-blockers (58,16%) and ACE inhibitor (86,22%), whereas 55, 10% were on Spironolactone. The etiology of PH was mostly due to the left heart disease, while 1.02% was due to primary HP and 2.04% patient had COPD (Chronic obstructive pulmonary disease). Patients with PH had a rate of 6.06% of AHFD (acute heart failure decompensation) occurrence. we note that patients with both PH and RV dysfunction had a greater risk of AHFD (14.28%). Conclusion PH is common in HF patients, associated with worse LV function and provide incremental prognostic informations. The combination of PH and RV dysfunction is particularly ominous. Thus, the estimation of PASP should be considered in the standard assessment of ambulatory HF patients and we must study it as a therapeutic way in this population |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|
Full Text from ScienceDirect