Document Detail

Precipitating factors for systolic and diastolic heart failure: a four-year follow-up of 192 patients.
MedLine Citation:
PMID:  15075429     Owner:  NLM     Status:  MEDLINE    
OBJECTIVES: To investigate precipitating factors for systolic and diastolic heart failure. DESIGN: Prospective study. PATIENTS AND METHODS: The study population consisted of 192 patients with heart failure treated for 536 episodes of acute decompensation of heart failure from 1998 to 2002. The patients were classified as having systolic or diastolic heart failure, and grouped according to aetiology and precipitating factors. RESULTS: Coronary heart disease was the most common cause of systolic heart failure, whereas rheumatic heart disease was the most frequent cause of diastolic heart failure. The most important precipitating factors in systolic heart failure were infections (38%), arrhythmias (35%), and vascular causes (24%), whereas the precipitating factors in diastolic heart failure were infections (50%), arrhythmias (46%), and uncontrolled hypertension (26%). Avoidable precipitating factors in systolic and diastolic heart failure were noted in 34% and 68% of cases, respectively. CONCLUSIONS: Better patient education and better follow-up of patients by physicians according to the most recent guidelines may decrease the frequency of heart failure events and consequent morbidity and mortality.
O Erk
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Hong Kong medical journal = Xianggang yi xue za zhi / Hong Kong Academy of Medicine     Volume:  10     ISSN:  1024-2708     ISO Abbreviation:  Hong Kong Med J     Publication Date:  2004 Apr 
Date Detail:
Created Date:  2004-04-12     Completed Date:  2004-07-22     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  9512509     Medline TA:  Hong Kong Med J     Country:  China    
Other Details:
Languages:  eng     Pagination:  97-101     Citation Subset:  IM    
Department of Emergency Medicine, Istanbul Faculty of Medicine, Istanbul University, Istanbul 34390, Turkey.
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MeSH Terms
Arrhythmias, Cardiac / complications
Cohort Studies
Diastole / physiology
Follow-Up Studies
Heart Failure / epidemiology*,  etiology*
Hypertension / complications
Middle Aged
Retrospective Studies
Risk Assessment
Severity of Illness Index
Stroke Volume
Survival Rate
Systole / physiology
Turkey / epidemiology
Ventricular Dysfunction, Left / complications*

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