Document Detail


Prevalence of symptomatic diastolic heart failure in patients hospitalized with cerebral or peripheral vascular disease.
MedLine Citation:
PMID:  16230867     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The authors sought to determine the prevalence of diastolic heart failure (DHF) in patients hospitalized with their first stroke, transient ischemic attack, or new onset of peripheral vascular disease. A total of 216 prospective consecutive stroke, transient ischemic attack, and peripheral vascular disease patients (vascular group) were identified at their first noncardiac presentation to a hospital and compared with 164 age-matched control patients (nonvascular group). DHF was clinically defined as the presence of left ventricular ejection fraction>or=45% on echocardiography. DHF occurred in 40% and 73% of vascular and control patients, respectively, with symptomatic heart failure. Overall, it was found in 12% of vascular (10% of stroke/transient ischemic attack, 16% of peripheral vascular disease) and 11% of control patients. Advancing age and female gender were independently associated with the presence of DHF in vascular patients (p<0.05). DHF is found in a similar percentage of vascular and nonvascular patients. Symptomatic DHF is less common than systolic heart failure among vascular disease patients with heart failure. In contrast, symptomatic DHF is found in three times as many age-matched control heart failure patients without clinical vascular disease.
Authors:
Robert V Kelly; Walter A Tan; Hyunsoon Cho; Gail Tudor; E Magnus Ohman; Allan D Struthers
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Publication Detail:
Type:  Comparative Study; Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Congestive heart failure (Greenwich, Conn.)     Volume:  11     ISSN:  1527-5299     ISO Abbreviation:  Congest Heart Fail     Publication Date:    2005 Sep-Oct
Date Detail:
Created Date:  2005-10-18     Completed Date:  2006-06-26     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  9714174     Medline TA:  Congest Heart Fail     Country:  United States    
Other Details:
Languages:  eng     Pagination:  256-61     Citation Subset:  IM    
Affiliation:
Division of Cardiology, University of North Carolina at Chapel Hill, Chapel Hill, NC 27517, USA. rkelly@med.unc.edu
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MeSH Terms
Descriptor/Qualifier:
Aged
Cerebrovascular Disorders / epidemiology*,  physiopathology*
Diastole
Female
Heart Failure / epidemiology*,  physiopathology*
Humans
Ischemia / epidemiology,  physiopathology
Leg / blood supply*
Male
Middle Aged
Observer Variation
Patient Admission
Peripheral Vascular Diseases / epidemiology*,  physiopathology*
Prevalence
Stroke Volume

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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