Document Detail


The characteristics of deceased and surviving patients with congestive heart failure at a department of internal medicine.
MedLine Citation:
PMID:  16026137     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVES: We examined differences between surviving and deceased patients with congestive heart failure (HF). BACKGROUND: Congestive HF is a frequent disease with still increasing incidence, prevalence and poor prognosis. Patients have high mortality. PATIENTS AND METHODS: Over the period of 4 years we followed up 2 groups of matched patients with congestive HF: surviving (27 patients, 77.4+/-7.7 years) and deceased (27 patients, 76.7+/-9.3 years). We examined differences in the incidence and the intensity of risk factors, New York Heart Association class, signs of HF, incidence of complications, differences in echocardiographic parameters, the incidence of left ventricular hypertrophy, and differences in laboratory values (pulmonary, hepatic, renal). Obtained values were tested using statistical methods. RESULTS: We found higher incidence of myocardial infarction in deceased patients (p=0.0148). Surviving patients had lower heart rate (p=0.0115), higher left ventricular ejection fraction (p=0.0307), thicker interventricular septum (p=0.0239), higher values of arterial O2 pressure (p=0.0033), and lower values of proteinuria (p=0.0058). CONCLUSIONS: Patients with poorer prognosis of congestive HF differed from the "healthier" ones by some clinical, echocardiographic, and laboratory parameters, and higher incidence of myocardial infarction. Significant differences of the next examined parameters between observed groups may be obtained by increasing the number of studied patients. (Tab. 5, Ref: 24.)
Authors:
J Bajcsyova; J Murin; K Kozlikova
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Bratislavské lekárske listy     Volume:  106     ISSN:  0006-9248     ISO Abbreviation:  Bratisl Lek Listy     Publication Date:  2005  
Date Detail:
Created Date:  2005-07-19     Completed Date:  2005-11-03     Revised Date:  2009-11-11    
Medline Journal Info:
Nlm Unique ID:  0065324     Medline TA:  Bratisl Lek Listy     Country:  Slovakia    
Other Details:
Languages:  eng     Pagination:  73-8     Citation Subset:  IM    
Affiliation:
First Department of Internal Medicine, University Hospital, Bratislava, Slovakia.
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MeSH Terms
Descriptor/Qualifier:
Aged
Aged, 80 and over
Female
Heart Failure / complications,  mortality*,  physiopathology
Humans
Male
Risk Factors
Survival Rate

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


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