Author, as appears in the article.: Camafort, M; Jhund, PS; Formiga, F; Castro-Salomo, A; Arevalo-Lorido, JC; Sobrino-Martinez, J; Manzano, L; Diez-Manglano, J; Aramburu, O; Perez-Barquerof, MM
Department: Medicina i Cirurgia
URV's Author/s: Castro Salomó, Antoni
Keywords: Relevance Registry Prospective study Prognostic assessment Prognosis Outcomes New york heart association class Mortality Masked hypertension Male Major clinical study Hypertensive patient Hypertension Human Hospitalization Hospital readmission Heart failure Heart ejection fraction Follow up Female Disease Death Controlled study Clinical characteristics Cardiovascular disease Blood pressure monitoring Association Article Aged Admission Abpm
Abstract: Introduction: Ambulatory blood pressure monitoring (ABPM) has demonstrated value in the prognostic assessment of hypertensive patients with heart failure (HF) with or without other cardiovascular diseases. The objective of this study was to evaluate whether ABPM can identify subjects with HF with a worse prognosis.Methods and results: Prospective multicenter study that included clinically stable outpatients with HF. All patients underwent ABPM. A total of 154 patients from 17 centers were included. Their mean age was 76.8 years (8.3) and 55.2% were female. In total, 23.7% had HF with a reduced ejection fraction (HFrEF), 68.2% were in NYHA functional class II, and 19.5% were in NYHA functional class III. At one year of follow up, there were 13 (8.4%) deaths, of which 10 were attributed to HF. Twenty-nine patients required hospitalization, of which 19 were due to HF. The presence of a non-dipper BP pattern was associated with an increased risk for readmission or death at one year of follow-up (25% vs. 5%; p=.024). According to a Cox regression analysis, more advanced NYHA functional class (hazard ratio 3.51; 95%CI 1.70-7.26; p=.001; for NYHA class III vs. II) and a higher proportional nocturnal reduction in diastolic BP (hazard ratio 0.961; 95%CI 0.926-0.997; p=.032 per 1% diastolic BP reduction) were independently associated with death or readmission at one year.Conclusion: In older patients with chronic HF, a non -dipper BP pattern measured by ABPM was associated with a higher risk of hospitalization and death due to HF. (C) 2021 Elsevier Espana, S.L.U. and Sociedad Espanola de Medicina Interna (SEMI). All rights reserved.
Thematic Areas: Medicine, general & internal Medicine (miscellaneous) Medicine (all) Medicina ii General medicine
licence for use: https://creativecommons.org/licenses/by/3.0/es/
Author's mail: antoni.castro@urv.cat
Author identifier: 0000-0001-5441-6333
Record's date: 2024-07-27
Papper version: info:eu-repo/semantics/acceptedVersion
Link to the original source: https://www.sciencedirect.com/science/article/abs/pii/S0014256521000187?via%3Dihub
Licence document URL: https://repositori.urv.cat/ca/proteccio-de-dades/
Papper original source: Revista Clinica Espanola. 221 (8): 433-440
APA: Camafort, M; Jhund, PS; Formiga, F; Castro-Salomo, A; Arevalo-Lorido, JC; Sobrino-Martinez, J; Manzano, L; Diez-Manglano, J; Aramburu, O; Perez-Barque (2021). Prognostic value of ambulatory blood pressure values in elderly patients with heart failure. Results of the DICUMAP study. Revista Clinica Espanola, 221(8), 433-440. DOI: 10.1016/j.rce.2020.11.010
Article's DOI: 10.1016/j.rce.2020.11.010
Entity: Universitat Rovira i Virgili
Journal publication year: 2021
Publication Type: Journal Publications