Articles producció científica> Medicina i Cirurgia

Prognostic value of ambulatory blood pressure values in elderly patients with heart failure. Results of the DICUMAP study

  • Identification data

    Identifier: imarina:9231649
    Authors:
    Camafort, MJhund, PSFormiga, FCastro-Salomo, AArevalo-Lorido, JCSobrino-Martinez, JManzano, LDiez-Manglano, JAramburu, OPerez-Barquerof, MM
    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.
  • Others:

    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
  • Keywords:

    Medicine (Miscellaneous),Medicine, General & Internal
    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
    Medicine, general & internal
    Medicine (miscellaneous)
    Medicine (all)
    Medicina ii
    General medicine
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