Influence of admission blood pressure on mortality in patients with acute decompensated heart failure

Abstract

Higher mean BP at admission is associated with significantly lower mortality during follow-up, in patients hospitalized for HF. With the exception of BMI, positively correlated with blood pressure, this relationship is independent of other clinical factors and medications.

Hyponatremia as predictor of worse outcome in real world patients admitted with acute heart failure

“…Low blood pressure is often associated with hyponatremia in patients with HF [23,24], and then associated with a worse prognosis in these patients [7], which again suggests that hyponatremia would be a surrogate marker of more severe HF.…”

“…The RICA Registry is an ongoing multicenter, prospective, cohort study that has been described elsewhere [6,7]. This registry included consecutive and unique patients with HF according to the criteria of the European Society of Cardiology [8].…”

Effects of systolic and diastolic blood pressure and its changes between successive hospitalizations on prognosis for patients with acute decompensated CHF

“…В исследовании OPTIMIZE-HF [3] у пациентов с ХСН и систолической дисфункцией ЛЖ (ДЛЖ) низ-кие значения САД и ДАД были предикторами высокого уровня летальных исходов. Также было установлено, что при острой декомпенсации СН (ОДСН) более плохой прогноз у пациентов с ХСН и систолической ДЛЖ фор-мируется при более низких уровнях АД [4,5]. Остается неясным, как меняются риски смертельного исхода при ОДСН у больных ХСН при диастолической ДЛЖ и повторных госпитализациях в течение года по поводу ОДСН в зависимости от уровней АД.…”

“…Аналогичные тенденции были описаны в регистрах ADHERE [7], OPTIMIZE-HF [8], RICA [5], Российском регистре больных с декомпен-сацией ХСН ОРАКУЛ-РФ [9], госпитальном исследова-нии Milo-Cotter O. с соавт. [4].…”

About the RICA registry in patients with heart failure

“…2 On the basis of RICA data, we have published articles concerning different topics as mortality, rehospitalizations, prognosis and treatment, that in our opinion provide relevant insights about heart failure in the real world. 3 …”