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10.1161/CIRCULATIONAHA.113.006855

http://scihub22266oqcxt.onion/10.1161/CIRCULATIONAHA.113.006855
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C4053508!4053508!24799515
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suck abstract from ncbi


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pmid24799515      Circulation 2014 ; 129 (23): 2380-7
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  • Heart Failure with Recovered Ejection Fraction: Clinical Description, Biomarkers, and Outcomes #MMPMID24799515
  • Basuray A; French B; Ky B; Vorovich E; Olt C; Sweitzer NK; Cappola TP; Fang JC
  • Circulation 2014[Jun]; 129 (23): 2380-7 PMID24799515show ga
  • Background: We hypothesized that heart failure (HF) patients who recover left ventricular function (HF-Recovered) have a distinct clinical phenotype, biology and prognosis compared to HF with reduced ejection fraction (HF-REF) and HF with preserved ejection fraction (HF-PEF). Methods and Results: The Penn Heart Failure Study (PHFS) is a prospective cohort of 1,821 chronic HF patients recruited from tertiary HF clinics. Participants were divided into three categories based on echocardiograms: HF-REF if EF<50%, HF-PEF if EF consistently ?50%, and HF-Recovered if EF on enrollment to PHFS was ?50% but prior EF<50%. A significant portion of HF-Recovered patients had an abnormal biomarker profile at baseline, including 44% with detectable Troponin I, although in comparison, median levels of BNP, sFlt-1, Troponin I and creatinine were greater in HF-REF and HF-PEF patients. In unadjusted Cox models over a maximum follow-up of 8.9 years, the hazard ratio (HR) for death, transplant or ventricular assist device in HF-REF was 4.1 (95%CI 2.4?6.8; p<0.001) and in HF-PEF was 2.3 (95%CI 1.2?4.5; p=0.013), as compared to HF-Recovered. The unadjusted HR for cardiac hospitalization in HF-REF was 2.0 (95%CI 1.5?2.7; p<0.001) and in HF-PEF was 1.3 (95%CI 0.90?2.0; p=0.15), compared to HF-Recovered. Results were similar in adjusted models. Conclusions: HF-Recovered is associated with a better biomarker profile and event-free survival than HF-REF and HF-PEF. However, these patients still have abnormalities in biomarkers and experience a significant number of HF hospitalizations, suggesting persistent HF risk.
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