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.jpg): Failed to open stream: No such file or directory in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 117 Am+J+Cardiol
2014 ; 114
(6
): 862-8
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Long-term survival for patients with acute decompensated heart failure according
to ejection fraction findings
#MMPMID25092194
Coles AH
; Fisher K
; Darling C
; Yarzebski J
; McManus DD
; Gore JM
; Lessard D
; Goldberg RJ
Am J Cardiol
2014[Sep]; 114
(6
): 862-8
PMID25092194
show ga
Limited data exist about the long-term prognosis of patients with acute
decompensated heart failure (ADHF) further stratified according to ejection
fraction (EF) findings. The primary objective of this population-based
observational study was to characterize and compare trends in long-term prognosis
after an episode of ADHF across 3 EF strata. Hospital medical records were
reviewed for 3,604 residents of the Worcester, Massachusetts, metropolitan area
who were discharged after ADHF from all 11 medical centers in central
Massachusetts during 1995, 2000, 2002, and 2004 and had EF measurements during
their index hospitalizations. The average age of this population was 75 years,
most were white, and 44% were men. Approximately 49% of the population had heart
failure (HF) with preserved EF (EF ? 50%), 37% had HF with reduced EF (EF ? 40%),
and 14% had HF with borderline EF (EF 41% to 49%). Patients with HF with
preserved EF experienced higher postdischarge survival rates than patients with
either HF with reduced EF or HF with borderline EF at 1, 2, and 5 years after
discharge from all central Massachusetts medical centers. Although prognosis at 1
year after hospital discharge improved for all patient groups during the years
under study, especially for those with HF with reduced EF and HF with preserved
EF, these encouraging trends decreased with increasing duration of follow-up. In
conclusion, although improvements in 1-year postdischarge survival were observed
for patients in each of the 3 EF groups examined to varying degrees, the
postdischarge prognosis of all patients with ADHF remains guarded.