Journals / Anadolu Kardiyoloji Dergisi / 2011 / Cilt: 11 - Sayı: 5

İskemik inme öyküsü, kronik kalp yetersizliğinde artmış kardiyovasküler mortaliteyi öngördürür

Ischemic stroke history predicts increased cardiovascular mortality in chronic heart failure

Pages
421–427
Publication Date
2022-10-10
DOI
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⚡ TL;DR(Too Long; Didn't Read)

In multivariable Cox regression analysis age (HR-1.06, 95% CI 1.04-1.08, p

📌 3 Key Takeaways

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Objective & Hypothesis:Objective: To investigate comorbidities that predict cardiac mortality and re-hospitalization in chronic heart failure (CHF) patients.
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Key Findings & Data:Methods: Five hundred eighty patients (mean age 63±13 years, 373 male, 207 female, mean ejection fraction (EF) 26±9%) with mild, moderate or severe CHF [NYHA class II-IV] were included in this prospective observational study.
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Conclusion & Impact:In multivariable Cox regression analysis age (HR-1.06, 95% CI 1.04-1.08, p
🔬Design:Research Article
📍Scope:2003 Verileri
⚙️Variables:Domain Parameters

Abstract

Objective: To investigate comorbidities that predict cardiac mortality and re-hospitalization in chronic heart failure (CHF) patients. Methods: Five hundred eighty patients (mean age 63±13 years, 373 male, 207 female, mean ejection fraction (EF) 26±9%) with mild, moderate or severe CHF [NYHA class II-IV] were included in this prospective observational study. We evaluated all comorbidities such as history of ischemic stroke, coronary artery disease, peripheral arterial disease, chronic obstructive lung disease, hypertension, diabetes mellitus and chronic kidney disease in CHF patients who were hospitalized due to decompensated heart failure in Kocaeli University, Faculty of Medicine’s Hospital between January 2003 and July 2009. Cox regression and Kaplan-Meier survival analyses were used to establish predictors of unfavorable outcomes. Results: Of 580 patients 207 (36%) patients died due to cardiovascular reasons. In multivariable Cox regression analysis age (HR-1.06, 95% CI 1.04-1.08, p

Özet

Amaç: Kronik kalp yetersizliği (KKY) hastalarında kardiyak mortalite ve tekrarlayan hastaneye yatışları öngören komorbidite durumları araştırmak. Yöntemler: Hafif, orta ve ciddi (NYHA sınıfı II-IV) KKY’li 580 hasta (ortalama yaş 63±13 yıl, 373 erkek, 207 kadın, ortalama ejeksiyon fraksiyon (EF) %26±9) bu prospektif gözlemsel çalışmaya dahil edildi. Çalışmamızda dekompanse kalp yetersizliği nedeniyle Ocak 2003 ve Temmuz 2009 tarihleri arasında Kocaeli Üniversitesi, Tıp Fakültesi hastanesine yatırılan KKY’li hastalarda mevcut olan tüm komorbidite durumları; iskemik inme, koroner arter hastalığı, periferik arter hastalığı, kronik obstrüktif akciğer hastalığı, hipertansiyon, diyabetes mellitus ve kronik böbrek yetersizliği öyküsünü değerlendirdik. İstenmeyen sonlanım olayların öngödürücüleri Cox regresyon ve Kaplan-Meier sağkalım analizleri ile belirlendi. Bulgular: Toplam 580 hastadan 207 (%36) hasta kardiyovasküler nedenlerden dolayı öldü. Çoklu Cox regresyon analizinde yaş (HR-1.06, %95 GA %95 GA 1.04-1.08, p

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Cite This Article

İŞERİ, P., URAL, D., ERTAŞ, G., BİLDİRİCİ, U., YAYMACI, M., EMRE, E., KOZDAĞ, G., KILIÇ, T. (2022). İskemik inme öyküsü, kronik kalp yetersizliğinde artmış kardiyovasküler mortaliteyi öngördürür. Anadolu Kardiyoloji Dergisi, Cilt: 11 - Sayı: 5, 421–427. https://ajindex.com/articles/436701

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