What Have We Learned About Patients With Heart Failure and Preserved Ejection Fraction From DIG-PEF, CHARM-Preserved, and I-PRESERVE?

被引:134
作者
Campbell, Ross T. [1 ]
Jhund, Pardeep S.
Castagno, Davide [2 ]
Hawkins, Nathaniel M. [3 ]
Petrie, Mark C. [4 ]
McMurray, John J. V.
机构
[1] Univ Glasgow, BHF Glasgow Cardiovasc Res Ctr, Glasgow G12 8TA, Lanark, Scotland
[2] Univ Turin, Dept Cardiol, Dept Internal Med, Turin, Italy
[3] Liverpool Heart & Chest Hosp, Liverpool, Merseyside, England
[4] Golden Jubilee Natl Hosp, Glasgow, Lanark, Scotland
关键词
heart failure; preserved ejection fraction; outcomes; reduced ejection fraction; VENTRICULAR SYSTOLIC FUNCTION; CONVERTING-ENZYME INHIBITORS; BRAIN NATRIURETIC PEPTIDE; HYPERTENSIVE PATIENTS; RANDOMIZED-TRIAL; CARDIOVASCULAR MORBIDITY; CLINICAL CHARACTERISTICS; MORTALITY; OUTCOMES; LIFE;
D O I
10.1016/j.jacc.2012.04.064
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Examination of patients with reduced and preserved ejection fraction in the DIG (Digitalis Investigation Group) trials and the CHARM (Candesartan in Heart Failure: Assessment of Reduction in Mortality and Morbidity) trials provides comparisons of outcomes in each of these types of heart failure. Comparison of the patients in these trials, along with the I-PRESERVE (Irbesartan in Heart Failure with Preserved Systolic Function Trial), with patients of similar age, sex distribution, and comorbidity in trials of hypertension, diabetes mellitus, angina pectoris, and atrial fibrillation provides even more interesting insights into the relation between phenotype and rates of death and heart failure hospitalization. The poor clinical outcomes in patients with heart failure and preserved ejection fraction do not seem easily explained on the basis of age, sex, comorbidity, blood pressure, or left ventricular structural remodeling but do seem to be explained by the presence of the syndrome of heart failure. (J Am Coll Cardiol 2012;60:2349-56) (C) 2012 by the American College of Cardiology Foundation
引用
收藏
页码:2349 / 2356
页数:8
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