Long-Term Mortality Rates in Acute De Novo Versus Acute-on-Chronic Heart Failure: From the Heart Function Assessment Registry Trial in Saudi Arabia

被引：22

作者：

AlHabib, Khalid F. ^{[1
]}

Kashour, Tarek ^{[1
]}

Elasfar, Abdelfatah A. ^{[2
,3
]}

Alfaleh, Hussam ^{[1
]}

Hersi, Ahmad ^{[1
]}

Alshamiri, Mostafa ^{[1
]}

Alshaer, Fayez ^{[1
]}

Mimish, Layth ^{[4
]}

Almasood, Ali ^{[5
]}

AlHabeeb, Waleed ^{[1
,6
]}

AlGhamdi, Saleh ^{[7
]}

Ghabashi, Abdullah ^{[8
]}

Asfina, KaziNur ^{[1
]}

Altaradi, Hani ^{[1
]}

Alnobani, Omar ^{[1
]}

Alkamel, Nour ^{[1
]}

Thalib, Lukman ^{[9
]}

机构：

[1] King Saud Univ, Coll Med, King Fahad Cardiac Ctr, Dept Cardiac Sci, Riyadh 11472, Saudi Arabia

[2] King Fahd Med City, Prince Salman Heart Ctr, Riyadh, Saudi Arabia

[3] Tanta Univ, Dept Cardiol, Tanta, Egypt

[4] King Abdulaziz Univ Hosp, Jeddah, Saudi Arabia

[5] Prince Sultan Cardiac Ctr, Riyadh, Saudi Arabia

[6] King Faisal Specialist Hosp & Res Ctr, King Faisal Cardiac Ctr, Riyadh, Saudi Arabia

[7] Madina Cardiac Ctr, Al Madina Al Monaoarah, Saudi Arabia

[8] Prince Sultan Cardiac Ctr, Hafouf, Saudi Arabia

[9] Kuwait Univ, Fac Med, Hlth Sci Ctr, Kuwait, Kuwait

来源：

ANGIOLOGY | 2015年 / 66卷 / 09期

关键词：

acute heart failure; Saudi Arabia; middle east; HEARTS; registry; EUROBSERVATIONAL RESEARCH-PROGRAM; TASK-FORCE; EUROPEAN-SOCIETY; OUTCOMES; ASSOCIATION; ESC; PREDICTORS; COLLABORATION; GUIDELINES; MANAGEMENT;

D O I：

10.1177/0003319714563138

中图分类号：

R6 [外科学];

学科分类号：

1002 ; 100210 ;

摘要：

Aim: The heart function assessment registry trial in Saudi Arabia (HEARTS) is a national multicenter project that compared de novo versus acute-on-chronic heart failure (ACHF). Methods and Results: This is a prospective registry in 18 hospitals in Saudi Arabia between October 2009 and December 2010. The study enrolled 2610 patients: 940 (36%) de novo and 1670 (64%) ACHF. Patients with ACHF were significantly older (62.2 vs 60 years), less likely to be males (64% vs 69%) or smokers (31.6% vs 36.7%), and more likely to have history of diabetes mellitus (65.7% vs 61.3%), hypertension (74% vs 65%), and severe left ventricular dysfunction (52% vs 40%). The ACHF group had a higher adjusted 3-year mortality rate (hazard ratio, 1.6; 95% confidence interval [CI] 1.3-2.0; P < .001). Conclusion: Patients with ACHF had significantly higher long-term mortality rates than those with de novo acute heart failure (HF). Multidisciplinary HF disease management programs are highly needed for such high-risk populations.

引用

页码：837 / 844

页数：8

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