Congestive heart failure in the elderly: Comparison between reduced ejection fraction and preserved ejection fraction

被引：13

作者：

Satomura, Hajime ^{[1
]}

Wada, Hiroshi ^{[1
]}

Sakakura, Kenichi ^{[1
]}

Kubo, Norifumi ^{[1
]}

Ikeda, Nahoko ^{[1
]}

Sugawara, Yoshitaka ^{[1
]}

Ako, Junya ^{[1
]}

Momomura, Shin-ichi ^{[1
]}

机构：

[1] Jichi Med Univ, Saitama Med Ctr, Dept Integrated Med 1, Div Cardiovasc Med, Omiya, Saitama 3308503, Japan

来源：

JOURNAL OF CARDIOLOGY | 2012年 / 59卷 / 02期

关键词：

Elderly; Heart failure preserved ejection fraction; Anemia; JAPANESE CARDIAC REGISTRY; CARDIOLOGY JCARE-CARD; HOSPITALIZED-PATIENTS; SYSTOLIC FUNCTION; PREVALENCE; MORTALITY; OUTCOMES; ANEMIA; TRIAL;

D O I：

10.1016/j.jjcc.2011.11.014

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Background: Little has been known about clinical features and prognosis of very old patients with heart failure with preserved ejection fraction (HFPEF). The aim of this study was to compare clinical features and clinical outcomes between HFPEF and heart failure with reduced ejection fraction (HFREF) in patients older than 80 years. Methods: We enrolled a total of 113 patients over 80 years old, who were admitted for heart failure between 2006 and 2009. We retrospectively analyzed the clinical features including laboratory data and echocardiography parameters. Results: In 53 patients (49%) left ventricular ejection fraction was preserved. The clinical characteristics and treatment between HFPEF and HFREF showed that anemia was one of the risk factors for HFPEF, and the long-term outcomes of HFPEF in this population were not different from that of HFREF. Conclusion: These results suggest that anemia is one of the important risk factors for HFPEF in the very elderly. (C) 2011 Japanese College of Cardiology. Published by Elsevier Ltd. All rights reserved.

引用

收藏

页码：215 / 219

页数：5

相关论文

共 18 条

[1] Outcome of heart failure with preserved ejection fraction in a population-based study [J].

Bhatia, R. Sacha ;

Tu, Jack V. ;

Lee, Douglas S. ;

Austin, Peter C. ;

Fang, Jiming ;

Haouzi, Annick ;

Gong, Yanyan ;

Liu, Peter P. .

NEW ENGLAND JOURNAL OF MEDICINE, 2006, 355 (03) :260-269

[2] Heart Failure With Preserved and Reduced Left Ventricular Ejection Fraction in the Antihypertensive and Lipid-Lowering Treatment to Prevent Heart Attack Trial [J].

Davis, Barry R. ;

Kostis, John B. ;

Simpson, Lara M. ;

Black, Henry R. ;

Cushman, William C. ;

Einhorn, Paula T. ;

Farber, Michael A. ;

Ford, Charles E. ;

Levy, Daniel ;

Massie, Barry M. ;

Nawaz, Shah .

CIRCULATION, 2008, 118 (22) :2259-2267

[3]

DRINKA PJ, 1989, J AM GERIATR SOC, V37, P820, DOI 10.1111/j.1532-5415.1989.tb02250.x

[4] Characteristics, treatments, and outcomes of patients with preserved systolic function hospitalized for heart failure - A report from the OPTIMIZE-HF registry [J].

Fonarow, Gregg C. ;

Stough, Wendy Gattis ;

Abraham, William T. ;

Albert, Nancy M. ;

Gheorghiade, Mihai ;

Greenberg, Barry H. ;

O'Connor, Christopher M. ;

Sun, Jie Lena ;

Yancy, Clyde W. ;

Young, James B. .

JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY, 2007, 50 (08) :768-777

[5] Heart failure with preserved versus reduced left ventricular systolic function: A prospective cohort of Shinken Database 2004-2005 [J].

Goda, Ayumi ;

Yamashita, Takeshi ;

Suzuki, Shinya ;

Ohtsuka, Takayuki ;

Uejima, Tokuhisa ;

Oikawa, Yuji ;

Yajima, Junji ;

Koike, Akira ;

Nagashima, Kazuyuki ;

Kirigaya, Hajime ;

Sagara, Koichi ;

Ogasawara, Ken ;

Isobe, Mitsuaki ;

Sawada, Hitoshi ;

Aizawa, Tadanori .

JOURNAL OF CARDIOLOGY, 2010, 55 (01) :108-116

[6] Anemia is an Independent Predictor of Long-Term Adverse Outcomes in Patients Hospitalized With Heart Failure in Japan - A Report From the Japanese Cardiac Registry of Heart Failure in Cardiology (JCARE-CARD) [J].

Hamaguchi, Sanae ;

Tsuchihashi-Makaya, Miyuki ;

Kinugawa, Shintaro ;

Yokota, Takashi ;

Takeshita, Akira ;

Yokoshiki, Hisashi ;

Tsutsui, Hiroyuki .

CIRCULATION JOURNAL, 2009, 73 (10) :1901-1908

[7] Relation of Disease Pathogenesis and Risk Factors to Heart Failure With Preserved or Reduced Ejection Fraction Insights From the Framingham Heart Study of the National Heart, Lung, and Blood Institute [J].

Lee, Douglas S. ;

Gona, Philimon ;

Vasan, Ramachandran S. ;

Larson, Martin G. ;

Benjamin, Emelia J. ;

Wang, Thomas J. ;

Tu, Jack V. ;

Levy, Daniel .

CIRCULATION, 2009, 119 (24) :3070-3077

[8] Anemia in patients with heart failure: Prevalence and prognostic role in a controlled trial and in clinical practice [J].

Maggioni, AP ;

Opasich, C ;

Anand, I ;

Barlera, S ;

Carbonieri, E ;

Gonzini, L ;

Tavazzi, L ;

Latini, R ;

Cohn, J .

JOURNAL OF CARDIAC FAILURE, 2005, 11 (02) :91-98

[9] Gender, age, and heart failure with preserved left ventricular systolic function [J].

Masoudi, FA ;

Havranek, EP ;

Smith, G ;

Fish, RH ;

Steiner, JF ;

Ordin, DL ;

Krumholz, HM .

JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY, 2003, 41 (02) :217-223

[10] Concentric left ventricular hypertrophy brings deterioration of systolic longitudinal, circumferential, and radial myocardial deformation in hypertensive patients with preserved left ventricular pump function [J].

Mizuguchi, Yukio ;

Oishi, Yoshifumi ;

Miyoshi, Hirokazu ;

Iuchi, Arata ;

Nagase, Norio ;

Oki, Takashi .

JOURNAL OF CARDIOLOGY, 2010, 55 (01) :23-33