Cause of Death in Heart Failure Based on Etiology : Long-Term Cohort Study of All-Cause and Cardiovascular Mortality
Spitaleri, Giosafat (Institut Germans Trias i Pujol. Hospital Universitari Germans Trias i Pujol)
Zamora, Elisabet (Universitat Autònoma de Barcelona. Departament de Medicina)
Cediel, Germán (Universitat Autònoma de Barcelona. Departament de Medicina)
Codina, Pau (Institut Germans Trias i Pujol. Hospital Universitari Germans Trias i Pujol)
Santiago Vacas, Evelyn (Institut Germans Trias i Pujol. Hospital Universitari Germans Trias i Pujol)
Domingo, Mar (Institut Germans Trias i Pujol. Hospital Universitari Germans Trias i Pujol)
Lupón, Josep (Universitat Autònoma de Barcelona. Departament de Medicina)
Santesmases, Javier (Universitat Autònoma de Barcelona. Departament de Medicina)
Diez-Quevedo, Crisanto (Institut Germans Trias i Pujol. Hospital Universitari Germans Trias i Pujol)
Troya, Maria Isabel (Institut Germans Trias i Pujol. Hospital Universitari Germans Trias i Pujol)
Boldo Alcaine, Maria (Institut Germans Trias i Pujol. Hospital Universitari Germans Trias i Pujol)
Altimir Losada, Salvador (Institut Germans Trias i Pujol. Hospital Universitari Germans Trias i Pujol)
Alonso Pedrol, Núria (Institut Germans Trias i Pujol. Hospital Universitari Germans Trias i Pujol)
González Fernández, Beatriz (Institut Germans Trias i Pujol. Hospital Universitari Germans Trias i Pujol)
Bayés-Genís, Antoni (Universitat Autònoma de Barcelona. Departament de Medicina)
Date: |
2022 |
Abstract: |
We assessed differences in long-term all-cause and cardiovascular (CV) mortality in heart failure (HF) outpatients based on the etiology of HF. Consecutive patients admitted to the HF Clinic from August 2001 to September 2019 (N = 2587) were considered for inclusion. HF etiology was divided into ischemic heart disease (IHD), dilated cardiomyopathy (DCM), hypertensive heart disease, alcoholic cardiomyopathy, drug-induced cardiomyopathy (DICM), valvular heart disease, and hypertrophic cardiomyopathy. All-cause death and CV death were the primary end points. Among 2387 patients included in the analysis (mean age 66. 5 ± 12. 5 years, 71. 3% men), 1317 deaths were recorded (731 from CV cause) over a maximum follow-up of 18 years (median 4. 1 years, interquartile range (IQR) 2-7. 8). Considering IHD as the reference, only DCM had a lower risk of all-cause death (adjusted hazard ratio (aHR) 0. 68, 95% confidence interval (CI) 0. 56-0. 83, p < 0. 001), and only DICM had a higher risk of all-cause death (aHR 1. 47, 95% CI 1. 02-2. 11, p = 0. 04). However, almost all etiologies had a significantly lower risk of CV death than IHD. Among the studied HF etiologies, DCM and DICM have the lowest and highest risk of all-cause death, respectively, whereas IHD has the highest adjusted risk of CV death. |
Rights: |
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Language: |
Anglès |
Document: |
Article ; recerca ; Versió publicada |
Subject: |
Heart failure with reduced ejection fraction ;
Heart failure with preserved ejection fraction ;
Heart failure etiology |
Published in: |
Journal of clinical medicine, Vol. 11 Núm. 3 (january 2022) , ISSN 2077-0383 |
DOI: 10.3390/jcm11030784
PMID: 35160236
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Record created 2022-02-27, last modified 2023-10-01