RT Journal Article
T1 Influence of gender on long-term prognosis of patients with chronic heart failure seen in heart failure clinics.
A1 Jiménez-Navarro, Manuel F
A1 Ramírez-Marrero, Miguel A
A1 Anguita-Sánchez, Manuel
A1 Castillo, Juan Carlos
K1 Anciano
K1 Instituciones cardiológicas
K1 Humanos
K1 Indicadores de salud
K1 Insuficiencia cardíaca
K1 Estimación de Kaplan-Meier
K1 Readmisión del paciente
K1 Inhibidores de agregación plaquetaria
K1 Pronóstico
K1 Sistema de registros
K1 Factores de riesgo
K1 Factores sexuales
K1 Vasodilatadores
K1 Antagonistas adrenérgicos beta
AB BACKGROUNDControversy exists concerning the influence of gender in the prognosis of patients with heart failure and no evidence is available from specific heart failure clinics.HYPOTHESISWomen with ambulatory heart failure are managed differently than men, although their prognosis might be better than men.METHODS AND RESULTSWe analyzed the clinical characteristics, complementary test results, treatment, and prognosis in 4720 patients with chronic heart failure seen in 62 specialized clinics forming part of a multicenter registry during a mean follow-up of 40 months. The mean age was 65 +/- 12 years and 71% were men. The men were younger than the women and more often had a history of hyperlipidemia and ischemic heart disease. The men had a more advanced heart failure New York Heart Association (NYHA) functional class (III-IV) than the women and a greater frequency of systolic ventricular dysfunction. The men more often received treatment with beta-blockers, vasodilators, and antiplatelet aggregators as well as higher mean doses as compared with the women. The overall survival after the follow-up was similar for both genders, although the women had lower rates of survival free of admission for heart failure.CONCLUSIONSDespite the mortality of women and men with heart failure being similar, the rate of readmission for heart failure is greater in women in specialized heart failure clinics. These results may be associated with the pharmacological treatment differences observed.
PB Wiley
SN 0160-9289
YR 2010
FD 2010-03
LK http://hdl.handle.net/10668/1737
UL http://hdl.handle.net/10668/1737
LA en
NO Jiménez-Navarro MF, Ramírez-Marrero MA, Anguita-Sánchez M, Castillo JC, BADAPIC Investigators. Influence of gender on long-term prognosis of patients with chronic heart failure seen in heart failure clinics. Clin Cardiol. 2010; 33(3):E13-8
NO Comparative Study; Journal Article; Multicenter Study;
DS RISalud
RD Apr 11, 2025