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Decompensated Heart Failure. What Are We Talking About?

2018; Sociedad Argentina de Cardiología; Volume: 86; Issue: 5 Linguagem: Inglês

10.7775/rac.v86.i5.13565

1850-3748

Enrique Fairman, Víctor Mauro, Adrián A. Charask, Yanina Castillo Costa, Flavio Delfino, Alesis Raffaelli,

Cardiac pacing and defibrillation studies

The aim of this study was to know the problematic posed by a significant range of patients hospitalized for heart failure inprivate urban centers which do not receive patients referred with end-stage disease. Baseline characteristics and outcome of865 consecutive elderly patients hospitalized due to heart failure were analyzed in two of the above-mentioned centers. Meanage was 81 years and 48% were women. Heart failure was of coronary etiology in 25.5% of cases and chagasic in 0.4%, and 78%of patients were hypertensive. Average comorbidities were 3 per patient. Half of the patients had preserved systolic function.Systolic blood pressure on admission was 145 mmHg and ≥ 170 mmHg in 25% of cases. Average hospital stay was 6 days andin-hospital mortality 6.13%. The one-year evolution of these patients is a matter of great concern, with 70% of readmissionsand 40.12% mortality. It should be pointed out that half of the post discharge deaths were not due to heart failure.