Login
Search
Search
0 Dates
2024
2023
2022
2021
2020
2019
2018
0 Events
CPC 2018
CPC 2019
Curso de Atualização em Medicina Cardiovascular 2019
Reunião Anual Conjunta dos Grupos de Estudo de Cirurgia Cardíaca, Doenças Valvulares e Ecocardiografia da SPC
CPC 2020
CPC 2021
CPC 2022
CPC 2023
CPC 2024
0 Topics
A. Basics
B. Imaging
C. Arrhythmias and Device Therapy
D. Heart Failure
E. Coronary Artery Disease, Acute Coronary Syndromes, Acute Cardiac Care
F. Valvular, Myocardial, Pericardial, Pulmonary, Congenital Heart Disease
G. Aortic Disease, Peripheral Vascular Disease, Stroke
H. Interventional Cardiology and Cardiovascular Surgery
I. Hypertension
J. Preventive Cardiology
K. Cardiovascular Disease In Special Populations
L. Cardiovascular Pharmacology
M. Cardiovascular Nursing
N. E-Cardiology / Digital Health, Public Health, Health Economics, Research Methodology
O. Basic Science
P. Other
0 Themes
01. History of Cardiology
02. Clinical Skills
03. Imaging
04. Arrhythmias, General
05. Atrial Fibrillation
06. Supraventricular Tachycardia (non-AF)
07. Syncope and Bradycardia
08. Ventricular Arrhythmias and Sudden Cardiac Death (SCD)
09. Device Therapy
10. Chronic Heart Failure
11. Acute Heart Failure
12. Coronary Artery Disease (Chronic)
13. Acute Coronary Syndromes
14. Acute Cardiac Care
15. Valvular Heart Disease
16. Infective Endocarditis
17. Myocardial Disease
18. Pericardial Disease
19. Tumors of the Heart
20. Congenital Heart Disease and Pediatric Cardiology
21. Pulmonary Circulation, Pulmonary Embolism, Right Heart Failure
22. Aortic Disease
23. Peripheral Vascular and Cerebrovascular Disease
24. Stroke
25. Interventional Cardiology
26. Cardiovascular Surgery
27. Hypertension
28. Risk Factors and Prevention
29. Rehabilitation and Sports Cardiology
30. Cardiovascular Disease in Special Populations
31. Pharmacology and Pharmacotherapy
32. Cardiovascular Nursing
33. e-Cardiology / Digital Health
34. Public Health and Health Economics
35. Research Methodology
36. Basic Science
37. Miscellanea
0 Resources
Abstract
Slides
Vídeo
Report
CLEAR FILTERS
Heart failure with "recovered function": Clinical characteristics and outcomes
Session:
Posters 4 - Écran 10 - Insuficiência Cardíaca
Speaker:
Ana Fátima Esteves
Congress:
CPC 2019
Topic:
D. Heart Failure
Theme:
10. Chronic Heart Failure
Subtheme:
10.2 Chronic Heart Failure – Epidemiology, Prognosis, Outcome
Session Type:
Posters
FP Number:
---
Authors:
Ana Fátima Esteves; Sara Gonçalves; Tatiana Duarte; Marta Ferreira Fonseca; Rita Marinheiro; Rita Rodrigues; José Maria Farinha; Sandra Correia; Dina Ferreira; Ana Lourenço; Nuno J. Fonseca; Rui Caria
Abstract
<p>Introduction: Patients with systolic dysfunction that improve/recover their left ventricular systolic ejection fraction (LVEF) present a more favorable clinical profile when compared to patients that maintain dysfunction, despite therapy. The characteristics and outcomes of patients with "recovered function" are not fully described, and more studies in these patients are necessary.</p> <p>Aim: To determine in a population with heart failure (HF) the prevalence of patients that improved/recovered LVEF and characterize this sample according to clinical characteristics and outcomes.</p> <p>Methods: Patients followed at a HF clinic with initial LVEF <40% were retrospectively evaluated. The population was divided into 3 groups according to the LVEF: Group I - did not recover function (LVEF <40%); Group 2 - recovered function (LVEF> 50%); Group 3 partially improved the function (LVEF between 45-50%). The groups were characterized according to baseline characteristics, comorbidities, therapeutics and outcomes - death for cardiovascular cause; hospitalizations for HF; composite endpoint. The prevalence of "recovered function" and predictive factors were evaluated.</p> <p>Results: One hundred fifty-five patients were studied (male 72% (n = 112), mean age 67 ± 10 years). In 43% (66) of the patients there was an improvement in systolic function: LVEF> 50%: 53% (35); LVEF between 45 and 50: 47% (31). Patients that did not improve the systolic dysfunction are predominantly male.</p> <p>The non-ischemic etiology was associated with greater ventricular remodeling with improved function. The patients that improved/recovered function had less events but non-statistically significant. Median levels of BNP were lower in the two groups that improved function (Table I).</p> <p>Conclusion: The improvement/recovery of LVEF was frequent in this sample, especially in patients with non-ischemic etiology. This group of patients keeps a reasonable number of events that suggests the persistence of a risk profile and need of surveillance. More studies in patients with "recovered function" are necessary, to determine predictors of "improved/recovered function” and to optimize therapeutics.</p>
Slides
Our mission: To reduce the burden of cardiovascular disease
Visit our site
