Evidence map›Paper›PMID 31094734›Full record

ArticleCritical pathways in cardiology2019

Clinical Characteristics of Young Patients With Heart Failure With Reduced Ejection Fraction in a Racially Diverse Cohort.

Ignacio Zepeda, Dan L Li, Renato Quispe, Cynthia C Taub

Abstract read
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Article in Critical pathways in cardiology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

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3citing papers in PubMed
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1 · What the graph read from it

What it found

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3 · Its place in the literature

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3 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

4 authors.

Ignacio ZepedaFrom the Department of Medicine, Jacobi Medical Center.
Dan L LiFrom the Department of Medicine, Jacobi Medical Center.
Renato QuispeFrom the Department of Medicine, Jacobi Medical Center.
Cynthia C TaubDivision of Cardiology, Montefiore Medical Center, Albert Einstein College of Medicine, Bronx, NY.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundInformation on the clinical and echocardiographic characteristics of young patients with heart failure with reduced ejection fraction is scant, especially among racially diverse populations.

methodsPatients admitted to Montefiore Medical Center between 2000 and 2016 with heart failure and ejection fraction of <40% were categorized as young (18-39 years), middle-aged (40-64 years), and elderly (≥65 years). Multivariable Cox regression models were used to evaluate mortality risk.

resultsA total of 1032 young, 8336 middle-aged, and 13,315 elderly patients were included. Median follow-up was 36 (14-69) months. The young group had more black individuals, lower socioeconomic scores, larger left ventricular chambers, but lower N-terminal pro b-type natriuretic peptide levels (P < 0.001). Better survival outcomes were observed in the young compared to the middle-aged [hazard ratio (HR), 1.52; 95% confidence interval (CI), 1.31-1.77] and elderly (HR, 3.19; 95% CI, 2.75-3.70). After multivariable adjustments, only β-blockers were associated with a significant reduction of mortality in young patients (HR, 0.33; 95% CI, 0.22-0.51).

conclusionIn conclusion, young patients with heart failure with reduced ejection fraction have distinct demographic, clinical, and echocardiographic characteristics. They had lower socioeconomic status yet received more aggressive treatments and had lower mortality rates. Only β-blockers were associated with improved survival in young patients from our cohort.

Indexed as

Heart FailureStroke VolumeAdrenergic beta-AntagonistsAdultAgedAge DistributionBlack or African AmericanBlack PeopleEchocardiographyFemaleHumansMaleMiddle AgedMortalityNatriuretic Peptide, BrainPeptide FragmentsAdrenergic beta-AntagonistsNatriuretic Peptide, BrainPeptide Fragmentspro-brain natriuretic peptide (1-76)

Identifiers

PMID31094734
PMCPMC6553968

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