dc.contributor.author | Jackson, Colette E. | |
dc.contributor.author | Castagno, Davide | |
dc.contributor.author | Maggioni, A.P. | |
dc.contributor.author | Køber, Lars | |
dc.contributor.author | Squire, I.B. | |
dc.contributor.author | Swedberg, Karl | |
dc.contributor.author | Andersson, Bert | |
dc.contributor.author | Richards, A.M. | |
dc.contributor.author | Bayes-Genis, Antoni | |
dc.contributor.author | Tribouilloy, Christophe | |
dc.contributor.author | Dobson, Joanna | |
dc.contributor.author | Ariti, Cono A. | |
dc.contributor.author | Poppe, K.K. | |
dc.contributor.author | Earle, Nikki | |
dc.contributor.author | Whalley, Gillian | |
dc.contributor.author | Pocock, Stuart J. | |
dc.contributor.author | Doughty, Robert N. | |
dc.contributor.author | McMurray, John J.V. | |
dc.date.accessioned | 2016-02-28T22:54:09Z | |
dc.date.available | 2016-02-28T22:54:09Z | |
dc.date.issued | 2015-01-23 | |
dc.identifier.issn | 0195-668X | |
dc.identifier.uri | https://hdl.handle.net/10652/3201 | |
dc.description.abstract | AIMS:
Low pulse pressure is a marker of adverse outcome in patients with heart failure (HF) and reduced ejection fraction (HFREF) but the prognostic value of pulse pressure in patients with HF and preserved ejection fraction (HF-PEF) is unknown. We examined the prognostic value of pulse pressure in patients with HF-PEF [ejection fraction (EF) ≥ 50%] and HF-REF.
METHODS AND RESULTS:
Data from 22 HF studies were examined. Preserved left ventricular ejection fraction (LVEF) was defined as LVEF ≥ 50%. All-cause mortality at 3 years was evaluated in 27 046 patients: 22 038 with HF-REF (4980 deaths) and 5008 with HFPEF (828 deaths). Pulse pressure was analysed in quintiles in a multivariable model adjusted for the previously reported Meta-Analysis Global Group in Chronic Heart Failure prognostic variables. Heart failure and reduced ejection fraction patients in the lowest pulse pressure quintile had the highest crude and adjusted mortality risk (adjusted hazard ratio 1.68, 95% confidence interval 1.53–1.84) compared with all other pulse pressure groups. For patients with HF-PEF, higher pulse pressure was associated with the highest crude mortality, a gradient that was eliminated after adjustment for other prognostic variables.
CONCLUSION:
Lower pulse pressure (especially ,53 mmHg) was an independent predictor of mortality in patients with HF-REF, particularly in those with an LVEF , 30% and systolic blood pressure ,140 mmHg. Overall, this relationship between pulse pressure and outcome was not consistently observed among patients with HF-PEF. | en_NZ |
dc.language.iso | en | en_NZ |
dc.publisher | European Society of Cardiology | en_NZ |
dc.rights | All rights reserved | en_NZ |
dc.subject | pulse pressure | en_NZ |
dc.subject | heart failure | en_NZ |
dc.subject | reduced ejection fraction | en_NZ |
dc.subject | preserved ejection fraction | en_NZ |
dc.subject | mortality | en_NZ |
dc.subject | Meta-Analysis Global Group in Chronic Heart Failure (MAGGIC) | en_NZ |
dc.subject | cardiomyopathy | en_NZ |
dc.title | Differing prognostic value of pulse pressure in patients with heart failure with reduced or preserved ejection fraction: results from the MAGGIC individual patient meta-analysis | en_NZ |
dc.type | Journal Article | en_NZ |
dc.rights.holder | European Society of Cardiology | en_NZ |
dc.identifier.doi | 10.1093/eurheartj/ehu490 | en_NZ |
dc.subject.marsden | 110201 Cardiology (incl. Cardiovascular Diseases) | en_NZ |
dc.identifier.bibliographicCitation | Jackson, C.E., Castagno, D., Maggioni, Aldo P., Køber, L., Squire, I.B., Swedburg, K., Anderssonn, B., Richards, M.A., Bayes-Genis, Tribouilloy, C., Dobson, J., Airiti, Cono A., Poppe, K.K., Earle, N., Whalley, G., Pocock, S.J., Doughty, R.N., and McMurray, J.J.V. doi:10.1093/eurheartj/ehu490 | en_NZ |
unitec.institution | University of Glasgow (Scotland) | en_NZ |
unitec.institution | University of Turin (Torino, Italy) | en_NZ |
unitec.institution | Associazione Nazionale Medici Cardiologi Ospedalieri Research Center (Florence, Italy) | en_NZ |
unitec.institution | Rigshospitalet-Copenhagen University Hospital (Copenhagen, Denmark) | en_NZ |
unitec.institution | Glenfield Hospital (Leicester, UK) | en_NZ |
unitec.institution | University of Gothenburg (Sweden) | en_NZ |
unitec.institution | University of Otago (Christchurch, New Zealand) | en_NZ |
unitec.institution | National University Heart Centre (Singapore) | en_NZ |
unitec.institution | Hospital Universitari Germans Trias i Pujol (Badalona, Spain) | en_NZ |
unitec.institution | University Hospital Amiens (France) | en_NZ |
unitec.institution | Jules Verne University of Picardie (Amiens, France) | en_NZ |
unitec.institution | London School of Hygiene and Tropical Medicine | en_NZ |
unitec.institution | University of Auckland | en_NZ |
unitec.institution | Unitec Institute of Technology | en_NZ |
unitec.publication.spage | 1 | en_NZ |
unitec.publication.lpage | 9 | en_NZ |
unitec.publication.volume | Online (23 January) | en_NZ |
unitec.publication.title | European Heart Journal | en_NZ |
unitec.peerreviewed | yes | en_NZ |
dc.contributor.affiliation | Unitec Institute of Technology | en_NZ |
dc.contributor.affiliation | University of Glasgow | en_NZ |
dc.contributor.affiliation | University of Turin | en_NZ |
dc.contributor.affiliation | Rigshospitalet (Copenhagen, Denmark) | en_NZ |
dc.contributor.affiliation | University of Leicester | en_NZ |
dc.contributor.affiliation | National Heart and Lung Institute | en_NZ |
dc.contributor.affiliation | University of Gothenburg | en_NZ |
dc.contributor.affiliation | University of Otago | en_NZ |
dc.contributor.affiliation | National University Heart Centre (Singapore) | en_NZ |
dc.contributor.affiliation | Hospital Universitari Germans Trias i Pujol (Badalona, Spain) | en_NZ |
dc.contributor.affiliation | University Hospital Amiens (France) | en_NZ |
dc.contributor.affiliation | Jules Verne University of Picardie (Amiens,France) | en_NZ |
dc.contributor.affiliation | London School of Hygiene and Tropical Medicine | en_NZ |
dc.contributor.affiliation | University of Auckland | en_NZ |
unitec.identifier.roms | 57610 | en_NZ |
unitec.institution.studyarea | Health Sciences | |