Differences In Clinical Presentation Among Preserved, Middle-range And Reduced Lvef Heart Failure And Its Impact On Readmission And Death

• Published in: Journal of cardiac failure 2023-04, Vol.29 (4), p.659-659
• Main Authors: Bhattarai, Sunita Pokhrel, Dzikowicz, Dillon, Carey, Mary G
• Format: Article
• Language: English
• ISSN: 1071-9164; 1532-8414
• DOI: 10.1016/j.cardfail.2022.10.274

Acute decompensated heart failure (ADHF) is associated with increased 30-days readmission and 1 year in-hospital death. The differences in clinical presentation among preserved ejection (HFpEF, ≥50%), middle range EF (HFmrEF, 41-49%) and reduced ejection fraction (HFrEF, ≤40%) are poorly understood. patient's clinical presentation is different among HFpEF, HFmrEF and HFrEF and changes in clinical presentation predicts outcomes (30-days readmission and 1 year in-hospital death). ADHF patient’ selection were based on ICD-10 codes and positive Framingham HF Diagnostic Criteria and excluded LVAD patients. Data were extracted and screened from the EMR and included: demographics, vital signs, sign and symptoms, Charlson co-morbidity Index (CCI), 30-days re-admission and in-hospital death. Descriptive analysis, chi-square test, ANOVA and logistic regression were evaluated. Systolic blood pressure (SDP), diastolic blood pressure (DBP), heart rate and BMI were corrected by Log10. Among 192 ADHF patients, two groups were approximately equivalent in size: HFpEF(n=83,43%), and HFrEF(n=88,46%) and HFmrEF (21,11%) were small. Regarding demographics, HFpEF and HFmrEF were older and female than HFrEF (age:74±13, 71±15 and 67±15, P=.01) sex was associated with EF (X2=0.26, p