American Registry Of Ambulatory Or Acutely Decompensated Heart Failure (AMERICCAASS): Characterization Of The First 2500 Patients

• Published in: Journal of cardiac failure 2024-01, Vol.30 (1), p.141-142
• Main Authors: Gomez-Mesa, Juan E., Gutiérrez, Juliana M., Sotomayor, Alex D., Escalante, Manuela, Valle, Mádelyn R., Cabral, Luz T., van der Hilst, Kwame, Arrese, Felix Nunura, Perna, Eduardo R., Speranza, Mario
• Format: Article
• Language: English
• ISSN: 1071-9164; 1532-8414
• DOI: 10.1016/j.cardfail.2023.10.062

Heart failure (HF) is a significant health problem with a prevalence around 26 million people worldwide. Prevalence is increasing because of ageing of the population and improved cardiovascular treatment. Except for North America, information about HF for the rest of the continent is limited; therefore, regional clinical research is needed with the aim of creating consolidated data about the diagnosis, behavior, and clinical management of HF in the continent. Describe demographic, clinical and hemodynamic characteristics of HF patients in the Americas, based on information collected in the AMERICCAASS Registry. Descriptive, observational, prospective, multicenter registry, including patients older than 18 years with HF divided into two groups: hospitalized and ambulatory. Sociodemographic, comorbidities, physical examination, laboratory, diagnostic, clinical and hemodynamic variables were included. Information was collected in the REDCap platform. Univariate analysis was performed, qualitative variables were expressed as frequency and percentage. The normality of quantitative variables was found using the Shapiro Wilk test and they were expressed as median and interquartile range. The first 2500 patients recruited from 67 institutions in 20 countries in the American continent were included, 882 hospitalized and 1618 ambulatory. Overall median age was 66.2 years (RIC 56.1, 75.3), 59.7% were male. For both groups (hospitalized and ambulatory), the most prevalent comorbidity was arterial hypertension, and the most prevalent etiology was ischemic. More than half of patients for both groups had reduced left ventricular ejection fraction (LVEF) (