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Differences in blood pressure riser pattern in patients with acute heart failure with reduced mid‐range and preserved ejection fraction

ESC Heart Failure, 2019-10, Vol.6 (5), p.1057-1067 [Peer Reviewed Journal]

2019 The Authors. ESC Heart Failure published by John Wiley & Sons Ltd on behalf of the European Society of Cardiology. ;2019. This work is published under http://creativecommons.org/licenses/by-nc/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License. ;ISSN: 2055-5822 ;EISSN: 2055-5822 ;DOI: 10.1002/ehf2.12500 ;PMID: 31325235

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Title:
Differences in blood pressure riser pattern in patients with acute heart failure with reduced mid‐range and preserved ejection fraction
Author: Ueda, Tomoya ; Kawakami, Rika ; Nakada, Yasuki ; Nakano, Tomoya ; Nakagawa, Hitoshi ; Matsui, Masaru ; Nishida, Taku ; Onoue, Kenji ; Soeda, Tsunenari ; Okayama, Satoshi ; Watanabe, Makoto ; Okura, Hiroyuki ; Saito, Yoshihiko
Subjects: Acute Disease ; Aftercare ; Aged ; Aged, 80 and over ; Ambulatory blood pressure monitoring ; Blood pressure ; Blood Pressure - physiology ; Blood Pressure Determination - trends ; Blood Pressure Monitoring, Ambulatory - methods ; Cardiac arrhythmia ; Cardiovascular Diseases - mortality ; Cause of Death - trends ; Circadian rhythm ; Circadian Rhythm - physiology ; Clinical trials ; Data collection ; Diabetes ; Ejection fraction ; Etiology ; Family medical history ; Female ; Heart attacks ; Heart failure ; Heart Failure - classification ; Heart Failure - epidemiology ; Heart Failure - mortality ; Heart Failure - physiopathology ; Heart failure with mid‐range ejection fraction ; Heart failure with preserved ejection fraction ; Heart failure with reduced ejection fraction ; Hospitalization ; Hospitals ; Humans ; Hypertension ; Hypertension - complications ; Hypertension - epidemiology ; Male ; Medical records ; Medical research ; Middle Aged ; Original ; Original s ; Patient Discharge ; Pressure measurement ; Prognosis ; Riser pattern ; Risk Factors ; Sleep ; Stroke Volume - physiology ; Studies ; Ventricular Function, Left - physiology
Is Part Of: ESC Heart Failure, 2019-10, Vol.6 (5), p.1057-1067
Description: Aims Heart failure (HF) is classified into three types according to left ventricular ejection fraction (EF). The effect of blood pressure (BP) on the pathogenesis of each type is assumed to be different. However, the association between the prognosis of each type of HF and abnormal BP variations assessed by ambulatory BP monitoring (ABPM), such as nocturnal hypertension and the riser pattern, remains unclear. Methods and results We studied 325 consecutive patients with decompensated HF who were acutely admitted to our hospital and underwent ABPM at discharge. During a mean follow‐up of 30.0 months, 52 cardiovascular and 112 all‐cause deaths occurred. The Cox proportional hazards model showed that the mean values of 24 h, awake, and sleep‐time systolic BP (SBP), and abnormal 24 h ABPM patterns, such as nocturnal hypertension and non‐dipper pattern, were not associated with either all‐cause or cardiovascular mortality in patients with HF with reduced EF (HFrEF), HF with mid‐range EF (HFmrEF), or HF with preserved EF (HFpEF), except for sleep‐time SBP in HFrEF. However, the riser pattern was a significant and independent predictor of all‐cause and cardiovascular deaths in patients with HFpEF (hazard ratio, 2.01; 95% confidence interval, 1.12–3.62; 0.0200; and hazard ratio, 2.48; 95% confidence interval, 1.08–5.90; 0.0332, respectively). Sleep‐time pulse rate was similarly decreased in both the riser and non‐riser groups. Conclusions The riser pattern of SBP was associated with an increased risk of adverse outcomes among patients with HFpEF but not HFrEF or HFmrEF.
Publisher: England: John Wiley & Sons, Inc
Language: English
Identifier: ISSN: 2055-5822
EISSN: 2055-5822
DOI: 10.1002/ehf2.12500
PMID: 31325235
Source: MEDLINE
PubMed Central
Wiley Blackwell Open Access Titles
ROAD: Directory of Open Access Scholarly Resources
ProQuest Central
DOAJ Directory of Open Access Journals

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Differences in blood pressure riser pattern in patients with acute heart failure with reduced mid‐range and preserved ejection fraction

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