Clinical characteristics and long-term outcomes of patients with heart failure and preserved systolic function

摘要: Although the syndrome of heart failure with preserved systolic function may occur in up to 40% all patients, clinical, angiographic characteristics, and long-term outcomes these patients are poorly understood. We prospectively evaluated 2,498 consecutive New York Heart Association class II IV symptoms ejection fractions >40%, who underwent cardiac catheterization between January 1984 December 1996 at Duke University Medical Center. The median age for entire cohort was 63 years; 25% population >71 years old. In addition, 55% were women, 65% had ischemic disease, 28% a history diabetes, 62% hypertension. fraction 58%. One third multivessel disease by coronary angiography. overall 5-year mortality total 28%. independent predictors (p <0.05) using multivariable Cox proportional hazard model age, symptoms, fraction, artery index, peripheral vascular minority ethnic group. is characterized unique clinical characteristics associated rate Furthermore, several predictive survival.