Journal of Clinical Medicine Research, ISSN 1918-3003 print, 1918-3011 online, Open Access
Article copyright, the authors; Journal compilation copyright, J Clin Med Res and Elmer Press Inc
Journal website http://www.jocmr.org

Original Article

Volume 8, Number 2, February 2016, pages 97-104


Recent Patient Characteristics and Medications at Admission and Discharge in Hospitalized Patients With Heart Failure

Figures

Figure 1.
Figure 1. Medications in the acute phase of HF. PDEIII-I: phosphodiesterase inhibitor; NAD: noradrenaline.
Figure 2.
Figure 2. Dose of furosemide just before the use of tolvaptan.
Figure 3.
Figure 3. Medications at discharge. ARB: angiotensin receptor blocker; ACE-I: angiotensin converting enzyme inhibitor.
Figure 4.
Figure 4. Average dose of carvedilol at discharge.
Figure 5.
Figure 5. Medications in patients with HFrEF, borderline and HFpEF according to LVEF. HFrEF: heart failure with reduced ejection fraction; HFpEF: heart failure with preserved ejection fraction; ARB: angiotensin receptor blocker; ACE-I: angiotensin converting enzyme inhibitor; CCB: calcium-channel blocker.

Tables

Table 1. Patient Characteristics at Admission
 
Group 2013 (n = 158)
NYHA: New York Heart Association; HTN: hypertension; DM: diabetes mellitus; DL: dyslipidemia; CKD: chronic kidney disease; PMI: pacemaker implantation; ICD: implantable cardioverter defibrillator; CRT: cardiac resynchronization therapy; SBP: systolic blood pressure; DBP: diastolic blood pressure; HR: heart rate; BNP: brain natriuretic peptide; NT-proBNP: amino-terminal pro-BNP; Cr: creatinine; eGFR: estimated glomerular filtration rate; CCr: creatinine clearance; UA: uric acid; Na: sodium; K: potassium; Hb: hemoglobin; CRP: C-reactive protein; TC: total cholesterol; TG: triglyceride; HDL-c: high-density lipoprotein-cholesterol; LDL-c: low-density lipoprotein-cholesterol; LAd: left atrial dimension; LVEDd: left ventricular end diastolic dimension; LVEF: left ventricular ejection fraction.
Male, n (%)86 (54)
Age74 ± 13
Height, m1.58 ± 0.10
Weight, kg59.2 ± 14.4
NYHA classification3.5 ± 0.7
Hospitalized days, days21 ± 13
HTN, n (%)94 (59)
DM, n (%)53 (34)
DL, n (%)80 (51)
CKD, n (%)118 (75)
Anemia, n (%)117 (74)
Smoking, current, n (%)21 (13)
Smoking, former, n (%)36 (23)
PM, n (%)16 (10)
ICD, n (%)18 (11)
CRT, n (%)6 (4)
SBP, mm Hg137 ± 31
DBP, mm Hg78 ± 18
HR, /min86 ± 24
Biochemical parameters
  BNP, pg/mL824 ± 702
  NT-proBNP, pg/mL7,569 ± 8,993
  Cr, mg/dL1.3 ± 0.7
  eGFR, mL/min/1.73 m245 ± 21
  CCr, mL/min47 ± 31
  UA, mg/dL6.9 ± 2.2
  Na, mEq/L140 ± 4
  K, mEq/L4.2 ± 0.6
  Hb, g/dL11.4 ± 2.4
  CRP, mg/dL2.41 ± 4.57
  TC, mg/dL150 ± 38
  TG, mg/dL86 ± 35
  HDL-C, mg/dL39 ± 12
  LDL-C, mg/dL89 ± 30
Echocardiographic parameters
  LAd, mm47.0 ± 8.9
  LVEDd, mm52.5 ± 10.5
  LVEF, %44.7 ± 17.4

 

Table 2. Major Courses of HF
 
HF: heart failure; DCM: dilated cardiomyopathy; HCM: hypertrophic cardiomyopathy; D-HCM: dilated phase of HCM; ARVC: arrhythmogenic right ventricular cardiomyopathy; IHD: ischemic heart disease; HTCM: hypertensive cardiomyopathy; PH: pulmonary hypertension.
DCM, n (%)16 (10)
HCM, n (%)4 (3)
D-HCM, n (%)1 (1)
ARVC, n (%)1 (1)
Congenital, n (%)1 (1)
IHD, n (%)47 (30)
HTCM, n (%)32 (20)
Valvular heart disease, n (%)35 (22)
Arrhythmia, n (%)5 (3)
PH, n (%)1 (1)
Sarcoidosis, n (%)1 (1)
Peripartum cardiomyopathy, n (%)1 (1)
Myocarditis, n (%)1 (1)
Unknown, n (%)12 (8)