Ambulatory blood pressure monitoring of patients with heart failure: a new prognosis marker

Abstract

or = 105mmHg had longer survival (p=0.002, p=0.01 and p=0.0007, respectively). Patients with diastolic blood pressure sleep decrements (dip) and patients with mean blood pressure dip <=6mmHg had longer survival (p=0.04 and p=0.01, respectively). In the multivariate analysis, SBPs was the only variable with an odds ratio of 7.61 (CI: 1.56; 3704) (p=0.01). Patients with mean SBP<105mmHg were 7.6 times more likely to die than those with SBP > or = 105 mmHg CONCLUSION: Ambulatory blood pressure monitoring appears to be a useful method for evaluating patients with congestive heart failure.]]>

ProBNP for stratifying patients with heart failure

“…We emphasize this because the 1-year mortality observed in our patients was approximately 60%, while that reported in the literature was under 40% [23][24][25]35,36 .…”

“…But in specific groups, such as in patients with the advanced form of the disease in FC III/IV, the FC classification looses its capacity to identify which patients will have a worse prognosis, and additional parameters are necessary for this stratification [23][24][25][26][27] .…”

“…However, none of these data are specific, because they could be present but the patient may not have HF. Our observation showed that left ventricular ejection fraction and the magnitude of left ventricular dilatation may be similar in patients with or without HF and in patients with the advanced form of the disease [22][23][24][25] . Results from the SOLVD studies on prevention and treatment 26,27 also demonstrate that left ventricular ejection fraction per se does not aid in the diagnosis of HF, because in the 2 studies a reduced ejection fraction (lower than 0.35) was the inclusion criterion, and the only difference observed was the presence of symptoms in the treatment arm of the study.…”

“…However, it was difficult to evaluate and it can be altered by systemic diseases. So, when we evaluate only cardiac function, it may not represent the patient's clinical situation [22][23][24][25][26][27][28] .…”

Factors Associated with Incident Ischemic Stroke in Hospitalized Heart Failure Patients: A Pilot Study

“…Because the reported BP in moderate to severe CHF patients was usually low, high BP has rarely been reported as a risk for complications (18). In a study of severe CHF (NYHA class IV), the average BP was 108.2±13.4/72.2±8.1 mmHg (19). On the other hand, the patients in our study were completely different from those in previous reports because only mild to moderate CHF patients who were able to leave the hospital were enrolled in our study.…”