Left ventricular systolic dysfunction in 75-year-old men and women. A population-based study

Abstract

Left ventricular systolic dysfunction is common among 75-year-olds with a prevalence of 6.8% in our estimate. The condition is more likely to affect men than women. In nearly half of 75-year-olds with left ventricular systolic dysfunction there is no clinical evidence of heart failure.

Insuficiência cardíaca com fração de ejeção preservada e com disfunção sistólica na comunidade

“…This was the first study to identify this fact in Brazil. The mean age of HF patients was at least 10 years lower than the results of studies conducted in communities in other countries, indicating that our population is more exposed to factors associated with the development of HF 2,6,10,11,[28][29][30][31] . Several studies have shown an increased prevalence of HFpEF with aging, especially in populations of elderly women 2,6,10 .…”

Heart failure with preserved systolic function

“…Of patients presenting with CHF, 30% to 50% have preserved systolic function and no valvular disease that would explain the presence of the syndrome [1][2][3][4][5][6][7][8][9][10][11][12]. Patients are frequently older, hypertensive, and female [13].…”

Hemodynamic improvement of acutely decompensated heart failure patients is associated with decreasing levels of NT-proBNP

“…Acutely decompensated heart failure is among the most common causes of hospitalisation in western countries with high in-hospital mortality rates despite substantial advances in the treatment of heart failure in the past [1,2].…”