Influence of diabetes on the survival of patients hospitalized with heart failure: A 12‐year study
Open Access
- 7 August 2005
- journal article
- research article
- Published by Wiley in European Journal of Heart Failure
- Vol. 7 (5), 859-864
- https://doi.org/10.1016/j.ejheart.2005.01.017
Abstract
Aim To investigate the influence of diabetes mellitus (DM) on the prognosis of heart failure (HF) patients, focussing specifically on aetiology and patients with preserved left ventricular systolic function (LVSF), which to date has not been fully investigated. Method and results 1659 Patients hospitalized for HF between 1991 and 2002 in the Cardiology Department of a tertiary hospital, aged 69±12years, 60% male were studied prospectively. Arterial hypertension was present in 54% of patients, DM in 26% and ischaemic cardiomyopathy in 51%. A survival analysis performed in April 2003 showed that DM worsens the prognosis of the whole group (median survival (MS):3.6 vs. 5.4 years; pp=0.13 and 3.6 vs. 6.0 years; pp=0.03) and in patients with impaired LVSF (3.6 vs. 6.3 years; p<0.0001). Conclusion DM increases mortality among HF patients with preserved and impaired LVSF and those without ischaemic cardiomyopathy.Keywords
This publication has 17 references indexed in Scilit:
- Outcomes in heart failure patients with preserved ejection fraction: Mortality, readmission, and functional declineJournal of the American College of Cardiology, 2003
- Efficacy and safety of high-dose lisinopril in chronic heart failure patients at high cardiovascular risk, including those with diabetes mellitus. Results from the ATLAS trialEuropean Heart Journal, 2000
- Congestive heart failure in subjects with normal versus reduced left ventricular ejection fraction: Prevalence and mortality in a population-based cohortJournal of the American College of Cardiology, 1999
- Diabetes mellitus and congestive heart failureEuropean Heart Journal, 1999
- Incidence, clinical and etiologic features, and outcomes of advanced chronic heart failure: the EPICAL studyJournal of the American College of Cardiology, 1999
- Congestive Heart Failure in the CommunityCirculation, 1998
- Insulin Resistance in Chronic Heart Failure: Relation to Severity and Etiology of Heart FailureJournal of the American College of Cardiology, 1997
- Diabetes mellitus, a predictor of morbidity and mortality in the studies of left ventricular dysfunction (SOLVD) trials and registryThe American Journal of Cardiology, 1996
- Survival of heart failure patients with preserved versus impaired systolic function: The prognostic implication of blood pressureAmerican Heart Journal, 1992
- Diabetes and Cardiovascular DiseaseJAMA, 1979