Heart failure with preserved systolic function: prevalence and clinical features in a cohort of patients admitted to internal medicine units. The study PRESYF-HF Tuscany

https://doi.org/10.4081/monaldi.2007.449

Authors

  • Paolo Biagi Internal Medicine, Ospedali Riuniti Valdichiana, Montepulciano (SI), Italy.
  • Luigi Abate Internal Medicine, Ospedali Riuniti Valdichiana, Montepulciano (SI), Italy.
  • Massimo Alessandri Internal Medicine, Ospedale della Misericordia, Grosseto, Italy.
  • Salvatore Bocchini Internal Medicine, Ospedali Riuniti Valdichiana, Montepulciano (SI), Italy.
  • Valerio Verdiani | verdiani@fastwebnet.it Internal Medicine 1, Azienda Ospedaliera Universitaria Careggi, Florence, Italy.
  • Giuseppe Pettinà Internal Medicine, Ospedale del Ceppo, Pistoia, Italy.
  • Carlo Nozzoli Internal Medicine 1, Azienda Ospedaliera Universitaria Careggi, Florence, Italy.

Abstract

Background. There is uncertainty about the prevalence and clinical characteristics of heart failure (HF) patients with preserved systolic function (PRESYF). Aim. To analyze the prevalence and clinical characteristics of patients with PRESYF in an unselected cohort of subjects consecutively hospitalized for HF. Methods. The study cohort included 338 patients consecutively admitted for HF at 24 Internal Medicine units homogeneously settled in Tuscany area (Italy). We did not have any criteria for exclusion. All patients had an echocardiographic measure of left ventricular ejection fraction (LVEF) within 72 hours from hospital admission. Patients with LVEF > 50% were considered to have PRESYF. Results. The patients with PRESYF were 112 (33,1%), those with depressed systolic function (DESYF) 226 (66,9%). In the group PRESYF were prevalent female sex, hypertensive etiology, and elevated BMI. The distribution for classes of age shows a great frequency of PRESYF in the elderly. Conclusion. About one third of patients admitted for HF have a PRESYF. They are different compared to those with DESYF. A correct identification of this form of HF may be important in clinical practice for more targeted therapeutic options and for prognostic implications.

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Published
2016-02-01
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Original Articles
Keywords:
heart failure, preserved left ventricular ejection fraction, prevalence, clinical features
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How to Cite
Biagi, Paolo, Luigi Abate, Massimo Alessandri, Salvatore Bocchini, Valerio Verdiani, Giuseppe Pettinà, and Carlo Nozzoli. 2016. “Heart Failure With Preserved Systolic Function: Prevalence and Clinical Features in a Cohort of Patients Admitted to Internal Medicine Units. The Study PRESYF-HF Tuscany”. Monaldi Archives for Chest Disease 68 (3). https://doi.org/10.4081/monaldi.2007.449.

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