PMID- 18361213 OWN - NLM STAT- MEDLINE DCOM- 20080417 LR - 20161020 IS - 1122-0643 (Print) IS - 1122-0643 (Linking) VI - 68 IP - 3 DP - 2007 Sep TI - 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. PG - 165-9 AB - 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 > or = 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. FAU - Biagi, Paolo AU - Biagi P AD - Internal Medicine, Ospedali Riuniti Valdichiana, Montepulciano (SI), Italy. FAU - Abate, Luigi AU - Abate L FAU - Alessandri, Massimo AU - Alessandri M FAU - Bocchini, Salvatore AU - Bocchini S FAU - Verdiani, Valerio AU - Verdiani V FAU - Pettina, Giuseppe AU - Pettina G FAU - Nozzoli, Carlo AU - Nozzoli C LA - eng PT - Journal Article PL - Italy TA - Monaldi Arch Chest Dis JT - Monaldi archives for chest disease = Archivio Monaldi per le malattie del torace JID - 9307314 SB - IM MH - Age Distribution MH - Aged MH - Aged, 80 and over MH - Body Mass Index MH - Female MH - Heart Failure, Diastolic/blood/*diagnosis/*epidemiology/physiopathology MH - Humans MH - Italy/epidemiology MH - Length of Stay MH - Male MH - Prevalence MH - Stroke Volume MH - Systole/physiology EDAT- 2008/03/26 09:00 MHDA- 2008/04/18 09:00 CRDT- 2008/03/26 09:00 PHST- 2008/03/26 09:00 [pubmed] PHST- 2008/04/18 09:00 [medline] PHST- 2008/03/26 09:00 [entrez] AID - 10.4081/monaldi.2007.449 [doi] PST - ppublish SO - Monaldi Arch Chest Dis. 2007 Sep;68(3):165-9. doi: 10.4081/monaldi.2007.449.