PMID- 20155855 OWN - NLM STAT- MEDLINE DCOM- 20110607 LR - 20211020 IS - 1932-8737 (Electronic) IS - 0160-9289 (Print) IS - 0160-9289 (Linking) VI - 33 IP - 3 DP - 2010 Mar TI - Influence of gender on long-term prognosis of patients with chronic heart failure seen in heart failure clinics. PG - E13-8 LID - 10.1002/clc.20476 [doi] AB - BACKGROUND: Controversy exists concerning the influence of gender in the prognosis of patients with heart failure and no evidence is available from specific heart failure clinics. HYPOTHESIS: Women with ambulatory heart failure are managed differently than men, although their prognosis might be better than men. METHODS AND RESULTS: We analyzed the clinical characteristics, complementary test results, treatment, and prognosis in 4720 patients with chronic heart failure seen in 62 specialized clinics forming part of a multicenter registry during a mean follow-up of 40 months. The mean age was 65 +/- 12 years and 71% were men. The men were younger than the women and more often had a history of hyperlipidemia and ischemic heart disease. The men had a more advanced heart failure New York Heart Association (NYHA) functional class (III-IV) than the women and a greater frequency of systolic ventricular dysfunction. The men more often received treatment with beta-blockers, vasodilators, and antiplatelet aggregators as well as higher mean doses as compared with the women. The overall survival after the follow-up was similar for both genders, although the women had lower rates of survival free of admission for heart failure. CONCLUSIONS: Despite the mortality of women and men with heart failure being similar, the rate of readmission for heart failure is greater in women in specialized heart failure clinics. These results may be associated with the pharmacological treatment differences observed. CI - Copyright (c) 2010 Wiley Periodicals, Inc. FAU - Jimenez-Navarro, Manuel F AU - Jimenez-Navarro MF AD - Servicio de Cardiologia, Hospital Clinico Universitario Virgen de la Victoria de Malaga, Campus de Teatinos, Malaga, Spain. jimeneznavarro@secardiologia.es FAU - Ramirez-Marrero, Miguel A AU - Ramirez-Marrero MA FAU - Anguita-Sanchez, Manuel AU - Anguita-Sanchez M FAU - Castillo, Juan Carlos AU - Castillo JC CN - BADAPIC Investigators LA - eng PT - Comparative Study PT - Journal Article PT - Multicenter Study PL - United States TA - Clin Cardiol JT - Clinical cardiology JID - 7903272 RN - 0 (Adrenergic beta-Antagonists) RN - 0 (Platelet Aggregation Inhibitors) RN - 0 (Vasodilator Agents) SB - IM MH - Adrenergic beta-Antagonists/therapeutic use MH - Aged MH - *Cardiac Care Facilities MH - Female MH - Health Status Indicators MH - Heart Failure/drug therapy/*epidemiology/mortality/physiopathology MH - Humans MH - Kaplan-Meier Estimate MH - Male MH - Middle Aged MH - Patient Readmission/statistics & numerical data MH - Platelet Aggregation Inhibitors/therapeutic use MH - Prognosis MH - Registries MH - Risk Factors MH - Sex Factors MH - Spain/epidemiology MH - Time Factors MH - Treatment Outcome MH - Vasodilator Agents/therapeutic use PMC - PMC6653056 FIR - Dominguez Barrio, Pablo IR - Dominguez Barrio P FIR - Espana Barrio, Elena IR - Espana Barrio E FIR - Batlle Lopez, Elena IR - Batlle Lopez E FIR - Sogorb Garri, Francisco IR - Sogorb Garri F FIR - Climent Paya, Vicente IR - Climent Paya V FIR - Alvarez Rubiera, Jesus IR - Alvarez Rubiera J FIR - Rubio Alcaide, Alvaro IR - Rubio Alcaide A FIR - Casares Garcia, Gerardo IR - Casares Garcia G FIR - Martinez de la Concha, Leon IR - Martinez de la Concha L FIR - Lupon Roses, Jose IR - Lupon Roses J FIR - Pajaron Rodriguez, Teresa IR - Pajaron Rodriguez T FIR - Andres Novales, Javier IR - Andres Novales J FIR - Mendez, Stella IR - Mendez S FIR - Galve, Enrique IR - Galve E FIR - de Miguel, M A IR - de Miguel MA FIR - Lopez Gomez, David IR - Lopez Gomez D FIR - Saenz, Leandro IR - Saenz L FIR - Alvarez, Amparo IR - Alvarez A FIR - Ruiz Hidalgo, Domingo IR - Ruiz Hidalgo D FIR - Montiel Dacosta, Josep Anton IR - Montiel Dacosta JA FIR - Roig Monguell, Eulalia IR - Roig Monguell E FIR - Cupoletti Beange, Alfredo IR - Cupoletti Beange A FIR - Rossell Abaurrea, Francesc IR - Rossell Abaurrea F FIR - Morcillo Serra, Cesar IR - Morcillo Serra C FIR - Murga Eizagaechaverria, Nekane IR - Murga Eizagaechaverria N FIR - Serret, Inmaculada Lluis IR - Serret IL FIR - Palomino, Concepcion de la Concepcion IR - Palomino Cde L FIR - Porras Ramos, Yolanda IR - Porras Ramos Y FIR - Torrent, Jose Luis Diago IR - Torrent JL FIR - Navarro Bellver, Alex IR - Navarro Bellver A FIR - Anguita Sanchez, Manuel IR - Anguita Sanchez M FIR - Ojeda Pineda, Soledad IR - Ojeda Pineda S FIR - Garcia de Burgos y de Rico, Fernando IR - Garcia de Burgos y de Rico F FIR - Torrent, Alejandro Jorda IR - Torrent AJ FIR - Zumalde Otegui, Javier IR - Zumalde Otegui J FIR - Salcedo Arruti, Alberto IR - Salcedo Arruti A FIR - Orosa Fernandez, Placido IR - Orosa Fernandez P FIR - Nelisen, Catherine Lauwers IR - Nelisen CL FIR - Baun, Oscar IR - Baun O FIR - Ventin Pereira, Jose Luis IR - Ventin Pereira JL FIR - Montull Morer, Santiago IR - Montull Morer S FIR - Guitard, Rosa IR - Guitard R FIR - Vargas Machuca, Jose Carlos IR - Vargas Machuca JC FIR - Garcia-Arboleya Puerto, Fernando IR - Garcia-Arboleya Puerto F FIR - Manito Lorite, Nicolas IR - Manito Lorite N FIR - Kaplinsky, Edgardo IR - Kaplinsky E FIR - Bayon Fernandez, Julian IR - Bayon Fernandez J FIR - Montes Montes, Manuela IR - Montes Montes M FIR - Gonzalez Maqueda, Isidoro IR - Gonzalez Maqueda I FIR - Guzman Martin, Gabriela IR - Guzman Martin G FIR - Soler Rangel, Llanos IR - Soler Rangel L FIR - Arnalich Fernandez, Francisco IR - Arnalich Fernandez F FIR - Fernandez Escribano, Mercedes IR - Fernandez Escribano M FIR - Gonzalez Cocina, Emilio IR - Gonzalez Cocina E FIR - Torres Calvo, Francisco IR - Torres Calvo F FIR - de Mora Martin, Manuel IR - de Mora Martin M FIR - Perez Ruiz, Jose Maria IR - Perez Ruiz JM FIR - de Teresa Galvan, Eduardo IR - de Teresa Galvan E FIR - Molero Campos, Encarnacion IR - Molero Campos E FIR - Jimenez Navarro, Manuel IR - Jimenez Navarro M FIR - Recalde del Vigo, Esther IR - Recalde del Vigo E FIR - Gurrutxaga Arrillaga, Nicolas IR - Gurrutxaga Arrillaga N FIR - Perez de Juan, Miguel A IR - Perez de Juan MA FIR - de Toro Santos, Manuel IR - de Toro Santos M FIR - Diaz Molina, Beatriz IR - Diaz Molina B FIR - Rodriguez Lambert, Jose Luis IR - Rodriguez Lambert JL FIR - Librada Escribano, Fausto IR - Librada Escribano F FIR - Gutierrez Alemany, Josefina IR - Gutierrez Alemany J FIR - Portillo Sanchez, Jose IR - Portillo Sanchez J FIR - Marimon Cortes, Francesc IR - Marimon Cortes F FIR - palazon Molina, Oscar IR - palazon Molina O FIR - Sanchez Fernandez, Pedro Luis IR - Sanchez Fernandez PL FIR - Martin Herrero, Francisco IR - Martin Herrero F FIR - Querejeta Iraola, Ramon IR - Querejeta Iraola R FIR - Sanchez Haya, Eloy IR - Sanchez Haya E FIR - Berrazueta Fernandez, Jose Ramon IR - Berrazueta Fernandez JR FIR - Gonzalez Juanatey, Jose R IR - Gonzalez Juanatey JR FIR - Gomez Otero, Ines IR - Gomez Otero I FIR - Beltran Rodriguez, Juan C IR - Beltran Rodriguez JC FIR - Pastor Torres, Luis IR - Pastor Torres L FIR - Martinez Martinez, Angel IR - Martinez Martinez A FIR - Bardaji Ruiz, Alfredo IR - Bardaji Ruiz A FIR - de Castro Aritmediz, Ramon IR - de Castro Aritmediz R FIR - Olivan Sayrol, Lluis Carles IR - Olivan Sayrol LC FIR - Soriano Gimenez, Juan Carlos IR - Soriano Gimenez JC FIR - Padron, Antonio Lara IR - Padron AL FIR - Marrero Rodriguez, Francisco IR - Marrero Rodriguez F FIR - Velasco Rami, Jose Antonio IR - Velasco Rami JA FIR - Ridocci Soriano, Francisco IR - Ridocci Soriano F FIR - Almenar, Luis IR - Almenar L FIR - Rueda Soriano, Joaquin IR - Rueda Soriano J FIR - Sevilla Toral, Begona IR - Sevilla Toral B FIR - Salvador Sanz, Antonio IR - Salvador Sanz A FIR - de la Fuente Galan, Luis IR - de la Fuente Galan L FIR - Calvo Iglesias, Francisco IR - Calvo Iglesias F FIR - Escribano Arias, Jose Luis IR - Escribano Arias JL FIR - Aros Borau, Fernando IR - Aros Borau F FIR - del Rio Lligorit, Alfonso IR - del Rio Lligorit A FIR - San Pedro Feliu, Antonio IR - San Pedro Feliu A FIR - Sanz Julve, Marisa IR - Sanz Julve M FIR - Blasco Peiro, Teresa IR - Blasco Peiro T FIR - Lazaro, Isidro IR - Lazaro I FIR - Ramirez, Maria Jose IR - Ramirez MJ EDAT- 2010/02/16 06:00 MHDA- 2011/06/08 06:00 PMCR- 2010/02/12 CRDT- 2010/02/16 06:00 PHST- 2010/02/16 06:00 [entrez] PHST- 2010/02/16 06:00 [pubmed] PHST- 2011/06/08 06:00 [medline] PHST- 2010/02/12 00:00 [pmc-release] AID - CLC20476 [pii] AID - 10.1002/clc.20476 [doi] PST - ppublish SO - Clin Cardiol. 2010 Mar;33(3):E13-8. doi: 10.1002/clc.20476.