PMID- 28980296 OWN - NLM STAT- MEDLINE DCOM- 20181108 LR - 20200116 IS - 1897-4279 (Electronic) IS - 0022-9032 (Linking) VI - 76 IP - 1 DP - 2018 TI - Heart failure patients with a previous coronary revascularization: results from the ESC-HF Registry. PG - 144-152 LID - 10.5603/KP.a2017.0181 [doi] AB - BACKGROUND: Coronary revascularization is common in heart failure (HF). AIMS: Clinical characteristic and assessment of in-hospital and long-term outcomes in patients hospitalized for HF with or without a previous percutaneous coronary intervention (PCI) or a coronary artery bypass grafting (CABG). METHODS: The primary endpoint (PE) (all-cause death) and the secondary endpoint (SE) (all-cause death or hospitalization for HF-worsening) were assessed at one-year in 649 inpatients of the ESC-HF Pilot Survey. Additionally, occurrence of death during index hospitalization was evaluated. RESULTS: PCI/CABG-patients (32.7%) were more frequently male, smokers, had myocardial infarction, hypertension (HT), peripheral artery disease and diabetes. The non-PCI/CABG-patients more often had a cardiogenic shock and died in-hospital. The PE occurred in 33 of the 212 PCI/CABG-patients (15.6%) and in 56 of the 437 non-PCI/CABG-patients (12.8%; P=0.3). The SE occurred in 82 of the 170 PCI/CABG-patients (48.2%) and in 122 of the 346 non-PCI/CABG-patients (35.3%; P=0.01). Independent predictors of the PE in the PCI/CABG-patients were: lower left ventricular ejection fraction, use of antiplatelets; in the non-PCI/CABG-patients were: age, ACS at admission. Independent predictors of the SE in the PCI/CABG-patients were: diabetes, NYHA (New York Heart Association) class at admission, HT; in the non-PCI/CABG-patients were: NYHA class, haemoglobin at admission. Serum sodium concentration at admission was a predictor of the PE and the SE in both groups. Heart rate at discharge was a predictor of the PE and the SE in the non-PCI/CABG patients. CONCLUSIONS: The revascularized HF patients had a similar mortality and higher risk of death or hospitalizationsat 12 months compared with the non-PCI/CABG-patients. The revascularized patients had more comorbidities, while the non-PCI/CABG-patients had a higher incidence of cardiogenic shock and in-hospital mortality. FAU - Tyminska, Agata AU - Tyminska A AD - 1st Chair and Department of Cardiology, Medical University of Warsaw, Warsaw, Poland FAU - Balsam, Pawel AU - Balsam P AD - 1st Chair and Department of Cardiology, Medical University of Warsaw, Warsaw, Poland. pawel@balsam.com.pl FAU - Ozieranski, Krzysztof AU - Ozieranski K AD - 1st Chair and Department of Cardiology, Medical University of Warsaw, Warsaw, Poland FAU - Peller, Michal AU - Peller M AD - 1st Chair and Department of Cardiology, Medical University of Warsaw, Warsaw, Poland FAU - Kaplon-Cieslicka, Agnieszka AU - Kaplon-Cieslicka A AD - 1st Chair and Department of Cardiology, Medical University of Warsaw, Warsaw, Poland FAU - Wancerz, Anna AU - Wancerz A AD - 1st Chair and Department of Cardiology, Medical University of Warsaw, Warsaw, Poland FAU - Galas, Michalina AU - Galas M AD - 1st Chair and Department of Cardiology, Medical University of Warsaw, Warsaw, Poland FAU - Marchel, Michal AU - Marchel M AD - 1st Chair and Department of Cardiology, Medical University of Warsaw, Warsaw, Poland FAU - Crespo-Leiro, Maria G AU - Crespo-Leiro MG AD - Complexo Hospitalario Universitario A Coruna (CHUAC), La Coruna, Spain FAU - Maggioni, Aldo P AU - Maggioni AP AD - National Association of Hospital Cardiologists (ANMCO) Research Centre, Florence, Italy FAU - Drozdz, Jaroslaw AU - Drozdz J AD - Department of Cardiology, 1st Chair of Cardiology and Cardiac Surgery, Medical University of Lodz, Lodz, Poland FAU - Grabowski, Marcin AU - Grabowski M AD - 1st Chair and Department of Cardiology, Medical University of Warsaw, Warsaw, Poland FAU - Filipiak, Krzysztof J AU - Filipiak KJ AD - 1st Chair and Department of Cardiology, Medical University of Warsaw, Warsaw, Poland FAU - Opolski, Grzegorz AU - Opolski G AD - 1st Chair and Department of Cardiology, Medical University of Warsaw, Warsaw, Poland LA - eng PT - Journal Article PT - Multicenter Study PT - Observational Study DEP - 20171005 PL - Poland TA - Kardiol Pol JT - Kardiologia polska JID - 0376352 SB - IM MH - Aged MH - Comorbidity MH - *Coronary Artery Bypass MH - Female MH - Heart Failure/epidemiology/*surgery MH - Humans MH - Male MH - Middle Aged MH - *Percutaneous Coronary Intervention MH - Poland MH - Prospective Studies MH - Registries MH - Treatment Outcome OTO - NOTNLM OT - heart failure OT - hospitalization OT - prognosis OT - registry OT - revascularization EDAT- 2017/10/06 06:00 MHDA- 2018/11/09 06:00 CRDT- 2017/10/06 06:00 PHST- 2017/02/13 00:00 [received] PHST- 2017/08/03 00:00 [accepted] PHST- 2017/06/12 00:00 [revised] PHST- 2017/10/06 06:00 [pubmed] PHST- 2018/11/09 06:00 [medline] PHST- 2017/10/06 06:00 [entrez] AID - VM/OJS/KP/11210 [pii] AID - 10.5603/KP.a2017.0181 [doi] PST - ppublish SO - Kardiol Pol. 2018;76(1):144-152. doi: 10.5603/KP.a2017.0181. Epub 2017 Oct 5.