Abstract：
BACKGROUND:Patients hospitalized due to heart failure (HF) exacerbation tend to have a poor prognosis. Most previous studies were performed in large clinical centers and detailed analyses of HF patients hospitalized in district general hospitals are lacking. AIMS:The aim of this study was to assess the outcomes of patients admitted with HF exacerbation in a district general hospital. METHODS:We retrospectively enrolled patients hospitalized due to HF exacerbation during 2010-2011 (191 patients) and 2016-2017 (203 patients). The primary and secondary endpoints were all-cause mortality and re-hospitalization due to HF exacerbation within a two-year follow-up period. RESULTS:Compared to patients hospitalized in 2010-2011, those hospitalized in 2016-2017 had better clinical parameters and pharmacological treatment; however, the rate of implantable cardioverter-defibrillator and resynchronization devices remained low. The overall mortality decreased from 44% in 2010-2011 to 33% in 2016-2017 ( P < 0.029) and the number of re-hospitalizations increased from 26% to 41% (P <0.001). Male sex, low systolic blood pressure, symptoms of right HF, and renal dysfunction were independent risk factors for the primary endpoint. Symptoms of right HF, renal dysfunction, left ventricular ejection fraction < 24 %, and low systolic blood pressure independently predicted the secondary endpoint. CONCLUSIONS:The prognosis of patients hospitalized due to decompensated HF in a regional district hospital was poor. Despite some improvement in pharmacological treatment, which probably led to a reduction in all-cause mortality, there was a low rate of implantable electrical devices and a high rate of re-hospitalizations due to HF exacerbation which warrant further evaluation.
journal_name
Kardiol Poljournal_title
Kardiologia polskaauthors
Dobrowolska M,Miękus P,Świątczak M,Raczak G,Daniłowicz-Szymanowicz Ldoi
10.33963/KP.15763subject
Has Abstractpub_date
2021-01-19 00:00:00eissn
0022-9032issn
1897-4279pub_type
杂志文章abstract：BACKGROUND:Primary percutaneous coronary intervention (PPCI) is regarded as the treatment of choice for ST elevation myocardial infarction (STEMI) patients. It has been emphasised that only experienced centres with round-the-clock cathlab facilities should perform PPCI. Some investigators have doubted whether PPCI perf...
journal_title：Kardiologia polska
pub_type： 杂志文章
doi：
更新日期：2011-01-01 00:00:00
abstract：:Churg-Strauss syndrome is a rare systemic disease characterized by necrotising vasculitis and peripheral eosinophilia. Cardiac involvement is found in up to 64% of patients and is given a high rank among the causes of morbidity and mortality. We presented a case of 26 year-old male with Churg-Strauss syndrome and left...
journal_title：Kardiologia polska
pub_type： 杂志文章
doi：
更新日期：2010-07-01 00:00:00
abstract：:Cardiopulmonary exercise testing (CPET) is an important diagnostic tool in contemporary clinical practice. This document presents an expert opinion from the Working Group on Cardiac Rehabilitation and Exercise Physiology of the Polish Cardiac Society concerning the indications, performance technique, and interpretatio...
journal_title：Kardiologia polska
pub_type： 杂志文章,实务指引
doi：10.33963/KP.14889
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journal_title：Kardiologia polska
pub_type： 杂志文章
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abstract：:Of adult patients of the Cardiac Defects Clinic, National Institute of Cardiology (in Warsaw) we can distinguish several groups of patients with congenital heart defects among which those who were diagnosed after the age of 18 or those who despite of early and correct diagnosis, not underwent surgery on the childhood ...
journal_title：Kardiologia polska
pub_type： 杂志文章
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更新日期：1990-01-01 00:00:00
abstract：BACKGROUND:Although increased left atrial size (LA) has been long regarded as one of the factors negatively influencing the long-term maintenance of sinus rhythm (SR) following cardioversion (CV) of atrial fibrillation (AF), some reports suggested that CV might be effective also in patients with large LA.Aim. We sought...
journal_title：Kardiologia polska
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journal_title：Kardiologia polska
pub_type： 杂志文章,评审
doi：10.5603/KP.a2019.0002
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journal_title：Kardiologia polska
pub_type： 临床试验,杂志文章,多中心研究
doi：
更新日期：1989-01-01 00:00:00
abstract：BACKGROUND:Due to the recent rapid increase in the number of patients implanted with pacemakers, cardioverter-defibrillators (ICD), and cardiac resynchronisation therapy devices (CRT), conventional monitoring at specialist clinics is becoming increasingly difficult. The development of technology has enabled remote devi...
journal_title：Kardiologia polska
pub_type： 杂志文章
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journal_title：Kardiologia polska
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doi：
更新日期：2010-07-01 00:00:00
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journal_title：Kardiologia polska
pub_type： 杂志文章
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journal_title：Kardiologia polska
pub_type： 杂志文章,随机对照试验
doi：
更新日期：2012-01-01 00:00:00
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journal_title：Kardiologia polska
pub_type： 杂志文章
doi：10.33963/KP.15666
更新日期：2021-01-25 00:00:00
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journal_title：Kardiologia polska
pub_type： 杂志文章
doi：
更新日期：1990-03-01 00:00:00
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journal_title：Kardiologia polska
pub_type： 杂志文章
doi：
更新日期：2010-03-01 00:00:00
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journal_title：Kardiologia polska
pub_type： 传,历史文章,杂志文章
doi：
更新日期：2003-04-01 00:00:00
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journal_title：Kardiologia polska
pub_type： 杂志文章
doi：
更新日期：2012-01-01 00:00:00
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journal_title：Kardiologia polska
pub_type： 杂志文章
doi：
更新日期：1993-05-01 00:00:00
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journal_title：Kardiologia polska
pub_type： 杂志文章
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更新日期：2019-01-01 00:00:00
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journal_title：Kardiologia polska
pub_type： 杂志文章,随机对照试验
doi：
更新日期：2012-01-01 00:00:00
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journal_title：Kardiologia polska
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doi：
更新日期：2011-01-01 00:00:00
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journal_title：Kardiologia polska
pub_type： 杂志文章
doi：
更新日期：2008-11-01 00:00:00
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journal_title：Kardiologia polska
pub_type： 杂志文章
doi：
更新日期：2008-08-01 00:00:00
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journal_title：Kardiologia polska
pub_type： 杂志文章,随机对照试验
doi：
更新日期：2012-01-01 00:00:00
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journal_title：Kardiologia polska
pub_type： 杂志文章
doi：10.5603/KP.a2015.0025
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journal_title：Kardiologia polska
pub_type： 杂志文章
doi：
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journal_title：Kardiologia polska
pub_type： 杂志文章
doi：
更新日期：2002-11-01 00:00:00
