Elevated Heart Rate in Combination with Elevated Blood Pressure Predicts Lower Cardiovascular Mortality in Acute Decompensated Heart Failure.

Abstract:

:Despite its clinical relevance, a subclass of acute decompensated heart failure (ADHF) with elevated blood pressure, known as hypertensive ADHF (HT-ADHF), has been less intensively evaluated. This study aimed to characterize the prognostic nature and pathophysiology of HT-ADHF. A total of 509 consecutive patients with first-time ADHF hospitalization were subjects of the study. Participants were divided into two groups: an HT-ADHF group (systolic blood pressure, SBP > 140 mmHg at presentation) and a non-HT-ADHF group (SBP ≤ 140 mmHg). Median follow-up duration measured 253 days. Unadjusted Kaplan-Meier analysis demonstrated both a lower cardiovascular mortality rate in the HT-ADHF group and similar incidences of heart failure rehospitalization in both groups. Adjusted Cox hazard analysis showed an association of elevated SBP at presentation with significantly lower cardiovascular mortality, though no such association was observed with heart failure rehospitalization. Moreover, elevated heart rate in combination with elevated SBP at presentation predicted a significantly lower risk of cardiovascular mortality (Hazard Ratio: 0.32, 95% CI: 0.14-0.77, P = 0.01). Also, significantly lower cardiovascular mortality was observed in this subtype, compared with other types of ADHF.

journal_name

Int Heart J

authors

Hiki M,Iwata H,Takasu K,Nojiri S,Ishikawa G,Chikata Y,C Mattson P,Kasai T,Miyazaki T,Inoue K,Fujiwara Y,Sumiyoshi M,Kinugawa K,Daida H

doi

10.1536/ihj.19-521

subject

Has Abstract

pub_date

2020-03-28 00:00:00

pages

308-315

issue

2

eissn

1349-2365

issn

1349-3299

journal_volume

61

pub_type

杂志文章
  • Successful Treatment of Protein-Losing Enteropathy and Plastic Bronchitis by Biphasic Cuirass Ventilation in a Patient with Failing Fontan Circulation.

    abstract::We present a 16-year-old male patient with hypoplastic left heart syndrome who developed protein-losing enteropathy (PLE) and plastic bronchitis (PB) after a Fontan operation. He received medical therapies, including albumin infusion, unfractionated heparin, and high-dose anti-aldosterone therapy but could not obtain ...

    journal_title:International heart journal

    pub_type: 杂志文章

    doi:10.1536/ihj.17-292

    authors: Okada S,Muneuchi J,Nagatomo Y,Nonaka K,Iida C,Shirouzu H,Matsuoka R,Watanabe M,Joo K

    更新日期:2018-07-31 00:00:00

  • Aorto-Cutaneous Fistula after Surgical Treatment of Stanford Type A Aortic Dissection.

    abstract::An aorto-cutaneous fistula is a rare complication that occurs after aortic surgery. Due to its rarity, postoperative complications are not normally highlighted in most standard teaching. We report here a case of aorto-cutaneous fistula after surgical treatment of a Stanford type A aortic dissection (AD) in a 67-year-o...

    journal_title:International heart journal

    pub_type: 杂志文章

    doi:10.1536/ihj.17-109

    authors: Zhao C,Zhu Z,Zheng X,Liu K

    更新日期:2018-01-27 00:00:00

  • Assessment of transthyretin combined with mini nutritional assessment on admission provides useful prognostic information in patients with acute decompensated heart failure.

    abstract::Decreased Transthyretin (TTR) can be observed in heart failure patients with malnutrition evaluated by the Mini Nutritional Assessment (MNA). This study investigated whether a combination of different nutritional assessment methods would be useful for assessing prognosis in patients with acute decompensated heart fail...

    journal_title:International heart journal

    pub_type: 杂志文章

    doi:10.1536/ihj.14-255

    authors: Suzuki N,Kida K,Suzuki K,Harada T,Akashi YJ

    更新日期:2015-01-01 00:00:00

  • Longitudinal age-related changes in 24-hour total heart beats and premature beats and their relationship in healthy elderly subjects.

    abstract::The aim of this study was to conduct a longitudinal follow-up on age-related changes in 24-hour total heart beats (THBs) and total premature beats and their correlations in healthy elderly subjects. In 15 healthy elderly subjects (mean age, 70.0 +/- 4.1, age range at 1st recording, 64 to 80 years, 10 females, 5 males)...

    journal_title:International heart journal

    pub_type: 杂志文章

    doi:10.1536/ihj.47.549

    authors: Tasaki H,Serita T,Ueyama C,Kitano K,Seto S,Yano K,Camm AJ

    更新日期:2006-07-01 00:00:00

  • Candidacy for a Subcutaneous Implantable Cardioverter Defibrillator in Patients with Cardiac Resynchronization Therapy.

    abstract::In patients requiring an implantable cardioverter defibrillator (ICD), the combined use of a prior pacemaker and a subcutaneous ICD (S-ICD) could be an alternative treatment option to implantation of new leads or upgrading of pacemakers to an ICD if vascular access is limited. Here, we assessed the prevalence of S-ICD...

    journal_title:International heart journal

    pub_type: 杂志文章

    doi:10.1536/ihj.17-550

    authors: Kawabata M,Goya M,Takahashi Y,Maeda S,Yagishita A,Shirai Y,Kaneko M,Shiohira S,Hirao K

    更新日期:2018-09-26 00:00:00

  • Renoprotective effect of vasopressin v2 receptor antagonist tolvaptan in Dahl rats with end-stage heart failure.

    abstract::Tolvaptan is a highly selective and orally effective arginine vasopressin V2 receptor antagonist, and is potentially useful for the treatment of heart failure (HF) patients. However, the renoprotective effect of long-term tolvaptan therapy and its underlying mechanisms remain unknown. We evaluated the effects of chron...

    journal_title:International heart journal

    pub_type: 杂志文章

    doi:10.1536/ihj.54.98

    authors: Ishikawa M,Kobayashi N,Sugiyama F,Onoda S,Ishimitsu T

    更新日期:2013-01-01 00:00:00

  • Electrophysiological Measurement of Rat Atrial Epicardium Using a Novel Stereotaxic Apparatus.

    abstract::Flexible, in vivo maneuverable electrophysiology mapping techniques are not available in rat models. A novel cardiac stereotactic electrophysiology epicardial mapping system (CREAMS) allows for various measurements, including: (1) recording unipolar electrograms at multiple sites; (2) positioning of mapped sites and p...

    journal_title:International heart journal

    pub_type: 杂志文章

    doi:10.1536/ihj.18-215

    authors: Fan B,Wang H,Wu T,Li Y,Lin Z,Li M,Li Q,Zhang W,Zheng Q

    更新日期:2019-03-20 00:00:00

  • Prevalence of white coat hypertension in underweight and overweight subjects.

    abstract::The aim of the present study was to determine if there is any association between white coat hypertension (WCH) and body mass index. The study was performed in two phases. In the first phase, we studied consecutive underweight patients, while in the second phase, age-matched consecutive normal weight, overweight, and ...

    journal_title:International heart journal

    pub_type: 杂志文章

    doi:10.1536/ihj.48.605

    authors: Helvaci MR,Kaya H,Yalcin A,Kuvandik G

    更新日期:2007-09-01 00:00:00

  • Effect of early versus late in-hospital initiation of statin therapy on the clinical outcomes of patients with acute coronary syndrome.

    abstract::Statins provide effective secondary prevention of cardiovascular events after acute coronary syndrome (ACS). Current guidelines recommend that statins be initiated in ACS patients before hospital discharge. In this retrospective study, we investigated the influence of early compared with late in-hospital initiation of...

    journal_title:International heart journal

    pub_type: 杂志文章

    doi:10.1536/ihj.48.677

    authors: Li YH,Wu HL,Yang YH,Tsai HS,Chao TH

    更新日期:2007-11-01 00:00:00

  • Pravastatin Decreases Infarct Size Induced by Coronary Artery Ischemia/Reperfusion with Elevated eNOS Expression in Rats.

    abstract::Our previous study showed that pravastatin prevents ischemia and reperfusion-induced lethal ventricular fibrillation in rats. This study explored whether pravastatin decreases myocardial infarct size and this effect is associated with endothelial nitric oxide synthase (eNOS) expression in myocardium. Rats were treated...

    journal_title:International heart journal

    pub_type: 杂志文章

    doi:10.1536/ihj.16-607

    authors: Li H,Wang C,Sun J,Liu C,Li N,Chen J

    更新日期:2018-01-01 00:00:00

  • Experiences With Aggressive Cardiac Rehabilitation in Pediatric Patients Receiving Mechanical Circulatory Supports.

    abstract::Although some patients with fulminant myocarditis can be rescued owing to the improvements in mechanical circulatory support therapy, there are few reports providing evidence of cardiac rehabilitation during mechanical circulatory supports, particularly among pediatric patients. We treated two pediatric patients who u...

    journal_title:International heart journal

    pub_type: 杂志文章

    doi:10.1536/ihj.16-067

    authors: Amao R,Imamura T,Sawada Y,Endo S,Ozaki S,Okamura K,Masuzawa A,Takaoka T,Hirata Y,Shindo T,Ono M,Haga N

    更新日期:2016-12-02 00:00:00

  • Usefulness of Plasma Branched-Chain Amino Acid Analysis in Predicting Outcomes of Patients with Nonischemic Dilated Cardiomyopathy.

    abstract::The metabolism of branched-chain amino acids (BCAAs) is reported to change in heart failure (HF) and correlate with cardiac function. However, the effect of BCAAs on HF remains controversial. We investigate the prognostic value of the plasma BCAA level in nonischemic dilated cardiomyopathy (NIDCM).This study enrolled ...

    journal_title:International heart journal

    pub_type: 杂志文章

    doi:10.1536/ihj.20-010

    authors: Kimura Y,Okumura T,Kazama S,Shibata N,Oishi H,Arao Y,Kuwayama T,Kato H,Yamaguchi S,Hiraiwa H,Kondo T,Morimoto R,Murohara T

    更新日期:2020-07-30 00:00:00

  • Epicardial adipose tissue is associated with prevalent atrial fibrillation in patients with hypertrophic cardiomyopathy.

    abstract::Prevalent atrial fibrillation (AF) in patients with hypertrophic cardiomyopathy (HCM) represents an important issue with regard to stroke events caused by embolization and is associated with high mortality. Increased epicardial adipose tissue (EAT), which shows high metabolic activity, can locally influence the activi...

    journal_title:International heart journal

    pub_type: 杂志文章

    doi:10.1536/ihj.54.297

    authors: Muhib S,Fujino T,Sato N,Hasebe N

    更新日期:2013-01-01 00:00:00

  • Clinical Characteristics and Surgical Treatment of Infective Endocarditis With Bicuspid Aortic Valve.

    abstract::This study aimed to evaluate the clinical characteristics and surgical treatment of bicuspid aortic valve (BAV) infective endocarditis (IE) compared with tricuspid aortic valve (TAV) IE in China.The relevant pre-, intra- and post-operative materials of all IE patients undergoing cardiac surgery in our center between J...

    journal_title:International heart journal

    pub_type: 杂志文章

    doi:10.1536/ihj.16-284

    authors: Chen J,Lu S,Hu K,Yang Z,Pan S,Hong T,Wang C

    更新日期:2017-04-06 00:00:00

  • Prognostic value of activated toll-like receptor-4 in monocytes following acute myocardial infarction.

    abstract::This study tested the hypothesis that activated toll-like receptor-4 (TLR-4) is closely related to combined major adverse clinical outcomes (MACO) [defined as advanced Killip score (> or = 3), overt congestive heart failure (CHF) (New York Heart Association functional class > or = 2) or 30-day death] in patients with ...

    journal_title:International heart journal

    pub_type: 杂志文章

    doi:10.1536/ihj.49.1

    authors: Sheu JJ,Chang LT,Chiang CH,Youssef AA,Wu CJ,Lee FY,Yip HK

    更新日期:2008-01-01 00:00:00

  • Single Femoral Venous Drainage Versus Both Vena Cava Drainage in Isolated Repeat Tricuspid Valve Surgery.

    abstract::To assess the potential advantages of minimally invasive surgery using a single femoral venous drainage method versus femoral venous and superior vena cava or jugular venous drainage method during repeat tricuspid valve surgery.From January 2010 to December 2016, 50 repeat tricuspid valve procedures were performed usi...

    journal_title:International heart journal

    pub_type: 杂志文章

    doi:10.1536/ihj.17-169

    authors: Peng R,Shi H,Ba J,Wang C

    更新日期:2018-05-30 00:00:00

  • Serum bilirubin concentration in patients with an established coronary artery disease.

    abstract::Bilirubin has been considered an antioxidant, with capacity to remove reactive species of oxygen. Studies have suggested that an increased bilirubin level promotes protection against atherosclerosis. The case group was composed of 100 patients with coronary artery disease and the control group 100 patients with normal...

    journal_title:International heart journal

    pub_type: 杂志文章

    doi:10.1536/ihj.51.86

    authors: Ghem C,Sarmento-Leite RE,de Quadros AS,Rossetto S,Gottschall CA

    更新日期:2010-03-01 00:00:00

  • Does Quicker Mean Better? Comparison of Rapid Deployment Versus Conventional Aortic Valve Replacement.

    abstract::The aim of this meta-analysis was to compare the clinical outcomes in patients who underwent rapid deployment aortic valve replacement (RDAVR) and conventional bio prosthetic aortic valve replacement (CAVR).We performed a literature search by August 2018. The primary outcomes were hospital and 1-year mortality, and th...

    journal_title:International heart journal

    pub_type: 杂志文章,meta分析

    doi:10.1536/ihj.19-717

    authors: Lu Y,Wang J,Chen Z,Wei J,Li F,Cai Z

    更新日期:2020-09-29 00:00:00

  • Implant Characteristics of Quadripolar and Bipolar Left Ventricular Leads for Cardiac Resynchronization Therapy.

    abstract::Several studies have reported that the left ventricular (LV) lead implant success rate ranges between 88.0% and 92.4%. Coronary venous anatomy differs among patients thus, necessitating multiple types of leads. To date, the implant success rate among Japanese patients utilizing a pre-specified family LV leads (includi...

    journal_title:International heart journal

    pub_type: 临床试验,杂志文章,多中心研究

    doi:10.1536/ihj.17-442

    authors: Ando K,Kanda S,Miura F,Ashikaga K,Ehara N,Sakai Y,Furukawa T,Yoshimura H,Adachi K

    更新日期:2018-09-26 00:00:00

  • Prostaglandin F2alpha inhibits SERCA2 gene transcription through an induction of Egr-1 in cultured neonatal rat cardiac myocytes.

    abstract::Prostaglandin F(2alpha) (PGF(2alpha)) stimulates hypertrophic growth of neonatal rat cardiac myocytes, a feature of which includes downregulation of the Ca(2+)-ATPase (SERCA2), a major Ca(2+) transport protein in SR. The molecular mechanisms by which PGF(2alpha) inhibits SERCA2 gene expression remain unknown. We deter...

    journal_title:International heart journal

    pub_type: 杂志文章

    doi:10.1536/ihj.49.329

    authors: Hara S,Arai M,Tomaru K,Doi H,Koitabashi N,Iso T,Watanabe A,Tanaka T,Maeno T,Suga T,Yokoyama T,Kurabayashi M

    更新日期:2008-05-01 00:00:00

  • A Simple Method to Differentiate Atrioventricular Node Reentrant Tachycardia from Orthodromic Reciprocating Tachycardia.

    abstract::Discrimination between atrioventricular node reentry tachycardia (AVNRT) and orthodromic reciprocating tachycardia (ORT) during an electrophysiological study is sometimes challenging. This study aimed to investigate if the difference in the local VA (ventricle-atrium) interval during ventricular entrainment pacing and...

    journal_title:International heart journal

    pub_type: 杂志文章

    doi:10.1536/ihj.17-002

    authors: He Q,Lei S,Jia FP,Gao LY,W X Zhu D

    更新日期:2018-01-27 00:00:00

  • Deeper S Wave in Lead V5 and Broader Extent of T Wave Inversions in the Precordial Leads are Clinically Useful Electrocardiographic Parameters for Predicting Pulmonary Hypertension.

    abstract::Electrocardiography (ECG) is used to screen for pulmonary hypertension (PH). However, it is unclear which parameters of ECG are the most useful for screening.ECG parameters related to right ventricular hypertrophy criteria were examined in 145 ECGs of subjects who were suspected to have PH and underwent right heart ca...

    journal_title:International heart journal

    pub_type: 杂志文章

    doi:10.1536/ihj.16-647

    authors: Miura M,Ikeda S,Yoshida T,Yamagata Y,Nakata T,Koga S,Koide Y,Kawano H,Maemura K

    更新日期:2018-01-27 00:00:00

  • Proximal Occlusion in the Right Coronary Artery Involving the Atrial Branch as a Strong Predictor of New-Onset Atrial Fibrillation in Acute Myocardial Infarction.

    abstract::Although atrial ischemic damage is an atrial fibrillation (AF) risk factor, the impact of atrial branches' occlusion on AF development after acute myocardial infarction (AMI) is unclear. Therefore, this study's purpose was to identify predictors of new-onset AF with regard to atrial branches' occlusion. We retrospecti...

    journal_title:International heart journal

    pub_type: 杂志文章

    doi:10.1536/ihj.18-713

    authors: Shiba T,Kondo Y,Senoo K,Nakano M,Okubo K,Ishio N,Shikama N,Kobayashi Y

    更新日期:2019-11-30 00:00:00

  • Neutrophil to lymphocyte ratio predicts SYNTAX score in patients with non-ST segment elevation myocardial infarction.

    abstract::In this study we aimed to investigate whether there is an association between the neutrophil to lymphocyte ratio (NLR) and severity of coronary artery disease (CAD) in patients with non-ST segment elevation myocardial infarction (NSTEMI) using the SYNTAX score (SXscore). A total of 414 patients with NSTEMI who underwe...

    journal_title:International heart journal

    pub_type: 杂志文章

    doi:10.1536/ihj.14-175

    authors: Kurtul S,Sarli B,Baktir AO,Demirbas M,Saglam H,Doğan Y,Sahin O,Akpek M,Odabas H,Arinc H,Kaya MG

    更新日期:2015-01-01 00:00:00

  • Long-Term Prognosis of Patients Who Underwent Percutaneous Transvenous Mitral Commissurotomy for Mitral Stenosis.

    abstract::The long-term prognosis for up to 20 years of patients who have undergone percutaneous transvenous mitral commissurotomy (PTMC) for mitral stenosis (MS) is unknown.We examined 77 of 93 patients (83%) with MS and who underwent PTMC from 1989 to 2002 at our institute, as well as the occurrence of either one of the follo...

    journal_title:International heart journal

    pub_type: 杂志文章

    doi:10.1536/ihj.20-082

    authors: Kubota N,Ozaki K,Hoyano M,Nishida K,Takano T,Okubo T,Kimura S,Yanagawa T,Kashimura T,Minamino T

    更新日期:2020-11-28 00:00:00

  • Elevation of Derivatives of Reactive Oxygen Metabolites Elevated in Young "Disaster Responders" in Hypertension due to Great East Japan Earthquake.

    abstract::There have been very few studies on serum biomarkers associated with hypertension in disaster situations. We assessed biomarkers associated with disaster-related hypertension (DRH) due to the Great East Japan Earthquake of March 2011.We collected blood samples from members of the Japan Self Defense Forces (JSDF) (n = ...

    journal_title:International heart journal

    pub_type: 杂志文章

    doi:10.1536/ihj.15-303

    authors: Shiraishi Y,Kujiraoka T,Hakuno D,Masaki N,Tokuno S,Adachi T

    更新日期:2016-01-01 00:00:00

  • Exercise Preconditioning Protects against Acute Cardiac Injury Induced by Lipopolysaccharide Through General Control Nonderepressible 2 Kinase.

    abstract::Exercise preconditioning may protect against cardiac injury induced by lipopolysaccharide (LPS), but the mechanism is unresolved. The aim of this study is to explore whether the general control nonderepressible 2 (GCN2) kinase gene is associated with the protective effect of exercise preconditioning. Eight-week-old ma...

    journal_title:International heart journal

    pub_type: 杂志文章

    doi:10.1536/ihj.19-307

    authors: Sun ZG,Lu G,Zhao LL,Zhang LZ,Li A,Jing J,Xu X

    更新日期:2020-01-31 00:00:00

  • The evaluation of left ventricular systolic and diastolic functions in patients with Friedreich ataxia. A pulse tissue Doppler study.

    abstract::Friedreich's ataxia (FRDA), the most common subtype of early onset hereditary ataxia, is an autosomal recessive neurodegenerative disorder caused by unstable GAA expansions. Two-dimensional, pulse, and pulse tissue Doppler echocardiographic examinations were performed on 21 patients with GAA expansion. There was no as...

    journal_title:International heart journal

    pub_type: 杂志文章

    doi:10.1536/ihj.46.443

    authors: Koc F,Akpinar O,Yerdelen D,Demir M,Sarica Y,Kanadasi M

    更新日期:2005-05-01 00:00:00

  • Assessment of DNA Damage in Leukocytes of Patients With Coronary Artery Disease by Comet Assay.

    abstract::DNA damage in the peripheral blood leukocytes (PBL) of patients with coronary artery disease (CAD) was investigated using the sensitive alkaline single cell gel electrophoresis (SCGE)/comet assay.This case-control study consisted of CAD patients (n = 200; mean age, 59.04 ± 0.75 years) undergoing treatment at local hos...

    journal_title:International heart journal

    pub_type: 杂志文章

    doi:10.1536/ihj.16-190

    authors: Bhat MA,Gandhi G

    更新日期:2017-04-06 00:00:00

  • Myocardial involvement in patients with osteogenesis imperfecta.

    abstract::Mitral and aortic valve regurgitation is commonly found in osteogenesis imperfecta (OI) patients, however, little is known about the myocardial involvement in this disorder. An 82-year-old man with OI developed heart failure and was admitted to our hospital. Echocardiogram revealed severe mitral regurgitation without ...

    journal_title:International heart journal

    pub_type: 杂志文章

    doi:10.1536/ihj.53.75

    authors: Soma K,Abe H,Takeda N,Shintani Y,Takazawa Y,Kojima T,Fujiu K,Semba H,Yamashita H,Hirata Y,Fukayama M,Nagai R

    更新日期:2012-01-01 00:00:00