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Heart Failure Common with Preserved Systolic Function

Death and rehospitalization rates similar in patients with left systolic ventricular dysfunction

THURSDAY, Aug. 16 (HealthDay News) -- Heart failure is prevalent among patients with preserved systolic function, according to a report published in the Aug. 21 issue of the Journal of the American College of Cardiology.

Gregg Fonarow, M.D., of the UCLA Medical Center in Los Angeles, and colleagues compared 21,149 patients with preserved systolic function and 20,118 patients with left ventricular systolic dysfunction listed in the OPTIMIZE-HF (Organized Program to Initiate Lifesaving Treatment in Hospitalized Patients with Heart Failure) registry.

The researchers found preserved systolic function more common in older, white, female patients with non-ischemic etiology. Both groups had similar hospitalization times, but those with preserved systolic function ran a 2.9 percent in-hospital death risk, versus 3.9 percent for the others. Patients with left ventricular systolic dysfunction and preserved systolic function had comparable rehospitalization and death rates 60 to 90 days after discharge.

"Data from the OPTIMIZE-HF registry reveal a high prevalence of heart failure with preserved systolic function, and these patients have a similar post-discharge mortality risk and equally high rates of rehospitalization as patients with heart failure and left ventricular systolic dysfunction," the authors write.

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