Table 1.
Patients with worsening renal function (n=58) | Patients without worsening renal function (n=87) | p value | |
---|---|---|---|
Age | 59 ±14 | 56 ±14 | ns |
NYHA class III/IV (%) | 9/91 | 10/90 | ns |
Ischemic Etiology (%) | 54 | 50 | ns |
Body mass index (kg/m2) | 28 ±3 | 29 ±4 | ns |
Male Gender (%) | 74 | 73 | ns |
Caucasian Race (%) | 78 | 76 | ns |
Medical history (%) | |||
Smoking history | 49 | 51 | ns |
Diabetes | 44 | 34 | ns |
Hypertension | 48 | 40 | ns |
Hyperlipidemia | 60 | 59 | ns |
ICD/CRT-D | 38/29 | 42/27 | ns |
Labs on admission | |||
Hemoglobin (g/dl) | 11.5 ±.2.5 | 13.0 ±1.5 | 0.05 |
Creatinine (mg/dl) | 1.9 ±0.9 | 1.5 ±0.8 | 0.007 |
GFR (ml/min/1.73.m2) | 48 ±19 | 56 ±25 | 0.05 |
BUN (mg/dl) | 58 ±25 | 36 ±20 | <0.001 |
Sodium (mmol/l) | 134 ±6 | 134 ±5 | ns |
BNP (pg/ml) | 1,559 ±1340 | 1,157 ±1073 | ns |
Oral Medication on Admission (%) | |||
Aspirin/coumadin | 44 | 48 | ns |
ACE-inhibitor/ARB | 49 | 50 | ns |
Digoxin | 38 | 43 | ns |
Beta-blockers | 56 | 62 | ns |
Spironolactone | 27 | 47 | 0.03 |
Loop diuretics | 80 | 86 | ns |
Hydralazine | 23 | 17 | ns |
Isosorbide dinitrate | 27 | 22 | ns |
Statin | 57 | 54 | ns |
Amiodarone | 22 | 19 | ns |
Medication During PAC-Guided Therapy (%) | |||
IV or PO furosemide | 85 | 86 | ns |
IV vasodilators | 51 | 56 | ns |
Milrinone | 34 | 30 | ns |
Dobutamine | 30 | 27 | ns |
NYHA indicates New York Heart Association functional class, ICD: implantable cardiac defibrillator, CRT-D: cardiac resynchronization therapy with defibrillator, GFR: estimated glomerular filtration rate, BUN: blood urea nitrogen, ACE: angiotensin converting enzyme, ARB: angiotensin receptor blocker. Values are mean ± SD or n (%).