Table 7.
Patient with HF with stroke/TIA as per care provider
Variable | Cardiologist care 249 (61.6%) | Internist care 155 (38.4%) | p Value |
---|---|---|---|
Acute new-onset HF (%) | 83 (33.3) | 43 (27.7) | |
Acute decompensated chronic HF (%) | 166 (66.7) | 112 (72.3) | 0.24 |
Age (mean±SD) | 66±13 | 67±12 | 0.36 |
Male (%) | 158 (63.5) | 81 (52.3) | 0.03 |
Previous admission for HF (%) | 10 (4) | 5 (3.2) | 0.68 |
AF | 60 (24.1) | 38 (24.5) | 0.92 |
CKD/dialysis (%) | 71 (28.5) | 42 (27.1) | 0.76 |
PVD | 44 (17.7) | 17 (11) | 0.07 |
CAD | 164 (65.9) | 90 (58.1) | 0.12 |
NYHA III | 106 (42.6) | 82 (52.9) | 0.04 |
NYHA IV | 83 (33.3) | 49 (31.6) | 0.72 |
Clopidogrel | 120 (48.2) | 47 (30.3) | 0.001 |
Oral anticoagulants (%) | 60 (24.1) | 31 (20) | 0.34 |
ACE inhibitors | 129 (51.8) | 59 (38.1) | 0.007 |
ARBs | 43 (17.3) | 34 (21.9) | 0.25 |
Aldosterone antagonists | 88 (35.3) | 47 (30.3) | 0.30 |
LVEF (mean±SD) | 35±12.6 | 39±14 | 0.01 |
NIV | 37 (14.9) | 25 (16.1) | 0.73 |
Intubation/ventilation | 33 (13.3) | 17 (11) | 0.50 |
Inotropes | 48 (19.3) | 40 (25.8) | 0.12 |
IABP | 5 (2) | 1 (0.6) | 0.27 |
Acute dialysis/ultrafiltration | 11 (4.4) | 7 (4.5) | 0.96 |
VT/VF requiring therapy (%) | 14 (5.6) | 6 (3.9) | 0.43 |
AF requiring therapy (%) | 27 (10.8) | 19 (12.3) | 0.66 |
Major bleeding (%) | 0 (0) | 3 (1.9) | 0.03 |
Blood transfusion (%) | 16 (6.4) | 21 (13.5) | 0.02 |
In-hospital stroke (%) | 5 (2) | 17 (11) | 0.001 |
Systemic infection requiring antibiotics (%) | 69 (27.7) | 72 (46.5) | 0.001 |
Death in-hospital | 13 (5.2) | 21 (13.5) | 0.009 |
Hospital stay (days) (mean±SD) | 11±17 | 10±10 | 0.33 |
1-year follow-up | |||
Alive (yes) | 174 (69.9) | 98 (63.2) | 0.002 |
HF hospitalisation (yes) (%) | 48 (19.3) | 38 (24.5) | 0.07 |
ICD | 0 (0) | 1 (0.6) | 0.20 |
CRTD | 2 (0.8) | 0 (0) | 0.26 |
PCI/CABG | 13 (7.5) | 9 (9.2) | 0.62 |
AF, atrial fibrillation; ARBs, angiotensin receptors blockers; CABG, coronary artery bypass grafting; CAD, coronary artery disease; CKD, chronic kidney disease; CRTD, Cardiac resynchronization therapy, defibrillator; HF, heart failure; IABP, intra-aortic balloon pump insertion; ICD, International Classification of Diseases; LVEF, left ventricular ejection fraction; NIV, non-invasive ventilation; NYHA, New York Heart Association; PCI, percutaneous coronary intervention; PVD, peripheral vascular disease; TIA, transient ischaemic attack, VF, ventricular fibrillation; VT, ventricular tachycardia.