Table 1.
Usual Care (n = 75) |
Intervention (n = 75) |
p-Value | |
---|---|---|---|
Age (years) | 82.6 ± 4.5 | 81.6 ± 4.9 | 0.22 |
Female | 38 (50.7) | 37 (49.3) | 0.87 |
Hypertension | 67 (89.3) | 66 (88) | 0.59 |
Diabetes mellitus | 32 (42.7) | 32 (42.7) | 0.82 |
Dyslipidemia | 49 (65.3) | 46 (61.3) | 0.61 |
Stroke/TIA | 9 (12) | 10 (13.3) | 0.88 |
Chronic kidney disease | 54 (72) | 52 (69.3) | 0.72 |
Anemia | 48 (64) | 42 (56) | 0.32 |
Sleep apnea | 8 (10.7) | 8 (10.7) | 0.98 |
Peripheral vascular disease | 10 (13.3) | 14 (18.7) | 0.41 |
Chronic lung disease | 28 (37.3) | 20 (26.7) | 0.16 |
Cancer | 19 (25.3) | 18 (24) | 0.92 |
Myocardial infarction | 21 (28) | 15 (20) | 0.25 |
Coronary intervention | 16 (21.3) | 13 (17.3) | 0.54 |
TAVI or Mitraclip | 1 (1.4) | 3 (4) | 0.51 |
Cardiac surgery: | |||
|
2 (2.7) 3 (4) 1 (1.4) |
3 (4) 7 (9.3) 3 (4) |
0.37 |
Atrial fibrillation or flutter | 47 (62.7) | 57 (76) | 0.08 |
Moderate to severe valve disease | 25 (33.3) | 24 (32) | 0.86 |
Device therapy: | |||
|
9 (12) 3 (4) |
14 (18.7) 2 (2.7) |
0.19 |
Previous history of HF | 42 (56) | 43 (57.3) | 0.87 |
Duration of HF *: | |||
|
7 (16.3) 3 (7) 6 (14) 22 (51.2) 5 (11.6) |
9 (20.5) 1 (2.3) 3 (6.8) 14 (31.8) 16 (36.4) |
0.06 |
HF hospitalization the previous year * | 19 (45.2) | 15 (36.6) | 0.42 |
HF categories: | |||
|
47 (62.7) 11 (14.7) 17 (22.7) |
51 (68) 16 (21.3) 8 (10.7) |
0.72 |
Echocardiographic parameters | |||
LVEF (%) | 51.3 ± 14.4 | 53.5 ± 13.9 | 0.34 |
TAPSE (mm), n = 138 | 17.9 ± 4.0 | 17.2 ± 3.9 | 0.30 |
Left ventricular mass index (g/m2). n = 145 | 129.9 ± 35.8 | 127.3 ± 33.7 | 0.96 |
Right ventricle (mm), n = 95 | 28.1 ± 7.0 | 30.4 ± 6.6 | 0.09 |
Medications at discharge | |||
ACEI/ARB-2/ARNI | 35 (46.7) | 43 (57.3) | 0.19 |
MRA | 9 (12) | 12 (16) | 0.48 |
Betablockers | 55 (73.3) | 53 (70.7) | 0.72 |
Diuretics | 71 (94.7) | 73 (97.3) | 0.34 |
Anticoagulation | 48 (64) | 58 (77.3) | 0.07 |
Antiplatelet therapy | 16 (21.3) | 15 (20) | 0.84 |
Oral antidiabetic drugs | 24 (32) | 24 (32) | 0.96 |
Insulin | 14 (18.4) | 14 (18.4) | 1.0 |
Proton-pump inhibitors | 58 (77.3) | 47 (62.7) | 0.05 |
Statin | 52 (69.3) | 44 (58.7) | 0.17 |
Calcium channel antagonists | 23 (31.3) | 21 (28.4) | 0.72 |
Nitrates | 17 (22.7) | 14 (18.7) | 0.55 |
Hydralazine | 9 (12) | 12 (16) | 0.48 |
Amiodarone | 12 (16) | 13 (17.6) | 0.80 |
Digoxin | 2 (2.7) | 2 (2.7) | 0.69 |
Vitamin D supplements | 25 (33.3) | 21 (28) | 0.48 |
Oral iron supplements | 21 (28) | 21 (28) | 1.0 |
Benzodiazepines | 17 (22.7) | 13 (17.3) | 0.41 |
Antidepressant drugs | 16 (21.3) | 23 (30.7) | 0.19 |
Bronchodilators | 28 (37.3) | 22 (29.3) | 0.30 |
Data are number (percentage) or mean ± standard deviation. ACEI: angiotensin-converting enzyme inhibitors. ARB-II: angiotensin II receptor blockers. ARNI: angiotensin receptor and neprilysin inhibition. CABG: Coronary artery bypass grafting. CRT: Cardiac Resynchronization Therapy. CKD: Chronic kidney disease. HF: Heart failure. HFrEF: Heart failure with reduced ejection fraction. HFmrEF: Heart failure with mildly reduced ejection fraction. HFpEF: Heart failure with preserved ejection fraction. ICD: Implantable cardioverter-defibrillator. LVEF: Left ventricular ejection fraction. MRA: mineralocorticoid receptor antagonists. TAPSE: Tricuspid Annular Plane Systolic Excursion. TIA: transient ischemic attack. TAVI: Transcatheter Aortic Valve Implantation. * only for patients with a previous history of HF.