Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
5
pubmed:dateCreated
2003-5-8
pubmed:abstractText
The study was designed to characterize patients with chronic heart failure (CHF) in Japan in terms of the etiologies and prognosis. CHF was defined by ejection fraction (EF >or=50%), left ventricular diastolic dimension (LVDD >or=55 mm) or a past history of congestive heart failure. Among the 721 recruited patients, the most frequent etiology for CHF was dilated cardiomyopathy (DCM) in patients aged less than 59 years, and valvular heart disease (VHD) in those aged 70 years or more. The 1-year crude mortality was 8% overall and 12% in patients with myocardial infarction (MI). Sudden death accounted for 40% of the total deaths among all patients, and 60% in patients with MI. Multivariate logistic regression analysis showed that brain natriuretic peptide (BNP) was a consistent prognostic marker in CHF patients with a variety of etiologies. Total death and hospitalization because of heart failure were significantly less frequent in patients with BNP less than 100 pg/ml. In conclusion, the etiologies of Japanese CHF appear to be more diverse than those of other Western countries, but BNP is an excellent prognostic marker despite the etiological diversity. Sudden, unexpected death in CHF patients is also a serious problem in Japan. A nation-wide epidemiologic study should be done to characterize Japanese CHF.
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
IM
pubmed:chemical
pubmed:status
MEDLINE
pubmed:month
May
pubmed:issn
1346-9843
pubmed:author
pubmed:issnType
Print
pubmed:volume
67
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
431-6
pubmed:dateRevised
2007-11-15
pubmed:meshHeading
pubmed-meshheading:12736483-Aged, pubmed-meshheading:12736483-Aged, 80 and over, pubmed-meshheading:12736483-Cardiomyopathy, Dilated, pubmed-meshheading:12736483-Confidence Intervals, pubmed-meshheading:12736483-Disease-Free Survival, pubmed-meshheading:12736483-Echocardiography, pubmed-meshheading:12736483-Female, pubmed-meshheading:12736483-Heart Failure, pubmed-meshheading:12736483-Heart Valve Diseases, pubmed-meshheading:12736483-Humans, pubmed-meshheading:12736483-Japan, pubmed-meshheading:12736483-Male, pubmed-meshheading:12736483-Middle Aged, pubmed-meshheading:12736483-Natriuretic Peptide, Brain, pubmed-meshheading:12736483-Odds Ratio, pubmed-meshheading:12736483-Prognosis, pubmed-meshheading:12736483-Registries, pubmed-meshheading:12736483-Regression Analysis, pubmed-meshheading:12736483-Survival Analysis, pubmed-meshheading:12736483-Time Factors, pubmed-meshheading:12736483-Ventricular Dysfunction, Left
pubmed:year
2003
pubmed:articleTitle
Characteristics and 1-year prognosis of medically treated patients with chronic heart failure in Japan.
pubmed:affiliation
Tohoku University Graduate School of Medicine, Department of Cardiovascular Medicine, Sendai, Japan.
pubmed:publicationType
Journal Article, Research Support, Non-U.S. Gov't, Multicenter Study