Source:http://linkedlifedata.com/resource/pubmed/id/16950190
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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
6
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pubmed:dateCreated |
2006-9-4
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pubmed:abstractText |
Evidence exists for race-specific differences in the cause and natural history of heart failure (HF). These differences may have important treatment implications, but relatively limited data on African-Americans exist. A cohort of 89 African-American patients admitted to an urban teaching hospital with diagnoses of HF was examined. Most patients had systolic HF (71%), and the remainder had HF with preserved ejection fractions (EFs). Patients with HF with preserved EFs tended to be generally older (67 vs 57 years, p = 0.01) and were more likely to be women (69% vs 42%, p = 0.02). There were no significant differences between patients with systolic HF and those with HF with preserved EFs in the prevalence of coronary artery disease (23%), diabetes mellitus (44%), or chronic obstructive pulmonary disease (38%). Gastrointestinal bleeding and anemia were significant contributors to admission in patients with preserved EFs, with baseline hematocrits being significantly lower (34.9 vs 38.3, p = 0.01). On discharge, patients with HF with preserved EFs were less likely to be prescribed angiotensin-converting enzyme inhibitors than patients with systolic HF (65% vs 83%, p = 0.08) or diuretics (58% vs 82.%, p = 0.03). In conclusion, differences exist in African-American patients who present with HF; optimal therapeutic approaches will require a better understanding of their underlying pathophysiology.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
AIM
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pubmed:chemical | |
pubmed:status |
MEDLINE
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pubmed:month |
Sep
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pubmed:issn |
0002-9149
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:day |
15
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pubmed:volume |
98
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
806-8
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pubmed:dateRevised |
2007-11-15
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pubmed:meshHeading |
pubmed-meshheading:16950190-African Americans,
pubmed-meshheading:16950190-Aged,
pubmed-meshheading:16950190-Angiotensin-Converting Enzyme Inhibitors,
pubmed-meshheading:16950190-Female,
pubmed-meshheading:16950190-Heart Failure,
pubmed-meshheading:16950190-Humans,
pubmed-meshheading:16950190-Male,
pubmed-meshheading:16950190-Middle Aged,
pubmed-meshheading:16950190-Stroke Volume,
pubmed-meshheading:16950190-Systole,
pubmed-meshheading:16950190-Ventricular Dysfunction, Left
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pubmed:year |
2006
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pubmed:articleTitle |
Comparison of African-American patients with systolic heart failure versus preserved ejection fraction.
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pubmed:affiliation |
Emory University School of Medicine, Department of Medicine, Atlanta, Georgia, USA. nilksoy@emory.edu
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pubmed:publicationType |
Journal Article,
Comparative Study
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