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Focale: study of systolic and diastolic heart failure in a French elderly population.
Int J Cardiol. 2008 Feb 29; 124(2):188-92.IJ

Abstract

CONTEXT

The epidemic of heart failure (HF) in France has not been fully investigated and data on both the systolic and diastolic forms are limited.

OBJECTIVES

To determine the prevalence, aetiology and treatments of both forms in French patients over 65 with HF (NYHA grade II-IV).

PARTICIPANTS

Cross-sectional study of 446 patients with HF recruited by 273 randomly selected cardiologists in France, with echocardiography and ECG available for central reading.

MAIN MEASUREMENTS

Prevalence of diastolic (DHF) and systolic (SHF) HF using the left ventricular ejection fraction (LVEF).

RESULTS

DHF, with a mean LVEF of 57.6+/-8.0%, was reported for 245 (54.9%) patients and SHF, with a mean LVEF of 33.33+/-8.0% was reported for 201 (45.1%) patients. Men were more prone to suffer SHF than DHF whereas for women the reverse was true. As compared to SHF, DHF endsystolic and enddiastolic volumes were smaller, the thickness/radius ratio was greater, with a longer E-wave deceleration time and a shorter peak filling rate. Aetiology and treatments were similar in both types of HF, except for ACE inhibitors and aldosterone antagonists, which were more frequently prescribed in SHF.

CONCLUSION

This observational study provides further knowledge of SHF and DHF in outpatients.

Authors+Show Affiliations

Hôpital Ambroise Paré, AP-HP Boulogne-Billancourt, Université de Versailles-Saint Quentin en Yvelines, France. olivier.dubourg@apr.aphp.frNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

17399824

Citation

Dubourg, Olivier, et al. "Focale: Study of Systolic and Diastolic Heart Failure in a French Elderly Population." International Journal of Cardiology, vol. 124, no. 2, 2008, pp. 188-92.
Dubourg O, Gueret P, Beauchet A, et al. Focale: study of systolic and diastolic heart failure in a French elderly population. Int J Cardiol. 2008;124(2):188-92.
Dubourg, O., Gueret, P., Beauchet, A., Nisse-Durgeat, S., & Ducardonnet, A. (2008). Focale: study of systolic and diastolic heart failure in a French elderly population. International Journal of Cardiology, 124(2), 188-92.
Dubourg O, et al. Focale: Study of Systolic and Diastolic Heart Failure in a French Elderly Population. Int J Cardiol. 2008 Feb 29;124(2):188-92. PubMed PMID: 17399824.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Focale: study of systolic and diastolic heart failure in a French elderly population. AU - Dubourg,Olivier, AU - Gueret,Pascal, AU - Beauchet,Alain, AU - Nisse-Durgeat,Sophie, AU - Ducardonnet,Alain, Y1 - 2007/03/30/ PY - 2006/12/03/received PY - 2007/01/02/accepted PY - 2007/4/3/pubmed PY - 2008/3/14/medline PY - 2007/4/3/entrez SP - 188 EP - 92 JF - International journal of cardiology JO - Int. J. Cardiol. VL - 124 IS - 2 N2 - CONTEXT: The epidemic of heart failure (HF) in France has not been fully investigated and data on both the systolic and diastolic forms are limited. OBJECTIVES: To determine the prevalence, aetiology and treatments of both forms in French patients over 65 with HF (NYHA grade II-IV). PARTICIPANTS: Cross-sectional study of 446 patients with HF recruited by 273 randomly selected cardiologists in France, with echocardiography and ECG available for central reading. MAIN MEASUREMENTS: Prevalence of diastolic (DHF) and systolic (SHF) HF using the left ventricular ejection fraction (LVEF). RESULTS: DHF, with a mean LVEF of 57.6+/-8.0%, was reported for 245 (54.9%) patients and SHF, with a mean LVEF of 33.33+/-8.0% was reported for 201 (45.1%) patients. Men were more prone to suffer SHF than DHF whereas for women the reverse was true. As compared to SHF, DHF endsystolic and enddiastolic volumes were smaller, the thickness/radius ratio was greater, with a longer E-wave deceleration time and a shorter peak filling rate. Aetiology and treatments were similar in both types of HF, except for ACE inhibitors and aldosterone antagonists, which were more frequently prescribed in SHF. CONCLUSION: This observational study provides further knowledge of SHF and DHF in outpatients. SN - 1874-1754 UR - https://www.unboundmedicine.com/medline/citation/17399824/Focale:_study_of_systolic_and_diastolic_heart_failure_in_a_French_elderly_population_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0167-5273(07)00449-4 DB - PRIME DP - Unbound Medicine ER -