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Ambulatory blood pressure monitoring of patients with heart failure: a new prognosis marker
Canesin, Manoel F; Giorgi, Dante; Oliveira Júnior, Múcio T. de; Wajngarten, Maurício; Mansur, Alfredo J; Ramires, José Antonio F; Barretto, Antonio Carlos Pereira.
  • Canesin, Manoel F; Universidade Estadual de Londrina. Hospital Universitário Regional do Norte do Paraná. Londrina. BR
  • Giorgi, Dante; s.af
  • Oliveira Júnior, Múcio T. de; s.af
  • Wajngarten, Maurício; s.af
  • Mansur, Alfredo J; s.af
  • Ramires, José Antonio F; s.af
  • Barretto, Antonio Carlos Pereira; s.af
Arq. bras. cardiol ; 78(1): 83-89, Jan. 2002. graf, tab
Article in English | LILACS | ID: lil-301420
ABSTRACT

OBJECTIVE:

To evaluate the relationship between 24-hour ambulatory arterial blood pressure monitoring and the prognosis of patients with advanced congestive heart failure.

METHODS:

We studied 38 patients with NYHA functional class IV congestive heart failure, and analyzed left ventricular ejection fraction, diastolic diameter, and ambulatory blood pressure monitoring data.

RESULTS:

Twelve deaths occurred. Left ventricular ejection fraction (35.2Ý7.3 percent) and diastolic diameter (72.2Ý7.8mm) were not correlated with the survival. The mean 24-hour (SBP24), waking (SBPw), and sleeping (SBPs) systolic pressures of the living patients were higher than those of the deceased patients and were significant for predicting survival. Patients with mean SBP24, SBPv, and SBPs > or = 105mmHg had longer survival (p=0.002, p=0.01 and p=0.0007, respectively). Patients with diastolic blood pressure sleep decrements (dip) and patients with mean blood pressure dip <=6mmHg had longer survival (p=0.04 and p=0.01, respectively). In the multivariate analysis, SBPs was the only variable with an odds ratio of 7.61 (CI 1.56; 3704) (p=0.01). Patients with mean SBP<105mmHg were 7.6 times more likely to die than those with SBP > or = 105 mmHg

CONCLUSION:

Ambulatory blood pressure monitoring appears to be a useful method for evaluating patients with congestive heart failure
Subject(s)
Full text: Available Index: LILACS (Americas) Main subject: Blood Pressure Monitoring, Ambulatory / Heart Failure Type of study: Observational study / Prognostic study / Risk factors Limits: Adult / Female / Humans / Male Language: English Journal: Arq. bras. cardiol Journal subject: Cardiology Year: 2002 Type: Article Affiliation country: Brazil Institution/Affiliation country: Universidade Estadual de Londrina/BR

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Full text: Available Index: LILACS (Americas) Main subject: Blood Pressure Monitoring, Ambulatory / Heart Failure Type of study: Observational study / Prognostic study / Risk factors Limits: Adult / Female / Humans / Male Language: English Journal: Arq. bras. cardiol Journal subject: Cardiology Year: 2002 Type: Article Affiliation country: Brazil Institution/Affiliation country: Universidade Estadual de Londrina/BR