Optimal target and prognostic significance of systolic blood pressure in hospitalized octogenarian male patients with HFpEF
10.3969/j.issn.1009-0126.2024.11.002
- VernacularTitle:高龄老年男性射血分数保留的心力衰竭住院患者收缩压的目标及预后意义
- Author:
Xiaofan WANG
1
;
Zenan LI
;
Yue ZHANG
;
Shijun LI
Author Information
1. 100853 北京,解放军总医院第二医学中心心血管内科
- Keywords:
heart failure;
inpatients;
stroke volume;
blood pressure;
prognosis
- From:
Chinese Journal of Geriatric Heart Brain and Vessel Diseases
2024;26(11):1258-1261
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the optimal target and prognostic significance of SBP in hospi-talized octogenarian male patients with heart failure with preserved ejection fraction(HFpEF).Methods A total of 952 male HFpEF inpatients aged ≥80 years admitted in Department of Car-diovascular Diseases of Second Medical Center of Chinese PLA General Hospital from July 2012 to June 2023 were recruited.According to their SBP value at discharge(1 mm Hg=0.133 kPa),they were divided into＜100 mm Hg group(29 cases),100-150 mm Hg group(677 cases),and＞150 mm Hg group(246 cases).General clinical data of all patients were collected,and all-cause mortality rate was regarded as the endpoint event.Results The mortality rate was 82.8％(24/29),63.5％(430/677)and 55.7％(137/246)in the SBP＜100,100-150 and＞150 mm Hg groups,respectively,and statistical difference was observed in the rate among the three groups(P=0.006).The mortality rate of patients with SBP＜100 mm Hg was significantly higher than that of the other two groups(x2=22.70,Plog-rank＜0.01).The patients with SBP 100-150 and＞150 mm Hg had notably lower risk for mortality than those with SBP＜100 mm Hg(P=0.015).Conclusion SBP＜100 mm Hg is closely associated with an increased risk of all-cause mortality in octogenarian male HFpEF inpatients.
