Temporal Trends and Prognosis of Physical Examination Findings in Patients With Acute Decompensated Heart Failure: The ARIC Study Community Surveillance.

ABSTRACT:

Background

Bedside evaluation of congestion is a mainstay of heart failure (HF) management. Whether detected physical examination signs have changed over time as obesity prevalence has increased in HF populations, or if the associated prognosis differs for HF with reduced or preserved ejection fraction (HFrEF or HFpEF) is uncertain.

Methods

From 2005 to 2014, the ARIC study (Atherosclerosis Risk in Communities) conducted adjudicated hospital surveillance of acute decompensated HF. We analyzed trends in physical examination findings, imaging signs, and symptoms related to congestion, both over time and by obesity class, and associated 28-day mortality risks.

Results

Of 24 937 weighted hospitalizations for acute decompensated HF (mean age 75 years, 53% women, 32% Black)

SUBMITTER: Kolupoti A 

PROVIDER: S-EPMC8692393 | biostudies-literature | 2021 Dec

REPOSITORIES: biostudies-literature