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Gender disparities in heart failure with mid-range and preserved ejection fraction: results from APOLLON study   
Yazarlar
Bülent Özlek
Eda Özlek
Serkan Kahraman
Türkiye
Mehmet Tekinalp
Hicaz Zencirkıran Agus
Oğuzhan Çelik
Cem Çil
Volkan Doğan
Muğla Sıtkı Koçman Üniversitesi, Türkiye
Özcan Başaran
Bedri Caner Kaya
Sağlık Bilimleri Üniversitesi, Türkiye
Prof. Dr. İbrahim RENCÜZOĞULLARI
Kafkas Üniversitesi, Türkiye
Ösken Altuğ
Lütfü Bekar
Hitit Üniversitesi, Türkiye
Mustafa Ozan Çakır
Zonguldak Bülent Ecevit Üniversitesi, Türkiye
Yunus Çelik
Kadir Uğur Mert
Eskişehir Osmangazi Üniversitesi, Türkiye
Kadriye Memiç Sancar
Samet Sevinç
Gurbet Özge Mert
Murat Biteker
Muğla Sıtkı Koçman Üniversitesi, Türkiye
Özet
Objective: This study aimed to examine gender-based differences in epidemiology, clinical characteristics, and management of consecutivepatients with heart failure with mid-range ejection fraction (HFmrEF) and heart failure with preserved ejection fraction (HFpEF).Methods: The APOLLON trial (A comPrehensive, ObservationaL registry of heart faiLure with mid-range and preserved ejection fractiON) is amulticenter, cross-sectional, and observational study. Consecutive patients with HFmrEF or HFpEF who were admitted to the cardiology clinicswere included (NCT03026114). Herein, we performed a post-hoc analysis of data from the APOLLON trial.Results: The study population included 1065 (mean age of 67.1±10.6 years, 54% women) patients from 11 sites in Turkey. Compared with men,women were older (68 years vs. 67 years, p<0.001), had higher body mass index (29 kg/m2 vs. 27 kg/m2, p<0.001), and had higher heart rate (80 bpmvs. 77.5 bpm, p<0.001). Women were more likely to have HFpEF (82% vs. 70.9%, p<0.001), and they differ from men having a higher prevalence ofhypertension (78.7% vs. 73.2%, p=0.035) and atrial fibrillation (40.7% vs. 29.9%, p<0.001) but lower prevalence of coronary artery disease (29.5%vs. 54.9%, p<0.001). Women had higher N-terminal pro-B-type natriuretic peptide (691 pg/mL vs. 541 pg/mL, p=0.004), lower hemoglobin (12.7 g/dLvs. 13.8 g/dL, p<0.001), and serum ferritin (51 ng/mL vs. 64 ng/mL, p=0.001) levels, and they had worse diastolic function (E/e'=10 vs. 9, p<0.001).The main cause of heart failure (HF) in women was atrial fibrillation, while it was ischemic heart disease in men.Conclusion: Clinical characteristics, laboratory findings, and etiological factors are significantly different in female and male patients with HFmrEFand HFpEF. This study offers a broad perspective for increased awareness about this patient profile in Turkey. (Anatol J Cardiol 2019; 21: 242-52)
Anahtar Kelimeler
Makale Türü Özgün Makale
Makale Alt Türü SSCI, AHCI, SCI, SCI-Exp dergilerinde yayımlanan tam makale
Dergi Adı Anatolian Journal of Cardiology
Dergi ISSN 2149-2263
Dergi Tarandığı Indeksler SCI-Expanded
Dergi Grubu Q4
Makale Dili İngilizce
Basım Tarihi 04-2019
Cilt No 21
Sayı 5
Sayfalar 242 / 252
Doi Numarası 10.14744/AnatolJCardiol.2019.71954
Makale Linki https://www.journalagent.com/anatoljcardiol/pdfs/AJC_21_5_242_252.pdf