Gender disparities in heart failure with mid-range and preserved ejection fraction: results from APOLLON study
Yazarlar (20)
Bülent Özlek Muğla Sıtkı Koçman Üniversitesi, Türkiye
Eda Özlek Muğla Sıtkı Koçman Üniversitesi, Türkiye
Serkan Kahraman
T.C. Sağlık Bakanlığı, Türkiye
Mehmet Tekinalp T.C. Sağlık Bakanlığı, Türkiye
Hicaz Zencirkıran Agus
T.C. Sağlık Bakanlığı, Türkiye
Doç. Dr. Oğuzhan Çelik Muğla Sıtkı Koçman Üniversitesi, Türkiye
Cem Çil
Muğla Sıtkı Koçman Üniversitesi, Türkiye
Doç. Dr. Volkan Doğan Muğla Sıtkı Koçman Üniversitesi, Türkiye
Özcan Başaran Muğla Sıtkı Koçman Üniversitesi, Türkiye
Bedri Caner Kaya
Sağlık Bilimleri Üniversitesi, Türkiye
Prof. Dr. İbrahim RENCÜZOĞULLARI Kafkas Üniversitesi, Türkiye
Ösken Altuğ
Doç. Dr. Lütfü Bekar Hitit Üniversitesi, Türkiye
Doç. Dr. Mustafa Ozan Çakır Zonguldak Bülent Ecevit Üniversitesi, Türkiye
Dr. Öğr. Üyesi Yunus Çelik Yüksek İhtisas Üniversitesi, Türkiye
Prof. Dr. Kadir Uğur Mert Eskişehir Osmangazi Üniversitesi, Türkiye
Kadriye Memiç Sancar
T.C. Sağlık Bakanlığı, Türkiye
Samet Sevinç
T.C. Sağlık Bakanlığı, Türkiye
Gurbet Özge Mert T.C. Sağlık Bakanlığı, Türkiye
Murat Biteker
Muğla Sıtkı Koçman Üniversitesi, Türkiye
Makale Türü Açık Erişim Özgün Makale (SSCI, AHCI, SCI, SCI-Exp dergilerinde yayınlanan tam makale)
Dergi Adı The Anatolian Journal of Cardiology (Q3)
Dergi ISSN 2149-2263 Dergi Bilgileri (2019)
Dergi Tarandığı Indeksler SCI-Expanded
Makale Dili İngilizce Basım Tarihi 04-2019
Kabul Tarihi – Yayınlanma Tarihi 01-01-2019
Cilt / Sayı / Sayfa 21 / 5 / 242–252 DOI 10.14744/AnatolJCardiol.2019.71954
Makale Linki https://www.journalagent.com/anatoljcardiol/pdfs/AJC_21_5_242_252.pdf
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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)
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Gender disparities in heart failure with mid-range and preserved ejection fraction: results from APOLLON study