Acute heart failure: does etiology matter?

Abstract Funding Acknowledgements Type of funding sources: None. Introduction Patients (pts) with acute heart failure (AHF) are a heterogeneous population. The etiology the disfunction may play role in prognosis. Risk stratification at admission help predict in-hospital complications and needs. Objective To explore predictors mortality (IHM), post discharge early [1-month (1mM)] late [1-year (1yM)] readmission, respectively 1-month readmission (1mRA) 1-year (1yRA), our center population, using real-life data. Methods Based on single-center retrospective study, data collected from patients admitted Cardiology department AHF between 2010 2017. Pts without previous cardiovascular history or uncompleted clinical were excluded. pts divided 3 groups: ischemic (IE), valvular (VE) other etiologies (OE), which included hypertensive idiopathic cardiomyopathies). Statistical analysis used non-parametric tests Kaplan-Meyer survival analysis. Results We 300 AHF. Mean age was 67.4 ± 12.6 years old 72.7% male. 37.7% had revascularization procedures, 66.9% hypertension, 41% diabetic 38% dyslipidaemia. IE 45%, VE 22.7% OE 32.3% cases. There no significant differences groups regarding body mass index, Killip-Kimball class, systolic blood pressure admission, aspects (namely, creatinine, sodium urea), inotropes’ usage need non-invasive invasive ventilation. However, group higher percentage males comparing to e (83.0% vs 55.9% 70.1%, respectively, p < 0.001), rates prior procedures (68.9%, 19.1%, 7.2%, 0.001) traditional risk factors, namely hypertension (74.1% 57.7%, = 0.014), diabetes mellitus (48.1% 27.9% 27.8%, 0.002) dyslipidaemia (48.9% 30.9% 40.2%, 0.022). younger compared (63.9 13.5 68.9 11.1 69.5 13.0 old, 0.003). less left ventricle (left ejection fraction 40.8 14.1 32.2 9.8 31.6 12.8%, 0.001). showed IHM (IE 5.2% 8.8% 2.1%, 0.146), 1mRA 8.1&, 7.4%, 3.1%, 0.276) 1yRA 55.6%, 54.4%, 47.4%, 0.449). 1mM (VE 13.2% 8.9% 0.05) 1yM (33.8% 30.4% 17.5%, 0.34). These represented Kaplan Meier curves. Conclusion In predictor post-discharge but not readmission.