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dc.contributor.author | Martínez Sellés Oliveria Soares, Manuel | |
dc.contributor.author | Díez Villanueva, Pablo | |
dc.contributor.author | Álvarez García, Jesús | |
dc.contributor.author | Ferrero Gregori, Andréu | |
dc.contributor.author | Vives Borrás, Miquel | |
dc.contributor.author | Worner, Fernando | |
dc.contributor.author | Bardají, Alfredo | |
dc.contributor.author | Delgado, Juan F. | |
dc.contributor.author | Vázquez García, Rafael | |
dc.contributor.author | Cinca, Juan | |
dc.contributor.author | Et al. | |
dc.date.accessioned | 2018-10-23T11:25:02Z | |
dc.date.available | 2018-10-23T11:25:02Z | |
dc.date.issued | 2018 | |
dc.identifier.citation | Martínez‐Sellés, M., Díez‐Villanueva, P., Álvarez‐Gracía, J., Ferrero‐Gregori, A., Vives‐Borrás, M., Worner, F., ... & Cinca J. (2018). Influence of sex and pregnancy on survival in patients admitted with heart failure. Data from a prospective multicenter registry. Clinical Cardiology. 41(7):924-930. https://doi.org/10.1002/clc.22979 | spa |
dc.identifier.issn | 0160-9289 | |
dc.identifier.issn | 1932-8737 | |
dc.identifier.uri | http://hdl.handle.net/11268/7495 | |
dc.description.abstract | Background: Female sex is an independent predictor of better survival in patients with heart failure (HF), but the mechanism of this association is unknown. On the other hand, pregnancies have a strong influence on the cardiovascular system. Hypothesis: Sex and previous gestations might have a prognostic impact on 1-year mortality in patients admitted with HF. Methods: We conducted an observational, prospective, consecutive, multicenter registry of 1831 patients (756 females [41.2%]) admitted with HF. Results: Females had a more advanced age (75.2 ±11.4 vs 70.4 ±12.2 years), less ischemic heart disease (167 [25.3%] vs 446 [47.3%]), and higher left ventricular ejection fraction (52.0% ±16.6% vs 41.1% ±17.0%) than did men (all P values <0.001). During 1-year follow-up, 373 (20.4%) patients died (151 females and 222 males). Female sex was an independent predictor for survival (hazard ratio: 0.79, 95% confidence interval: 0.64-0.98, P = 0.03). In 504 women (65.9%), the exact number of previous pregnancies could be determined; 62 women (12.3%) had no previous pregnancies, 288 (57.1%) women had 1 or 2 pregnancies, and 154 women (30.6%) had ≥3 pregnancies. We found an association between the number of previous gestations and better survival (hazard ratio: 0.878, 95% confidence interval: 0.773-0.997, P = 0.045). Conclusions: In patients admitted with HF, female sex and the number of previous pregnancies are independently associated with better 1-year survival. | spa |
dc.description.sponsorship | Instituto de Salud Carlos III, Spanish Ministry of Health | spa |
dc.description.sponsorship | Fondo Europeo de Desarrollo Regional (FEDER) (Red RIC, RD120042/0001) | spa |
dc.language.iso | eng | spa |
dc.title | Influence of sex and pregnancy on survival in patients admitted with heart failure: Data from a prospective multicenter registry | spa |
dc.type | article | spa |
dc.description.impact | 2.455 JCR (2018) Q2, 67/136 Cardiac & Cardiovascular Systems | spa |
dc.description.impact | 1.219 SJR (2018) Q1, 75/365 Cardiology and Cardiovascular Medicine, 389/2844 Medicine (miscellaneous) | spa |
dc.description.impact | No data IDR 2018 | spa |
dc.identifier.doi | 10.1002/clc.22979 | |
dc.rights.accessRights | closedAccess | spa |
dc.subject.uem | Infarto de miocardio | spa |
dc.subject.uem | Embarazo | spa |
dc.subject.uem | Pronóstico médico | spa |
dc.subject.unesco | Enfermedad cardiovascular | spa |
dc.subject.unesco | Embarazo | spa |
dc.subject.unesco | Previsión | spa |
dc.description.filiation | UEM | spa |
dc.relation.publisherversion | http://ezproxy.universidadeuropea.es/login?url=http:/ /dx.doi.org/10.1002/clc.22979 | spa |
dc.peerreviewed | Si | spa |
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