Clinical profile and prognosis of hospitalized patients with congestive heart failure in Isehara, Japan
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概要
- 論文の詳細を見る
Since the clinical profile and prognosis of heart failure depending on time of the study performed, regional characteristics of background population and different race, we attempted to evaluate the prognosis of symptoms and life expectancy of Japanese patients with heart failure. We evaluated the clinical profiles and prognoses of 1,015 consecutive patients with congestive heart failure (CHF) for whom hospitalization was required. A total of 1,015 consecutive CHF patients (584 males and 431 females) were enrolled in this study, however the total number of events investigated was 1,409. Of these patients, survival was confirmed in 413 patients, death was confirmed in 299 patients, and the prognoses of 303 patients remained unknown due to transfer to other hospitals or for some other reasons. The mean age on admission was 68.4±14.9 years. In both males and females, the peak age at the onset of CHF was in the seventies, and for patients in their eighties, the number of female patients with CHF was larger than that of male patients. Major underlying heart diseases consisted of ischemic heart disease (34%), valvular heart disease (22%), dilated cardiomyopathy (11%), and hypertension (10%). Most CHF patients who had dilated cardiomyopathy as an underlying disease were hospitalized several times, and 45% of them were hospitalized 3 times or more. The life expectancy of patients with CHF caused by ischemic heart disease was the poorest, and their 5-year and 10-year survival rates were 55% and 38%, respectively. Similarly, 5-year and 10-year survival rates of patients with CHF caused by valvular heart disease, hypertension, and dilated cardiomyopathy were 62% and 44%, 58% and 53%, and 70% and 65%, respectively. In 299 deceased patients, the mean age at death was 72.2±13.9 years. In all these deceased patients, direct causes of death were sudden death (16.1%), CHF (42.2%), others (31.4%), and unknown (10.4%). The frequency of sudden death was highest (25%) in patients with CHF caused by dilated cardiomyopathy, followed by those with CHF caused by valvular heart disease (18%) and those with CHF caused by ischemic heart disease (17.5%). In addition, the frequency of death from CHF was highest (60%) in those with CHF caused by dilated cardiomyopathy, followed by those with CHF caused by ischemic heart disease (49.2%).
- 東海大学の論文
著者
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Handa Shunnosuke
Department Of Cardiology Tokai University School Of Medicine
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Shiina Yutaka
Department of Internal Medicine, Tokai University School of Medicine
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Yoshioka Koichiro
Department of Cardiology, Tokai University School of Medicine
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TANABE Teruhisa
Division of Cardiology, Tokai University School of Medicine
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Tanabe Teruhisa
Department of cardiology, Tokai University
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IGARASHI Mihoko
Department of Internal Medicine, Tokai University Oiso Hospital
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HANDA Shunnosuke
Tokai University School of Medicine
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Handa Shunnosuke
Department Of Cardiology School Of Medicine Tokai University
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HANDA Shunnosuke
Health Evaluation and Promotion Center Tokai University Hospital
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Shiina Yutaka
Department Of Cardiology Tokai University School Of Medicine
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Shiina Yutaka
Department Of Internal Medicine Tokai University School Of Medicine
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Yoshioka Kouichirou
Department Of Cardiology Tokai University School Of Medicine
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Yoshioka Koichiro
Department Of Cardiology Tokai University School Of Medicine
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Handa Shunnosuke
First Department Of Internal Medicine Tokai University
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Tanabe Teruhisa
Department Of Cardiology School Of Medicine Tokai University
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Handa Shunnosuke
Department Of Internal Medicine School Of Medicine Keio University
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Igarashi Mihoko
Department Of Cardiology Tokai University School Of Medicine
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Tanabe Teruhisa
Department Of Medicine Tokai University Hospital
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Tanabe Teruhisa
Department Of Internal Medicine
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Hanada Shunnosuke
Department Of Internal Medicine School Of Medicine Keio University
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Handa Shunnosuke
Department Of Medicine Tokai University Hospital
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Yoshioka Koichiro
Department Of Cardiology Tokai University Hospital
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Yoshioka Koichiro
Department Of Cardiovascular Medicine Tokai University School Of Medicine
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Handa Shun-nosuke
Department Of Internal Medicine School Of Medicine Keio University
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