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Prognostic value of discharge heart rate in acute heart failure patients: More relevant in atrial fibrillation? by Rosa, Agra Bermejo; Domingo, Pascual-Figal; Francisco, Gude Sampedro; Juan, Delgado Jiménez; Rafael, Vidal Pérez; Inés, Gómez Otero; Andreu, Ferrero-Gregori; Jesús, Álvarez-García; Fernando, Worner Diz; Jesús, Segovia; María Generosa, Crespo-Leiro; Juan, Cinca Cuscullol; Francisco, Fernández Avilés; Jose Ramón, Gónzalez-Juanatey is a Medicine article available to read on EtoBox.

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## Aims The prognostic impact of heart rate (HR) in acute heart failure (AHF) patients is not well known especially in atrial fibrillation (AF) patients. The aim of the study was to evaluate the impact of admission HR, discharge HR, HR difference (admission-discharge) in AHF patients with sinus rhythm (SR) or AF on long- term outcomes. ## Methods We included 1398 patients consecutively admitted with AHF between October 2013 and December 2014 from a national multicentre, prospective registry. Logistic regression models were used to estimate the association between admission HR, discharge HR and HR difference and one- year all-cause mortality and HF readmission. ## Results The mean age of the study population was 72 ± 12 years. Of these, 594 (42.4%) were female, 655 (77.8%) were hypertensive and 655 (46.8%) had diabetes. Among all included patients, 745 (53.2%) had sinus rhythm and 653 (46.7%) had atrial fibrillation. Only discharge HR was associated with one year all-cause mortality (Relative risk (RR) = 1.182, confidence interval (CI) 95% 1.024–1.366, p = 0.022) in SR. In AF patients discharge HR was associated with one year all cause mortality (RR = 1.276, CI 95% 1.115–1.459, p ≤

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Author

Rosa, Agra Bermejo; Domingo, Pascual-Figal; Francisco, Gude Sampedro; Juan, Delgado Jiménez; Rafael, Vidal Pérez; Inés, Gómez Otero; Andreu, Ferrero-Gregori; Jesús, Álvarez-García; Fernando, Worner Diz; Jesús, Segovia; María Generosa, Crespo-Leiro; Juan, Cinca Cuscullol; Francisco, Fernández Avilés; Jose Ramón, Gónzalez-Juanatey

Publisher

Elsevier ; Elsevier BV; [Amsterdam]: Elsevier B.V. (ISSN 2352-9067)

Published

2020

Language

EN

Field

Medicine (Health Sciences)