Systolic blood pressure on admission and mortality in patients hospitalized with acute heart failure: Observations from the gulf acute heart failure registry

Jawad A. Al-Lawati, Kadhim J. Sulaiman, Ibrahim Al-Zakwani, Alawi A. Alsheikh-Ali, Prashanth Panduranga, Khalid F. Al-Habib, Jassim Al-Suwaidi, Wael Al-Mahmeed, Hussam Al-Faleh, Abdelfatah El-Asfar, Ahmed Al-Motarreb, Mustafa Ridha, Bassam Bulbanat, Mohammed Al-Jarallah, Nooshin Bazargani, Nidal Asaad, Haitham Amin

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Abstract

We investigated the role of systolic blood pressure (SBP) in relation to in-hospital and postdischarge mortality in patients admitted with acute heart failure (AHF). The SBP of 4848 patients aged ≥18 years admitted with AHF was categorized into 5 groups: ≤90, 91 to 119, 120 to 139, 140 to 161, and >161 mm Hg. After adjusting for several confounders, multivariate logistic regression models showed that admission SBP was a significant predictor of mortality among both patients with preserved left ventricular function (defined as left ventricular ejection fraction [LVEF] ≥40%) and patients with left ventricular dysfunction (LVEF <40%). The adjusted odds ratios of in-hospital, 3-month, and 1-year mortality in the lowest SBP groups were 7.06 (95% confidence interval [CI]: 3.28-15.20; P <.001), 2.59 (95% CI: 1.35-4.96; P =.004), and 3.10 (95% CI: 2.04-4.72; P <.001) times the odds in the highest admission group (SBP > 161 mm Hg), respectively. We conclude that low admission SBP is an independent predictor of mortality in patients with AHF. The higher the admission SBP, the better the prognosis, regardless of age or LVEF.

Original languageEnglish
Pages (from-to)584-591
Number of pages8
JournalAngiology
Volume68
Issue number7
DOIs
Publication statusPublished - Aug 1 2017

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Registries
Heart Failure
Blood Pressure
Mortality
Stroke Volume
Logistic Models
Left Ventricular Dysfunction
Hospital Mortality
Left Ventricular Function

Keywords

  • Arabs
  • heart failure
  • Middle East
  • mortality
  • systolic blood pressure

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

Cite this

Systolic blood pressure on admission and mortality in patients hospitalized with acute heart failure : Observations from the gulf acute heart failure registry. / Al-Lawati, Jawad A.; Sulaiman, Kadhim J.; Al-Zakwani, Ibrahim; Alsheikh-Ali, Alawi A.; Panduranga, Prashanth; Al-Habib, Khalid F.; Al-Suwaidi, Jassim; Al-Mahmeed, Wael; Al-Faleh, Hussam; El-Asfar, Abdelfatah; Al-Motarreb, Ahmed; Ridha, Mustafa; Bulbanat, Bassam; Al-Jarallah, Mohammed; Bazargani, Nooshin; Asaad, Nidal; Amin, Haitham.

In: Angiology, Vol. 68, No. 7, 01.08.2017, p. 584-591.

Research output: Contribution to journalArticle

Al-Lawati, JA, Sulaiman, KJ, Al-Zakwani, I, Alsheikh-Ali, AA, Panduranga, P, Al-Habib, KF, Al-Suwaidi, J, Al-Mahmeed, W, Al-Faleh, H, El-Asfar, A, Al-Motarreb, A, Ridha, M, Bulbanat, B, Al-Jarallah, M, Bazargani, N, Asaad, N & Amin, H 2017, 'Systolic blood pressure on admission and mortality in patients hospitalized with acute heart failure: Observations from the gulf acute heart failure registry', Angiology, vol. 68, no. 7, pp. 584-591. https://doi.org/10.1177/0003319716672525
Al-Lawati, Jawad A. ; Sulaiman, Kadhim J. ; Al-Zakwani, Ibrahim ; Alsheikh-Ali, Alawi A. ; Panduranga, Prashanth ; Al-Habib, Khalid F. ; Al-Suwaidi, Jassim ; Al-Mahmeed, Wael ; Al-Faleh, Hussam ; El-Asfar, Abdelfatah ; Al-Motarreb, Ahmed ; Ridha, Mustafa ; Bulbanat, Bassam ; Al-Jarallah, Mohammed ; Bazargani, Nooshin ; Asaad, Nidal ; Amin, Haitham. / Systolic blood pressure on admission and mortality in patients hospitalized with acute heart failure : Observations from the gulf acute heart failure registry. In: Angiology. 2017 ; Vol. 68, No. 7. pp. 584-591.
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T1 - Systolic blood pressure on admission and mortality in patients hospitalized with acute heart failure

T2 - Observations from the gulf acute heart failure registry

AU - Al-Lawati, Jawad A.

AU - Sulaiman, Kadhim J.

AU - Al-Zakwani, Ibrahim

AU - Alsheikh-Ali, Alawi A.

AU - Panduranga, Prashanth

AU - Al-Habib, Khalid F.

AU - Al-Suwaidi, Jassim

AU - Al-Mahmeed, Wael

AU - Al-Faleh, Hussam

AU - El-Asfar, Abdelfatah

AU - Al-Motarreb, Ahmed

AU - Ridha, Mustafa

AU - Bulbanat, Bassam

AU - Al-Jarallah, Mohammed

AU - Bazargani, Nooshin

AU - Asaad, Nidal

AU - Amin, Haitham

PY - 2017/8/1

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N2 - We investigated the role of systolic blood pressure (SBP) in relation to in-hospital and postdischarge mortality in patients admitted with acute heart failure (AHF). The SBP of 4848 patients aged ≥18 years admitted with AHF was categorized into 5 groups: ≤90, 91 to 119, 120 to 139, 140 to 161, and >161 mm Hg. After adjusting for several confounders, multivariate logistic regression models showed that admission SBP was a significant predictor of mortality among both patients with preserved left ventricular function (defined as left ventricular ejection fraction [LVEF] ≥40%) and patients with left ventricular dysfunction (LVEF <40%). The adjusted odds ratios of in-hospital, 3-month, and 1-year mortality in the lowest SBP groups were 7.06 (95% confidence interval [CI]: 3.28-15.20; P <.001), 2.59 (95% CI: 1.35-4.96; P =.004), and 3.10 (95% CI: 2.04-4.72; P <.001) times the odds in the highest admission group (SBP > 161 mm Hg), respectively. We conclude that low admission SBP is an independent predictor of mortality in patients with AHF. The higher the admission SBP, the better the prognosis, regardless of age or LVEF.

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