• Alberto Elpidio Calvo-Elías, Manuel Méndez-Bailón, Francisco Javier Martín-Sánchez, Rubén Ángel Martín-Sánchez, Elpidio Calvo-Manuel, Prado Salamanca-Bautista, José Pérez-Silvestre, Manuel Montero-Pérez-Baquero, and en representación de los investigadores del registro RICA.
• Medicina Interna, Hospital General Universitario Gregorio Marañón, Madrid, España. Electronic address: ae.calvoelias@gmail.com.
• Med Clin (Barc). 2024 Dec 10.

IntroductionPatients with heart failure in sinus rhythm may be at significant risk of major cardiovascular events, including cardiovascular death (CV death).ObjectiveTo assess CV mortality at a one-year follow up of those patients with heart failure and sinus rhythm, according to LVEF subgroups.MethodsA prospective and multicentric study was conducted with patients in sinus rhythm included in the National Registry of Heart Failure. Firstly, a demographic, clinical and treatment analysis has been made comparing CV death. Secondly, a multivariate analysis of logistic regression was made including those CV death factors. Lastly, a Kaplan Meyer one year survival was made including LVEF.ResultsOf all 2040 patients included 14,8% presented CV death. The mortality predictors were Barthel index (OR 0,987 (0,982-0,992) [p<0,001]), LVEF <40% (OR 1,514 (1,144-2,003) [p 0,003]) and Charlson index (OR 1,069 (1,016-1,124) [p 0,01]).ConclusionAccording to our results CV death has been shown to be higher in those patients with reduced LVEF in sinus rhythm and worst score in Barthel index and Charlson scale.Copyright © 2024 Elsevier España, S.L.U. All rights reserved.

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