Systolic Blood Pressure (Sbp) < 130 Mmhg And Outcomes In Patients With Heart Failure And Preserved Ejection (Hfpef) And Hypertension (Htn)

Circulation(2017)

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摘要
Background: According to 2017 update of 2013 ACCF/AHA HF guideline, SBP should be lowered to 40%) were discharged alive and considered stable. HTN was defined as SBP ≥140 mmHg or DBP ≥90 mmHg (both admission and discharge), or if BP was normal (SBP u003c140 and DBP u003c90 mmHg), by use of anti-HTN drugs (both admission and discharge), defined as use of calcium channel blockers, hydralazine, or both ACE inhibitors/ARBs and beta-blockers. Of the 5514 patients with HTN, 1810 had a discharge SBP u003c130 mmHg. Propensity scores for SBP u003c130 mmHg, estimated for each of the 5514 patients, were used to assemble a cohort of 1719 pairs of patients, with a discharge SBP u003c130 vs ≥130 mmHg, who were balanced on 36 baseline characteristics. The 3438 matched patients (66% women, 10% African American) had mean (±SD) age of 78 (±10) years, EF of 57 (±8) %, and dis...
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关键词
Heart failure, Blood pressure, Mortality
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