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February 4, 2015Circulation Heart FailureOpen Access

Baseline Distribution of Participants With Depression and Impaired Quality of Life in the Treatment of Preserved Cardiac Function Heart Failure With an Aldosterone Antagonist Trial

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Population

3400 patients with heart failure with preserved ejection fraction enrolled in the TOPCAT trial

Design

Cross-sectional

Authors

CHCarine HamoGeneral Cardiology
John F. Heitner
John F. HeitnerCardiac Imaging
Marc A. Pfeffer
Marc A. PfefferHeart Failure / Cardiomyopathy

Discussion

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Implication

May warrant depression screening in HFpEF; leaves open whether targeting associated factors improves outcomes.

Structured PICO

P
Population
3400 patients with heart failure with preserved ejection fraction enrolled in the TOPCAT trial (3400 completed KCCQ, 3395 completed EQ-5D VAS, and 1431 in US and Canada completed PHQ-9)
O
Outcome
Baseline characteristics related to impaired quality of life (QOL) and depression, predictors of poor QOL and depression, and correlation between QOL and depressionpatient reported

In patients with HFpEF, younger age, higher NYHA class, comorbid angina, lower activity levels, and use of hypoglycemic agents are associated with impaired quality of life and depression.

Cite This Study

Hamo et al. (2015) studied this question.

synapsesocial.com/papers/6a0fc8cc5725bbd5cc6016abhttps://doi.org/10.1161/circheartfailure.114.001838

Topics

Heart failureHFrEF treatmentHFpEF management
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Evaluation of treatment for congestive heart failure in patients aged 60 years and older using generic measures of health status (SF-36 and COOP charts)1997 · 88 citations
  2. 2Relationship of Depression to Increased Risk of Mortality and Rehospitalization in Patients With Congestive Heart Failure2001 · 944 citations
  3. 3Quality of Life in a Diverse Population of Patients With Heart Failure2009 · 43 citations
  4. 4Quality of Life is Impaired Similarly in Heart Failure Patients with Preserved and Reduced Ejection Fraction2011 · 104 citations
  5. 5Health related quality of life in patients with congestive heart failure: comparison with other chronic diseases and relation to functional variables2002 · 782 citations