In an urban safety-net population, patients with diastolic heart failure presenting with acute decompensation are younger and have high rates of comorbidities and traditional heart failure medication use compared to nationwide estimates.
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DHF in urban safety-net ADHF is younger with high comorbidities; leaves open generalizability beyond this cohort.
OBJECTIVES: The aim of this retrospective study was to describe demographic and clinical characteristics of patients with diastolic dysfunction heart failure (DHF) in a safety-net institution. METHODS: Descriptive statistics were used to summarize characteristics for adults with DHF hospitalized for acute decompensated heart failure (ADHF) between 1 January 2009 and 30 June 2010. RESULTS: Of 483 patients with an ADHF-related admission, only 83 (17.2%) had pure DHF. Mean age was 59.6 ± 13.1 years old, with nearly equal proportions of male and female patients. Hypertension (89.2%), coronary artery disease (74.7%), and diabetes (63.9%) comorbidities were most common. Diuretics (91.6%), angiotensin converting enzyme inhibitors or angiotensin receptor blockers (69.9%), and β blockers (60.3%) were most frequently prescribed on discharge. CONCLUSION: In our population, DHF is more prevalent in younger patients of any ethnicity, especially Hispanic/Latino and black ethnicities, compared with nationwide estimates. Our patients with DHF had higher ejection fractions and were prescribed higher rates of traditional heart failure medications.
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Wobeter et al. (2015) studied this question.
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