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September 23, 2024Respiratory MedicineOpen Access

PH was associated with increased in-hospital mortality in HFpEF (OR 1.23; 95% CI 1.17-1.28), hypertrophic cardiomyopathy (1.42; 1.06-1.89), mitral regurgitation (1.17; 1.07-1.28), and aortic stenosis (1.14; 1.04-1.26), but not in HFrEF (1.04; 0.99-1.10).

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Why the study?

Pulmonary hypertension associated with left heart disease prevalence varies significantly across studies, with limited real-world evidence on its prevalence and prognostic influence.

Does the presence of pulmonary hypertension increase in-hospital mortality in hospitalized patients with left heart disease?

Population

6,270,625 hospitalizations with left heart disease from the 2018 US Nationwide Inpatient Sample

Comparison

Patients with vs without a secondary pulmonary hypertension diagnosis

Design

Nationwide cross-sectional database analysis

Authors

IFIoannis T. FarmakisLHLukas HobohmLVLuca Valerio

Discussion

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Member takes

Overview

PH-LHD prevalence and prognosis in LHD warrant cautious interpretation from administrative data; leaves open prospective validation of impact.

Structured PICO

Does the presence of pulmonary hypertension increase in-hospital mortality in hospitalized patients with left heart disease?

P
Population
6,270,625 hospitalizations with left heart disease (heart failure, cardiomyopathies, aortic, and mitral valve disease) from the 2018 US Nationwide Inpatient Sample.
I
Intervention
Presence of secondary pulmonary hypertension (PH) diagnosis
C
Comparator
Absence of pulmonary hypertension diagnosis
O
Outcome
Prevalence of PH-LHD and in-hospital mortalityhard clinical

Pulmonary hypertension is present in 12.8% of hospitalized patients with left heart disease and is associated with increased in-hospital mortality across most forms of LHD, except HFrEF.

Cite This Study

Farmakis et al. (2024) studied this question.

synapsesocial.com/papers/6a7dd466d491aa75eb1510f9https://doi.org/10.1016/j.rmed.2024.107817
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Also Consider

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

  1. 1Independent and additive prognostic value of right ventricular systolic function and pulmonary artery pressure in patients with chronic heart failure2001 · 1,293 citations
  2. 2The prevalence and survival of pulmonary hypertension due to left heart failure: A retrospective analysis of a multicenter prospective cohort study2022 · 16 citations
  3. 3Increased Mortality in Patients With Preoperative and Persistent Postoperative Pulmonary Hypertension Undergoing Mitral Valve Surgery for Mitral Regurgitation: A Cohort Study2021 · 20 citations
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