Acute heart failure in the elderly: Differences in clinical characteristics, outcomes, and prognostic factors in the Veritas study

Marco Metra, Gad Cotter, Jill El-Khorazaty, Beth A. Davison, Olga Milo, Valentina Carubelli, Robert C. Bourge, John G. Cleland, Guillaume Jondeau, Henry Krum, Christopher M. O'Connor, John D. Parker, Guillermo Torre-Amione, Dirk J. Van Veldhuisen, Maurizio Rainisio, Isaac Kobrin, John J. McMurray, John R. Teerlink

Research output: Contribution to journalArticle

40 Scopus citations

Abstract

Background Acute heart failure (HF) is common in the elderly, but the association of age with clinical outcomes and prognostic factors has not been examined thoroughly. Methods and Results We analyzed the clinical and laboratory characteristics and the outcomes of 1,347 patients with acute HF enrolled in the VERITAS trial. Subjects were subdivided based on their median age of 72 years. Older patients had a higher prevalence of comorbidities and a higher prevalence of hypertension and atrial fibrillation. During a mean follow-up of 149 ± 61 days, 432 patients (32.1%) reached the composite end point of death, in-hospital worsening HF, or HF rehospitalization by 30 days, and 135 patients (10.4%) died by 90 days, with a worse outcome in elderly patients in both cases. At multivariable analysis, different variables were related with each of these outcomes in elderly compared with younger patients. Regarding deaths at 90 days, plasma urea nitrogen and hemoglobin levels were predictive only in the younger patients, whereas respiratory rate and albumin levels were associated with mortality only in the older patients. Conclusions Elderly patients with acute HF have different clinical characteristics and poorer outcomes. Prognostic variables differ in elderly compared with younger patients.

Original languageEnglish (US)
Pages (from-to)179-188
Number of pages10
JournalJournal of Cardiac Failure
Volume21
Issue number3
DOIs
StatePublished - Mar 1 2015

Keywords

  • Heart failure
  • age
  • outcomes

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

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