Heart failure & cardiomyopathies

Patients with Cardiac Amyloidosis are at a Greater Risk of Mortality and Hospital Readmission After Acute Heart Failure

ESC Heart FailPublished Matched case-control study

Authors' conclusion

The presence of CA in patients with HF was associated with a three-fold greater risk of death and a two-fold greater risk of all-cause hospital readmission 90 days after discharge.

Study context

Population
Patients discharged after acute heart failure (HF), ICREX cohort
Participants
27 vs 135
Comparison
HF with cardiac amyloidosis (CA) vs HF without CA
  • HF + CA+n = 27
  • HF + CA-n = 135reference
Outcome
Hospital readmission and death rates
Follow-up
90 days after discharge
Methodological detailsmatched 1:5 by sex and age
  • Matched 1:5 by sex and age

Main finding

As reported in the abstract

  • Higher death rate, all-cause readmission rate and acute heart failure (AHF) readmission rate with HF + CA+
  • Death and readmissions occurred sooner after discharge with HF + CA+

Observational data: associations, not effects.

Further findings

Discharge characteristics

Higher heart rate with HF + CA+
P = 0.002
Higher NT-proBNP with HF + CA+
P < 0.001
Lower BP with HF + CA+
P < 0.001
Lower weight and BMI with HF + CA+
P < 0.001

Original publication

Patients with Cardiac Amyloidosis are at a Greater Risk of Mortality and Hospital Readmission After Acute Heart Failure. ESC Heart Fail. Published 13 April 2023. doi:10.1002/ehf2.14337

Composed by AI from the published abstract and checked against it. How Briefs are made →

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