2017

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2017/№9

Effect of Type 2 Diabetes Mellitus on Five‑Year Survival of Patients Hospitalized Because of Acute Decompensated Heart Failure

Pochinka I. G.1, Strongin L. G.1, Botova S. N.1, Razumovsky A. V.1, Baranova A. A.1, Dvornikova M. I.2, Yurkova K. N.2, Belenkov Yu. N.3
1 - Nizhny Novgorod State Medical Academy, Nizhny Novgorod, Russia
2 - City clinical hospital No13, Nizhny Novgorod, Russia
3 - I. M. Sechenov First Moscow State Medical University, Moscow, Russia

Keywords: acute decompensated heart failure; type 2 diabetes; prognosis; survival

DOI: 10.18087/cardio.2017.9.10027

Objective. To assess the impact of type 2 diabetes mellitus (T2DM) on prognosis of patients hospitalized because of acute decompensated heart failure (ADHF). Materials and Methods. We analyzed data of the hospital register of ADHF which comprised information on 735 patients (254 [35%] with T2DM) consecutively admitted in 2010–2011. Median follow‑up was 1790 days. Results. The presence of T2DM was associated with increased risk of death: during the index hospitalization due to ADHF (hazard ratio [HR] 1.7, 95% confidence interval [CI] 1.0–2.8), within 18 months (HR 1.4, 95% CI 1.0–1.8), and within 5 years (HR 1.3, 95% CI 1.0–1.5). Conclusions. T2DM is common among acute decompensated heart failure patients (up to 35% of cases). T2DM is an independent risk factor of death during the index hospitalization and over the next 18 months and 5 years.
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Pochinka I. G., Strongin L. G., Botova S. N., Razumovsky A. V., Baranova A. A., Dvornikova M. I., Yurkova K. N., Belenkov Yu. N. Effect of Type 2 Diabetes Mellitus on Five‑Year Survival of Patients Hospitalized Because of Acute Decompensated Heart Failure. Kardiologiia. 2017;57(9):14–19.

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