Abstract 11426: Factors Precipitating Hospital Admissions for Heart Failure in Women: Insights From the Gulf CARE Registry
OBJECTIVES: Although factors precipitating hospital admissions for heart Failure (HF) have been identified in overall cohorts of HF registries, however. It remains unknown whether these factors are different in women and if there is gender variations in these factors. The aim of the current study was to identify factors precipitating HF hospitalizations peculiar to women and to compare them to those for men using a large multinational multicenter registry from the Middle-East.
METHODS: From February 2012 to November 2013, consecutive patients hospitalized with HF were enrolled from 47 hospitals in 7 Middle East countries. Identifiable factors contributing to HF hospitalization were captured at admission and included myocardial ischemia, arrhythmia, nonadherence to medications or diet, salt retaining drugs, anemia, community acquired infections, hypertension, and worsening renal function. Patients were divided into 2 groups according to gender and the 2 groups were compared.
RESULTS: During the study period 5005 patients with HF were enrolled: 1874 patients (37.4%) were women and 3,131 patients (62.6%) were men with the mean age of 60 years for women and 59 years for men. The mean left ventricular ejection fraction was 42% for women compared to 34% for men, P=0.001. The commonest Identifiable factors contributing to HF hospitalization in women were myocardial ischemia (30.3%) followed by nonadherence to medications (21.2 %) and both were more common in women than in men. Community acquired infections, uncontrolled hypertension, arrhythmia, and anemia were significantly more common in men, (table).
CONCLUSIONS: Our study identified important gender related differences in factors precipitating HF hospitalizations in the Middle-East. Gender specific targeting of these factors is warranted in order to reduce the growing burden of HF hospitalizations.
Author Disclosures: A.M. Salam: None. K. Sulaiman: None. J. Al-Suwaidi: None. K. AlHabib: None. W. Almahmeed: None. A. Alsheikh-Ali: Other Research Support; Modest; Medtronic, Behringer Ingelheim. Honoraria; Modest; Boehringer Ingelheim, Bayer, Pfizer. P. Panduranga: None. H. AlFaleh: None. A. Elasfar: None. A. Al-Motarreb: None. N. Bazargani: None. M. Ridha: None. B. Bulbanat: None. M. Al-Jarallah: None. H. Amin: None. N. Asaad: None. A. Al-Qahtani: None. R. Singh: None. M. Yacoub: None.
- © 2014 by American Heart Association, Inc.