Nature and prognostic importance of abnormal glucose tolerance and diabetes in acute heart failure

Objective:To investigate the nature and importance of blood glucose abnormalities in an unselected heart failure (HF) population.Design:Cohort study.Setting:Urban University hospital.Patients:All index emergency HF admissions to one University hospital during the year 2000 were studied.Results:454 c...

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Veröffentlicht in:	Heart (British Cardiac Society) 2008-03, Vol.94 (3), p.296-304
Hauptverfasser:	Berry, C, Brett, M, Stevenson, K, McMurray, J J V, Norrie, J
Format:	Artikel
Sprache:	eng
Schlagworte:	Acute Disease Aged Biological and medical sciences Blood Glucose - metabolism Cardiology. Vascular system diabetes Diabetes Mellitus - blood Diabetes Mellitus - mortality Diabetes. Impaired glucose tolerance Diabetic Angiopathies - blood Diabetic Angiopathies - complications Diabetic Angiopathies - mortality Drug therapy Echocardiography - methods Endocrine pancreas. Apud cells (diseases) Endocrinopathies Epidemiologic Methods Etiopathogenesis. Screening. Investigations. Target tissue resistance Female Glomerular Filtration Rate - physiology Glucose Glucose Intolerance - blood Glucose Intolerance - complications Glucose Intolerance - mortality Heart Heart attacks heart failure Heart Failure - blood Heart Failure - complications Heart Failure - mortality Heart failure, cardiogenic pulmonary edema, cardiac enlargement Humans Male Medical sciences Mortality Prognosis Stroke Volume - physiology Systole - physiology Ventricular Dysfunction, Left - diagnostic imaging
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Zusammenfassung:	Objective:To investigate the nature and importance of blood glucose abnormalities in an unselected heart failure (HF) population.Design:Cohort study.Setting:Urban University hospital.Patients:All index emergency HF admissions to one University hospital during the year 2000 were studied.Results:454 consecutive index admissions had blood chemistry, diabetic status and follow-up information recorded. 390 (86%) patients had an echocardiogram, of whom 117 (30%) had preserved left ventricular systolic function and 110 (24%) had diabetes. Sixty (13%) patients had abnormal glucose tolerance (8.0–10.99 mmol/l), and 284 (63%) patients had a normal admission blood glucose (
ISSN:	1355-6037 1468-201X
DOI:	10.1136/hrt.2006.110999