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Sex‐related differences in mortality following admission for acute heart failure across the left ventricular ejection fraction spectrum

Journal of the American Heart Association Dec 26, 2021

Santas E, Palau P, Llácer P, et al. - Findings showed absence of gender‐related differences in all‐cause mortality risk after an admission for acute heart failure (HF). However, women in comparison to men exhibited a lower risk of cardiovascular and HF‐mortality at the lower extreme of left ventricular ejection fraction (LVEF). Whereas, they demonstrated a higher risk of HF death at the upper extreme.

  • In this retrospective analysis, 4812 patients admitted for acute HF [46.6% were women, 53.4% were men, and 54.2% showed LVEF≥50%] were analyzed to assess gender‐related disparities in 6‐month death risk across LVEF after admission for acute HF.

  • Death occurred in 13.4% (n=645), being 11.3% and 8.6% cardiovascular and HF‐related deaths, respectively.

  • No independent association of LVEF was observed with mortality (hazard ratio, 1.02).

  • No gender-related differences in all‐cause death were seen post-multivariable adjustment.

  • However, across LVEF, there existed a significant interaction between gender and cardiovascular and HF mortality risks.

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