Impact of the sustained control of cardiovascular risk factors on fi rst episode heart failure: The relevant role of primary care

Miguel Angel Muñoz, Jordi Real, José Luis Del Val, Ernest Vinyoles, Xavier Mundet, Mar Domingo, Cristina Enjuanes, José Maria Verdù-Rotellar

Research output: Contribution to journalArticleResearchpeer-review

3 Citations (Scopus)

Abstract

© 2015 Informa Healthcare. Background: The role of cardiovascular risk factor control in the development of heart failure (HF) has not yet been clearly established. Objective: To determine the eff ect of cardiovascular risk factor control on the occurrence of a fi rst episode of hospital admission for HF. Methods: A case-control study using propensity score-matching was carried out to analyse the occurrence of fi rst hospital admission for HF taking into account the degree of cardiovascular risk factor control over the previous 24 months. All patients admitted to the cardiology unit of the Hospital del Mar between 2008 and 2011 because of a fi rst episode of HF were considered cases. Controls were selected from the population in the hospital catchment area who were using primary care services. Cardiovascular risk factor measurements in the primary healthcare electronic medical records prior to the fi rst HF episode were analysed. Results: After the matching process, 645 participants were analysed (129 HF cases and 516 controls). Patients suff ering a fi rst HF episode had modest increments in body mass index and blood pressure levels during the previous two years. Adjusted odds ratio for experiencing a first HF hospital admission episode according to systolic blood pressure levels and body mass index was (OR: 1.031, 95% CI: 1.001-1.04), and (OR: 1.09, 95% CI: 1.03-1.15), respectively. Conclusion: Increased levels of body mass index and systolic blood pressure during the previous 24 months may determine a higher risk of having a fi rst HF hospital admission episode.
Original languageEnglish
Pages (from-to)224-230
JournalEuropean Journal of General Practice
Volume21
Issue number4
DOIs
Publication statusPublished - 1 Jan 2015

Keywords

  • Cardiovascular risk factors
  • Heart failure
  • Hospital admission
  • Primary care

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