title: [Characteristics, outcome and predictors of one year mortality rate in patients with acute heart failure].
abstract: OBJECTIVE
  Acute heart failure (AHF) is one of the most common diseases in emergency medicine, associated with poor prognosis and high in-hospital and long-term mortality. The aim of this study was to investigate characteristics, outcomes and one year mortality of patients with AHF in the local population.
  
  
  METHODS
  This prospective study consisted of 64 consecutive unselected patients treated in the Coronary Care Unit of the Emergency Centre (Clinical Center of Serbia, Belgrade) and were followed for one year after the discharge.
  
  
  RESULTS
  Mean age of the patients was 63.6 +/- 12.6 years and 59.4% were males. Acute congestion (43.8%) and pulmonary edema (39.1%) were the most common presentations of AHF. Mean left ventricular ejection fraction (LVEF) was 39.7% +/- 9.25%, while 44.4% of the patients had LVEF > or = 50%. At discharge, 55.9% of the patients received therapy with P-blockers, 94.9% diuretics, out of which 47.7% spironolactone, 94.9% patients were given ACE-inhibitors or angiotensin receptor blockers (ARB). The 12-month all-cause mortality was 26.5%. Independent predictors of one year mortality were previous hospitalization due to heart disease, reduced LVEF, reduced fraction of shortening (FS) and a higher tricuspid velocity.
  
  
  CONCLUSIONS
  One year mortality of our patients with AHF was high, similar to the known European studies. Independent predictors of one year mortality were previous hospitalization due to heart disease, reduced LVEF and LVFS and a higher tricuspid velocity.
authors: Klinicki centar Srbije, Institut za kardiovaskularne bolesti, Beograd, Srbija. markobanovic71@gmail.com
authors: Marko
authors: M
authors: Banović
authors: Zorana
authors: Z
authors: Vasiljević-Pokrajcić
authors: Bosiljka
authors: B
authors: Vujisić-Tesić
authors: Sanja
authors: S
authors: Stanković
authors: Ivana
authors: I
authors: Nedeljković
authors: Olga
authors: O
authors: Petrović
authors: Marija
authors: M
authors: Boricić-Kostić
authors: Milan
authors: M
authors: Petrović
authors: Danijela
authors: D
authors: Trifunović
authors: Miodrag
authors: M
authors: Ostojić
mesh_terms: D000368:Aged; D002423:Cause of Death; D005260:Female; D006333:Heart Failure / Q000188:drug therapy / Q000401:mortality* / Q000503:physiopathology; D006801:Humans; D008297:Male; D008875:Middle Aged; D011379:Prognosis; D012307:Risk Factors; D013318:Stroke Volume; D016277:Ventricular Function, Left