title: Characterization of diastolic dysfunction heart failure following an acute hospitalization for heart failure in an urban, underserved population.
abstract: OBJECTIVE
  The aim of this retrospective study was to describe demographic and clinical characteristics of patients with diastolic dysfunction heart failure (DHF) in a safety-net institution.
  
  
  METHODS
  Descriptive statistics were used to summarize characteristics for adults with DHF hospitalized for acute decompensated heart failure (ADHF) between 1 January 2009 and 30 June 2010.
  
  
  RESULTS
  Of 483 patients with an ADHF-related admission, only 83 (17.2%) had pure DHF. Mean age was 59.6 ± 13.1 years old, with nearly equal proportions of male and female patients. Hypertension (89.2%), coronary artery disease (74.7%), and diabetes (63.9%) comorbidities were most common. Diuretics (91.6%), angiotensin converting enzyme inhibitors or angiotensin receptor blockers (69.9%), and β blockers (60.3%) were most frequently prescribed on discharge.
  
  
  CONCLUSIONS
  In our population, DHF is more prevalent in younger patients of any ethnicity, especially Hispanic/Latino and black ethnicities, compared with nationwide estimates. Our patients with DHF had higher ejection fractions and were prescribed higher rates of traditional heart failure medications.
authors.affiliation: Denver Health Medical Center, Denver, CO, USA.
authors.forename: Brooke R
authors.initials: BR
authors.lastname: Wobeter
authors.affiliation: University of Colorado Skaggs School of Pharmacy and Pharmaceutical Sciences, Aurora, CO, USA.
authors.forename: Sarah L
authors.initials: SL
authors.lastname: Anderson
authors.affiliation: University of Colorado Skaggs School of Pharmacy and Pharmaceutical Sciences, Mail Stop C238, 12850 E. Montview Blvd, Room V20-2128, Aurora, CO 80045, USA joel.marrs@ucdenver.edu.
authors.forename: Joel C
authors.initials: JC
authors.lastname: Marrs
mesh_terms: D000208:Acute Disease; D000367:Age Factors; D000368:Aged; D000369:Aged, 80 and over; D003324:Coronary Artery Disease / Q000453:epidemiology; D003920:Diabetes Mellitus / Q000453:epidemiology; D005260:Female; D054144:Heart Failure, Diastolic / Q000188:drug therapy / Q000453:epidemiology / Q000503:physiopathology*; D006760:Hospitalization; D006801:Humans; D006973:Hypertension / Q000453:epidemiology; D008297:Male; D008507:Medically Underserved Area; D008875:Middle Aged; D012189:Retrospective Studies; D014505:Urban Population
keywords: drug therapy; ethnic groups; heart failure; safety net