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Table 1 Baseline patient demographics and clinical characteristics

From: Signs, symptoms, and treatment patterns across serial ambulatory cardiology visits in patients with heart failure: insights from the NCDR PINNACLE® registry

 

OVERALL STUDY POPULATION (n = 550,581)

Patients with Data Available

Patients with LVEF < 40% (n = 75,107)

Patients > 65 Years of Age (n = 374,580)

Age, yrs

69.7 ± 13.4

100%

68.6 ± 13.1

77.0 ± 7.6

Sex

 

99.7%

  

Men

54.9%

 

69.1%

53.2%

Race

 

42.5%

  

 White

87.4%

 

86.3%

91.1%

 Black

10.1%

 

12.0%

6.7%

 Other

2.5%

 

1.7%

2.2%

Ethnicity

    

Hispanic

1.9%

93.7%

2.2%

1.8%

Comorbidities

    

 Hypertension

82.2%

92.5%

77.1%

84.7%

 Dyslipidemia

65.0%

86.9%

68.6%

68.4%

 Coronary artery disease

60.9%

93.9%

70.7%

65.3%

 Atrial fibrillation/flutter

34.2%

92.0%

35.8%

41.2%

 Type 2 diabetes

28.1%

94.4%

30.7%

28.2%

 Previous myocardial infarction

21.7%

86.8%

31.4%

22.4%

 Stable angina

11.5%

86.7%

11.2%

12.5%

 Peripheral arterial disease

10.8%

87.9%

11.4%

12.4%

 Stroke/transient ischemic attack

6.1%

77.6%

5.8%

7.1%

 Ischemic stroke

2.5%

36.5%

2.5%

2.9%

 Unstable angina

2.4%

96.1%

2.4%

2.5%

NYHA functional class

 

32.0%

  

 1

59.7%

 

29.0%

54.0%

 2

29.3%

 

46.5%

33.1%

 3

10.0%

 

22.3%

11.8%

 4

1.0%

 

2.3%

1.1%

Symptoms

    

 Dyspnea

53.6%

85.7%

57.4%

55.2%

 Orthopnea

23.1%

88.7%

24.5%

23.3%

Systolic BP, mm Hg

127.7 ± 19.5

93.0%

121.8 ± 19.0

128.1 ± 19.4

Diastolic BP, mm Hg

73.2 ± 11.6

93.0%

71.7 ± 11.8

71.3 ± 10.9

Heart rate, bpm

72.9 ± 13.6

86.6%

74.1 ± 13.6

72.0 ± 13.2

Physical signs

    

Rales

4.9%

86.2%

6.2%

5.7%

Ascites

0.8%

92.9%

1.1%

0.8%

Peripheral edema

52.2%

77.2%

54.2%

53.4%

Hepatomegaly

0.6%

96.1%

1.0%

0.6%

S3 gallop

6.9%

91.8%

8.6%

7.3%

S4 gallop

12.3%

89.1%

11.6%

12.8%

JVD

6.8%

91.8%

8.4%

7.2%

BMI, kg/m2

30.8 ± 9.6

74.3%

29.9 ± 9.0

29.6 ± 9.0

Tobacco use

 

52.1%

  

 Never

40.1%

 

34.3%

40.0%

 Current

14.4%

 

17.0%

11.2%

 Quit within 12 months

3.3%

 

4.0%

3.2%

 Quit more than 12 months ago

42.1%

 

44.7%

45.7%

LVEF

 

52.2%

  

 ≥50%

58.3%

  

60.5%

 40–49%

15.6%

  

15.5%

 < 40%

26.1%

 

100%

24.0%

Treatment

 

100%

  

 ACEI

43.6%

 

58.6%

42.3%

 ARB

20.7%

 

18.5%

22.1%

 BB

68.8%

 

85.2%

70.0%

 Diuretic

56.4%

 

70.0%

60.0%

Medical procedures/ devices

    

 PCI

1.0%

70.1%

1.3%

1.0%

 Pacemaker

9.2%

35.2%

24.1%

10.1%

 CRT-D

9.5%

34.9%

24.4%

10.4%

 ICD

11.1%

34.8%

29.7%

11.5%

  1. ACEI angiotensin-converting enzyme inhibitor, ARB angiotensin receptor blocker, BB beta blocker, BMI body mass index, BP blood pressure, bpm beats per minute, CRT-D cardiac resynchronization therapy plus defibrillator, ICD implantable cardioverter defibrillators, JVD jugular vein distention, LVEF left ventricular ejection fraction, mm Hg millimeters of mercury, NYHA New York Heart Association, PCI percutaneous coronary intervention, S3 third heart sound, S4 fourth heart sound, yrs. years