Gender-Related Differences in Patients with Acute Heart Failure: Observation from the Journey Heart Failure-Turkish Population Study

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dc.authoridZoghi, Mehdi/0000-0002-8156-2675
dc.contributor.authorAkcay, Filiz Akyildiz
dc.contributor.authorSinan, Umit Yasar
dc.contributor.authorGurbuz, Dogac Caglar
dc.contributor.authorSafak, Ozgen
dc.contributor.authorKaya, Hakki
dc.contributor.authorYuksek, Umit
dc.contributor.authorZoghi, Mehdi
dc.date.accessioned2025-01-27T20:57:55Z
dc.date.available2025-01-27T20:57:55Z
dc.date.issued2023
dc.departmentÇanakkale Onsekiz Mart Üniversitesi
dc.description.abstractBackground: Gender-related clinical variations in patients with acute heart failure have been described in previous studies. However, there is still a lack of research on gender differences in patients hospitalized for acute heart failure in Turkiye. The aim of this study is to compare the clinical features, in-hospital approaches, and outcomes of male and female patients hospitalized for acute heart failure. Methods: Differences in clinical characteristics, medication prescription, hospital management, and outcomes between males and females with acute heart failure were investigated from the Journey Heart Failure-Turkish Population study. Results: Nine hundred eighteen patients (57.2%) were men and 688 (42.8%) were women. Women were older than men (70.48 +/- 13.20 years vs. 65.87 +/- 12.82 years; P <.001). The frequency of comorbidities such as hypertension (72.7% vs. 62.4%, P <.001), diabetes (46.5% vs. 38.5%, P =.001), atrial fibrillation (46.5% vs. 33.4%, P <.001), New York Heart Association class III-IV symptoms (80.6% vs. 71.2%, P =.001), and dyspnea in the rest (73.8% vs. 68.3%, P =.044) were more common in women on admission. Male patients were more frequently hospitalized with reduced left ventricular ejection fraction (51.0% vs. 72.4%, P <.001). In-hospital mortality was higher among female patients (9.3% vs. 6.4%, P =.022). Higher New York Heart Association class, lower estimated glomerular filtration rate, higher N-terminal pro-B type natriuretic peptide on admission, and mechanical ventilation usage were the independent parameters of in-hospital mortality, whereas the female gender was not. Conclusion: Our study clearly demonstrated the diversity in presentation, management, and in-hospital outcomes of acute heart failure between male and female patients. Although left ventricular systolic functions were better in female patients, in-hospital mortality was higher. Recognizing these differences in the management of heart failure in different sexes will serve better results in clinical practice.
dc.identifier.doi10.14744/AnatolJCardiol.2023.2971
dc.identifier.endpage649
dc.identifier.issn2149-2263
dc.identifier.issn2149-2271
dc.identifier.issue11
dc.identifier.pmid37466026
dc.identifier.scopus2-s2.0-85176255257
dc.identifier.scopusqualityQ3
dc.identifier.startpage639
dc.identifier.urihttps://doi.org/10.14744/AnatolJCardiol.2023.2971
dc.identifier.urihttps://hdl.handle.net/20.500.12428/26548
dc.identifier.volume27
dc.identifier.wosWOS:001138681200007
dc.identifier.wosqualityQ3
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoen
dc.publisherKare Publ
dc.relation.ispartofAnatolian Journal of Cardiology
dc.relation.publicationcategoryinfo:eu-repo/semantics/openAccess
dc.rightsinfo:eu-repo/semantics/openAccess
dc.snmzKA_WoS_20250125
dc.subjectHeart failure
dc.subjectacute heart failure
dc.subjectgender differences
dc.titleGender-Related Differences in Patients with Acute Heart Failure: Observation from the Journey Heart Failure-Turkish Population Study
dc.typeArticle

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