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Published in: Current Heart Failure Reports 4/2020

01-08-2020 | Heart Failure | Comorbidities (T von Lueder & I Hopper, Section Editors)

Coexisting Morbidities in Heart Failure: No Robust Interaction with the Left Ventricular Ejection Fraction

Authors: Andrew Xanthopoulos, Apostolos Dimos, Grigorios Giamouzis, Angeliki Bourazana, Alexandros Zagouras, Michail Papamichalis, Takeshi Kitai, John Skoularigis, Filippos Triposkiadis

Published in: Current Heart Failure Reports | Issue 4/2020

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Abstract

Purpose of Review

Heart failure (HF) patients often present with multiple coexisting morbidities. In this review, we contend that coexisting morbidities are highly prevalent and clinically important regardless of the left ventricular ejection fraction (LVEF).

Recent Findings

Multimorbidity is prevalent in the ambulatory subjects of the community and increases with age. Differences in the prevalence of coexisting morbidities between HF with preserved LVEF (> 50%), mid-range LVEF (40–50%), and reduced LVEF (< 40%) are either not demonstrable or whenever present are small and unrelated to morbidity and mortality. The constellation of coexisting morbidities together with the disease modifiers (age, sex, genes, other) defines the HF phenotype and outcome.

Summary

There is no robust evidence supporting an interaction in HF patients between the prevalence and clinical significance of coexisting morbidities and the LVEF.
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Metadata
Title
Coexisting Morbidities in Heart Failure: No Robust Interaction with the Left Ventricular Ejection Fraction
Authors
Andrew Xanthopoulos
Apostolos Dimos
Grigorios Giamouzis
Angeliki Bourazana
Alexandros Zagouras
Michail Papamichalis
Takeshi Kitai
John Skoularigis
Filippos Triposkiadis
Publication date
01-08-2020
Publisher
Springer US
Keyword
Heart Failure
Published in
Current Heart Failure Reports / Issue 4/2020
Print ISSN: 1546-9530
Electronic ISSN: 1546-9549
DOI
https://doi.org/10.1007/s11897-020-00461-3

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