Clinical features and risk factors of cardiovascular adverse events in patients with chronic heart failure
Jia Wanru
Xiang Xin
Wang Lu
Shang Wentao
Bo Xiaohong
Abstract:Objective To discuss the clinical features and risk factors of cardiovascular adverse events(CVAE)in patients with chronic heart failure(CHF).Methods CHF patients(n=135)were chosen from People's Hospital of Taihe County from Apr.2021 to Dec.2022.All patients were divided,according to follow-up results,into CVAE group(n=41)and non-CVAE group(n=94).The clinical materials were collected and clinical features were analyzed in CHF patients.The risk factors of CVAE were analyzed by using multi-factor Logistic regression model.Results The radio of male to female was 61:74.There were 32 cases of grade Ⅱ of NYHA,71 cases of gradeⅢ of NYHA and 32 cases of grade Ⅳ of NYHA.The causes of CHF were mainly coronary heart disease(45.93%,62/135),hypertension heart disease(33.33%,45/135),dilated cardiomyopathy(12.59%,17/135),rheumatic heart disease(2.22%,3/135),chronic pulmonary heart disease(1.48%,2/135),congenital heart disease(1.48%,2/135)and other CVAE(2.96%,4/135).There were totally 41 cases of CVAE in all patients during follow-up period.The results of single-factor analysis showed that the differences in gender,body mass index(BMI),hypertension,heart rate,drinking,atrial fibrillation,systolic blood pressure,diastolic blood pressure,fasting plasma glucose,glycated hemoglobin and complicated diseases had no statistical significance(P>0.05),while the differences in age,diabetes,dyslipidemia,length of hospital stay and smoking had statistical significance between 2 groups(P<0.05).The results of multi-factor non-conditional Logistic regression analysis showed that age,diabetes,dyslipidemia,length of hospital stay and smoking were independent risk factors for CVAE in CHF patients(P<0.05).Conclusion The clinical manifestations are various in forms in CHF patients,so the risk factors should be intervened in time to delay disease development.
Keywords:Chronic heart failureCardiovascular adverse eventsRisk factors
Publication Date:2024-03-28
Online Publishing Date:2025-08-15(First online date of this platform, not the publication date of the document)
Pages:3( 304-306 )