Comparison of one-year outcome in women versus men with chronic congestive heart failure

The last years of Pamela’s life were marked by further illness but also by a remarkable dedication to work. She was hospitalized several times for respiratory illnesses, but in 1974 she published a book of autobiographical essays, Important to Me, which covered such topics as memories of her father, her relationship with Dylan Thomas, her visits to the USSR, and her friendship with other writers such as Edith Sitwell. After months of undiagnosed pain, Snow died in 1980 of a perforated ulcer and Pamela died almost one year later of congestive heart failure and respiratory illness exacerbated by having smoked since the age of fourteen. Yet characteristically she worked courageously until the very end on a novel published posthumously: A Bonfire, which similarly to her first novel deals explicitly with sexual desire. Her ashes were scattered at Stratford-upon-Avon, a place she visited every year on Shakespeare’s birthday.

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Angiotensin-converting enzyme inhibitors the clinical setting of chronic congestive heart failure

The American Journal of Cardiology ◽

10.1016/s0002-9149(99)80515-3 ◽

1995 ◽

Vol 75 (16) ◽

pp. 50F-55F ◽

Cited By ~ 6

Author(s):

Ariel J. Reyes

Keyword(s):

Heart Failure ◽

Congestive Heart Failure ◽

Angiotensin Converting Enzyme ◽

Clinical Setting ◽

Enzyme Inhibitors ◽

Angiotensin Converting Enzyme Inhibitors ◽

Chronic Congestive Heart Failure ◽

Converting Enzyme ◽

Converting Enzyme Inhibitors

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Trends in mortality, co-morbidity and treatment after acute myocardial infarction in patients with rheumatoid arthritis 1998–2013

European Heart Journal Acute Cardiovascular Care ◽

10.1177/2048872619896069 ◽

2020 ◽

Vol 9 (8) ◽

pp. 931-938 ◽

Cited By ~ 1

Author(s):

Mattias Skielta ◽

Lars Söderström ◽

Solbritt Rantapää-Dahlqvist ◽

Solveig W Jonsson ◽

Thomas Mooe

Keyword(s):

Rheumatoid Arthritis ◽

Myocardial Infarction ◽

Heart Failure ◽

Atrial Fibrillation ◽

Acute Myocardial Infarction ◽

Congestive Heart Failure ◽

Cox Regression Analysis ◽

Co Morbidity ◽

One Year ◽

Over Time

Aims: Rheumatoid arthritis may influence the outcome after an acute myocardial infarction. We aimed to compare trends in one-year mortality, co-morbidities and treatments after a first acute myocardial infarction in patients with rheumatoid arthritis versus non-rheumatoid arthritis patients during 1998–2013. Furthermore, we wanted to identify characteristics associated with mortality. Methods and results: Data for 245,377 patients with a first acute myocardial infarction were drawn from the Swedish Register of Information and Knowledge about Swedish Heart Intensive Care Admissions for 1998–2013. In total, 4268 patients were diagnosed with rheumatoid arthritis. Kaplan-Meier analysis was used to study mortality trends over time and multivariable Cox regression analysis was used to identify variables associated with mortality. The one-year mortality in rheumatoid arthritis patients was initially lower compared to non-rheumatoid arthritis patients (14.7% versus 19.7%) but thereafter increased above that in non-rheumatoid arthritis patients (17.1% versus 13.5%). In rheumatoid arthritis patients the mean age at admission and the prevalence of atrial fibrillation increased over time. Congestive heart failure decreased more in non-rheumatoid arthritis than in rheumatoid arthritis patients. Congestive heart failure, atrial fibrillation, kidney failure, rheumatoid arthritis, prior diabetes mellitus and hypertension were associated with significantly higher one-year mortality during the study period 1998–2013. Conclusions: The decrease in one-year mortality after acute myocardial infarction in non-rheumatoid arthritis patients was not applicable to rheumatoid arthritis patients. This could partly be explained by an increased age at acute myocardial infarction onset and unfavourable trends with increased atrial fibrillation and congestive heart failure in rheumatoid arthritis. Rheumatoid arthritis per se was associated with a significantly worse prognosis.

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