Here - American Geriatrics Society

P OSTER
A BSTRACTS
Discussion: While cardiovascular medications were associated
with decreased mortality, there was an association with increased
with increased number of cardiovascular events. These results indicate
that cardiovascular medications may have beneficial effects for
the outcomes of patients admitted with pneumonia however not due
only to cardioprotective effects.
C44 Encore Presentation
Lower diastolic blood pressure and increased heart rate are
independent predictors of mortality for 1 year in elderly outpatients:
Data from Frailty in elderly with cardiovascular disease.
A. R. Diniz, A. Frisoli, E. T. Pinto, J. D. Majeski, M. Erlichman,
A. C. Carvalho. UNIFESP- Escola Paulista de Medicina, São Paulo,
Brazil.
Introduction: Increased heart rate (HR) is risk factor for cardiovascular
mortality. Elevated values of diastolic (DBP) and systolic
blood pressure (SBP) have been associated with the same outcomes.
The predict outcomes of low values of DBP and SBP with increased
HF has been poor clarified in elderly.
The goal of this study was to evaluate the association of increased
HR, lower DBP and SBP with mortality for 1 year in elderly
outpatients.
Methods: cross sectional analysis of data from an observational
study of epidemiology of frailty in elderly outpatients with cardiovascular
diseases. DBS, SBP and HF were obtained with the median of
three measures at the first visit. Diagnoses of Heart failure were
made with ejection fraction higher (diastolic heart failure-DHF) or
lower than 50% (systolic heart failure-SHF) and the presence of signs
and symptoms of heart failure (NYHA). Mortality information was
obtained by phone call at 6, 12, 18 and 24 months after.
Results: On May, 2011, 103 patients reached 1 year or died.
74.5% had heart failure, which 48.4% DHF and 51.6% SHF. Female
was 60.2% (n=62) prevalent. The mean age of men was 76.05 (±5.0)
and women 77.71 (±5.5) years old. 60% were Caucasian. Mortality
rate was 8.7% (n=9), which 66.7% had heart failure and 50% DHF.
Among patients who died SBP (119 vs 141mmHg; 0.028) and DBS
(68 vs 88mmHg; 0.003) were significant lower, and HR (96 vs 69bpm;