년 월 일2009 8
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국문요약 middotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotⅳ
서 론Ⅰ middotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddot 1
재료 및 방법Ⅱ middotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddot 2
연구대상1 middotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddot 2
자료수집 방법 및 심부전의 정의2 middotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddot 2
자료 처리 및 통계분석3 middotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddot 5
결 과Ⅲ middotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddot 6
연구대상 환자의 임상적 특성1 middotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddot 6
수축기 심부전과 이완기 심부전의 임상양상의 비교2 middotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddot 6
사망률 호전 여부와 관련된 인자3 middotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddot 8
수축기 심부전과 이완기 심부전 환자의 생존분석 결과4 middotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddot 8
고 찰Ⅳ middotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddot 10
결 론V middotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddot 13
참고문헌 middotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddot 14
Abstract middotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddot 18
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Table 1 Clinical characteristics of systolic and diastolic heart failure
patients middotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddot 20
Table 2 Echocardiographic finding of systolic heart failure and diastolic
heart failure patients middotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddot 21
Table 3 Laboratory finding of systolic heart failure and diastolic heart
failure patients middotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddot 22
Table 4 Comparisons of various factors between survival and death group
in systolic and diastolic heart failure patients middotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddot 23
Table 5 Various factors that affect death in systolic and diastolic heart
failure patients (univariate Cox regression) middotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddot 24
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1063
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Department of Medicine
The Graduate School Yonsei University
( )
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707 025
003
_____________________________________________________________
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SHF systolic heart failure DHF diastolic heart failure BSA body
surface area BP blood pressure HD heart disease CMP
cardiomyopathy
Male () 56(538) 31(456) 029
Diabetes () 30(288) 21(309) 077
Smoking () 48(769) 23(338) 010
History of Hypertension () 50(481) 36(529) 039
()
()
()
()
()
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LVIDD diastolic left ventricular internal dimension LVIDS systolic left
ventricular internal dimension SHF systolic heart failureDHF diastolic
heart failure
SHF( N= 104) DHF( N= 68) p
Ejection fraction () 286plusmn72 498plusmn104 000
LVIDD (cm) 65plusmn09 57plusmn09 000
LVIDS (cm) 55plusmn10 41plusmn08 000
Left atrium (cm) 50plusmn08 52plusmn09 004
Relaxation abnormality () 35(337) 25(368) 062
Pseudonormal pattern () 6(58) 12(176) 001
Restrictive physiology () 23(221) 4(59) 0005
E velocity (cms) 94plusmn36 99plusmn36 053
A velocity (cms) 82plusmn31 102plusmn44 001
EA ratio 14plusmn10 10plusmn05 004
EE 194plusmn118 169plusmn132 037
LV mass index (gm2) 1449plusmn434 1312plusmn466 008
Wall motion score index 198plusmn105 149plusmn068 000
Mitral regurgitation () 42(477) 27(429) 055
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SHF systolic heart failure DHF diastolic heart failure Na serum
sodium K serum potassium BUN Blood urea nitrogen HDL high
density lipoprotein LDL low density lipoprotein BNP brain natriuretic
peptide
SHF( N= 104) DHF( N= 68) p
Lab test
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SHF systolic heart failure DHF diastolic heart failure HTN Hypertension
Hb hemoglobin BUN Biliary urea nitrogen LA left atrium MACE major
adverse cardiac event WMSI wall motion score index fu follow up
Survival(N=48) Death(N=18) P value
DHF Age(years) 680plusmn116 771plusmn96 000
Hb 124plusmn28 116plusmn21 022
Weight(kg) 547plusmn121 529plusmn81 055
BUN 224plusmn119 246plusmn123 051
Creatinine 12plusmn07 15plusmn08 012
BNP(follow up) 5384plusmn5781 11743plusmn14322 015
LA size(cm) 53plusmn10 50plusmn07 029
Symptom(day) 29plusmn17 28plusmn15 085
WMSI 151plusmn061 149plusmn086 089
MACE() 9(188) 5(277) 042
Sex(male)() 23(479) 6(333) 028
HTN() 21(417) 14(778) 002
ACEI use(Initial)() 35(729) 7(389) 001
Dichlozid use(fu)() 30(625) 4(222) 000
Furosemide use(Initial)() 15(313) 11(611) 002
Survival(N=56) Death(N=37) P value
SHF Age(years) 641plusmn146 741plusmn90 000
Hb 130plusmn18 115plusmn21 000
Weight(kg) 592plusmn138 524plusmn110 000
BUN 199plusmn110 307plusmn135 000
Creatinine 12plusmn04 15plusmn09 002
BNP(follow up) 3989plusmn5006 15221plusmn16526 000
LA size(cm) 52plusmn08 46plusmn06 000
Symptom(day) 31plusmn14 25plusmn13 003
WMSI 174plusmn114 220plusmn095 003
MACE 11(196) 19(514) 000
Sex(male)() 29(518) 23(622) 032
HTN() 23(411) 22(595) 008
ACEI use(Initial)() 36(643) 23(622) 083
Dichlozid use(fu)() 36(643) 23(622) 083
Furosemide use(Initial)() 25(446) 22(595) 016
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SHF systolic heart failure DHF diastolic heart
failure BUN Biliary urea nitrogen LA left atrium fu
follow up
Exp(B)950 CI for EXP(B)
Lower Upper
SHF Age(year) 1047 1014 1081
Weight(day) 0963 0934 0993
Hemoglobin 0821 0702 0961
BUN 1036 1012 1060
Creatinine 1717 1114 2647
BNP(follow up) 1000 1000 1001
LA size(cm) 0416 0230 0751
Symptom(day) 0701 0505 0974
Initial ACEI use 0857 0409 1795
Initial ARB use 1085 0463 2541
dichlozid use(fu) 1199 0546 2635
Initial furosemide use 1479 0706 3098
DHF Age(year) 1080 1026 1137
Weight(kg) 0969 0922 1018
Hemoglobin 0892 0754 1055
BUN 1007 0971 1045
Creatinine 1358 0837 2203
BNP(follow up) 1001 1000 1002
LA size(cm) 0863 0502 1483
Symptom(day) 0958 0711 1292
Initial ACEI use 2970 1128 7825
Initial ARB use 0283 0104 0772
dichlozid use(fu) 3821 1245 11725
Initial furosemide use 0363 0137 0962
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SHF systolic heart failure DHF diastolic heart failure
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국문요약 middotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotⅳ
서 론Ⅰ middotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddot 1
재료 및 방법Ⅱ middotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddot 2
연구대상1 middotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddot 2
자료수집 방법 및 심부전의 정의2 middotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddot 2
자료 처리 및 통계분석3 middotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddot 5
결 과Ⅲ middotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddot 6
연구대상 환자의 임상적 특성1 middotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddot 6
수축기 심부전과 이완기 심부전의 임상양상의 비교2 middotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddot 6
사망률 호전 여부와 관련된 인자3 middotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddot 8
수축기 심부전과 이완기 심부전 환자의 생존분석 결과4 middotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddot 8
고 찰Ⅳ middotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddot 10
결 론V middotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddot 13
참고문헌 middotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddot 14
Abstract middotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddot 18
- ii -
Table 1 Clinical characteristics of systolic and diastolic heart failure
patients middotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddot 20
Table 2 Echocardiographic finding of systolic heart failure and diastolic
heart failure patients middotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddot 21
Table 3 Laboratory finding of systolic heart failure and diastolic heart
failure patients middotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddot 22
Table 4 Comparisons of various factors between survival and death group
in systolic and diastolic heart failure patients middotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddot 23
Table 5 Various factors that affect death in systolic and diastolic heart
failure patients (univariate Cox regression) middotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddot 24
- iii -
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003
- v -
- 1 -
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- 3 -
- 4 -
- 5 -
- 6 -
- 7 -
- 8 -
- 9 -
1063
- 10 -
- 11 -
- 12 -
- 13 -
- 14 -
- 15 -
- 16 -
- 17 -
- 18 -
Department of Medicine
The Graduate School Yonsei University
( )
- 19 -
707 025
003
_____________________________________________________________
- 20 -
SHF systolic heart failure DHF diastolic heart failure BSA body
surface area BP blood pressure HD heart disease CMP
cardiomyopathy
Male () 56(538) 31(456) 029
Diabetes () 30(288) 21(309) 077
Smoking () 48(769) 23(338) 010
History of Hypertension () 50(481) 36(529) 039
()
()
()
()
()
- 21 -
LVIDD diastolic left ventricular internal dimension LVIDS systolic left
ventricular internal dimension SHF systolic heart failureDHF diastolic
heart failure
SHF( N= 104) DHF( N= 68) p
Ejection fraction () 286plusmn72 498plusmn104 000
LVIDD (cm) 65plusmn09 57plusmn09 000
LVIDS (cm) 55plusmn10 41plusmn08 000
Left atrium (cm) 50plusmn08 52plusmn09 004
Relaxation abnormality () 35(337) 25(368) 062
Pseudonormal pattern () 6(58) 12(176) 001
Restrictive physiology () 23(221) 4(59) 0005
E velocity (cms) 94plusmn36 99plusmn36 053
A velocity (cms) 82plusmn31 102plusmn44 001
EA ratio 14plusmn10 10plusmn05 004
EE 194plusmn118 169plusmn132 037
LV mass index (gm2) 1449plusmn434 1312plusmn466 008
Wall motion score index 198plusmn105 149plusmn068 000
Mitral regurgitation () 42(477) 27(429) 055
- 22 -
SHF systolic heart failure DHF diastolic heart failure Na serum
sodium K serum potassium BUN Blood urea nitrogen HDL high
density lipoprotein LDL low density lipoprotein BNP brain natriuretic
peptide
SHF( N= 104) DHF( N= 68) p
Lab test
- 23 -
SHF systolic heart failure DHF diastolic heart failure HTN Hypertension
Hb hemoglobin BUN Biliary urea nitrogen LA left atrium MACE major
adverse cardiac event WMSI wall motion score index fu follow up
Survival(N=48) Death(N=18) P value
DHF Age(years) 680plusmn116 771plusmn96 000
Hb 124plusmn28 116plusmn21 022
Weight(kg) 547plusmn121 529plusmn81 055
BUN 224plusmn119 246plusmn123 051
Creatinine 12plusmn07 15plusmn08 012
BNP(follow up) 5384plusmn5781 11743plusmn14322 015
LA size(cm) 53plusmn10 50plusmn07 029
Symptom(day) 29plusmn17 28plusmn15 085
WMSI 151plusmn061 149plusmn086 089
MACE() 9(188) 5(277) 042
Sex(male)() 23(479) 6(333) 028
HTN() 21(417) 14(778) 002
ACEI use(Initial)() 35(729) 7(389) 001
Dichlozid use(fu)() 30(625) 4(222) 000
Furosemide use(Initial)() 15(313) 11(611) 002
Survival(N=56) Death(N=37) P value
SHF Age(years) 641plusmn146 741plusmn90 000
Hb 130plusmn18 115plusmn21 000
Weight(kg) 592plusmn138 524plusmn110 000
BUN 199plusmn110 307plusmn135 000
Creatinine 12plusmn04 15plusmn09 002
BNP(follow up) 3989plusmn5006 15221plusmn16526 000
LA size(cm) 52plusmn08 46plusmn06 000
Symptom(day) 31plusmn14 25plusmn13 003
WMSI 174plusmn114 220plusmn095 003
MACE 11(196) 19(514) 000
Sex(male)() 29(518) 23(622) 032
HTN() 23(411) 22(595) 008
ACEI use(Initial)() 36(643) 23(622) 083
Dichlozid use(fu)() 36(643) 23(622) 083
Furosemide use(Initial)() 25(446) 22(595) 016
- 24 -
SHF systolic heart failure DHF diastolic heart
failure BUN Biliary urea nitrogen LA left atrium fu
follow up
Exp(B)950 CI for EXP(B)
Lower Upper
SHF Age(year) 1047 1014 1081
Weight(day) 0963 0934 0993
Hemoglobin 0821 0702 0961
BUN 1036 1012 1060
Creatinine 1717 1114 2647
BNP(follow up) 1000 1000 1001
LA size(cm) 0416 0230 0751
Symptom(day) 0701 0505 0974
Initial ACEI use 0857 0409 1795
Initial ARB use 1085 0463 2541
dichlozid use(fu) 1199 0546 2635
Initial furosemide use 1479 0706 3098
DHF Age(year) 1080 1026 1137
Weight(kg) 0969 0922 1018
Hemoglobin 0892 0754 1055
BUN 1007 0971 1045
Creatinine 1358 0837 2203
BNP(follow up) 1001 1000 1002
LA size(cm) 0863 0502 1483
Symptom(day) 0958 0711 1292
Initial ACEI use 2970 1128 7825
Initial ARB use 0283 0104 0772
dichlozid use(fu) 3821 1245 11725
Initial furosemide use 0363 0137 0962
- 25 -
SHF systolic heart failure DHF diastolic heart failure
- i -
국문요약 middotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotⅳ
서 론Ⅰ middotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddot 1
재료 및 방법Ⅱ middotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddot 2
연구대상1 middotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddot 2
자료수집 방법 및 심부전의 정의2 middotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddot 2
자료 처리 및 통계분석3 middotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddot 5
결 과Ⅲ middotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddot 6
연구대상 환자의 임상적 특성1 middotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddot 6
수축기 심부전과 이완기 심부전의 임상양상의 비교2 middotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddot 6
사망률 호전 여부와 관련된 인자3 middotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddot 8
수축기 심부전과 이완기 심부전 환자의 생존분석 결과4 middotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddot 8
고 찰Ⅳ middotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddot 10
결 론V middotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddot 13
참고문헌 middotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddot 14
Abstract middotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddot 18
- ii -
Table 1 Clinical characteristics of systolic and diastolic heart failure
patients middotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddot 20
Table 2 Echocardiographic finding of systolic heart failure and diastolic
heart failure patients middotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddot 21
Table 3 Laboratory finding of systolic heart failure and diastolic heart
failure patients middotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddot 22
Table 4 Comparisons of various factors between survival and death group
in systolic and diastolic heart failure patients middotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddot 23
Table 5 Various factors that affect death in systolic and diastolic heart
failure patients (univariate Cox regression) middotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddot 24
- iii -
- iv -
003
- v -
- 1 -
- 2 -
- 3 -
- 4 -
- 5 -
- 6 -
- 7 -
- 8 -
- 9 -
1063
- 10 -
- 11 -
- 12 -
- 13 -
- 14 -
- 15 -
- 16 -
- 17 -
- 18 -
Department of Medicine
The Graduate School Yonsei University
( )
- 19 -
707 025
003
_____________________________________________________________
- 20 -
SHF systolic heart failure DHF diastolic heart failure BSA body
surface area BP blood pressure HD heart disease CMP
cardiomyopathy
Male () 56(538) 31(456) 029
Diabetes () 30(288) 21(309) 077
Smoking () 48(769) 23(338) 010
History of Hypertension () 50(481) 36(529) 039
()
()
()
()
()
- 21 -
LVIDD diastolic left ventricular internal dimension LVIDS systolic left
ventricular internal dimension SHF systolic heart failureDHF diastolic
heart failure
SHF( N= 104) DHF( N= 68) p
Ejection fraction () 286plusmn72 498plusmn104 000
LVIDD (cm) 65plusmn09 57plusmn09 000
LVIDS (cm) 55plusmn10 41plusmn08 000
Left atrium (cm) 50plusmn08 52plusmn09 004
Relaxation abnormality () 35(337) 25(368) 062
Pseudonormal pattern () 6(58) 12(176) 001
Restrictive physiology () 23(221) 4(59) 0005
E velocity (cms) 94plusmn36 99plusmn36 053
A velocity (cms) 82plusmn31 102plusmn44 001
EA ratio 14plusmn10 10plusmn05 004
EE 194plusmn118 169plusmn132 037
LV mass index (gm2) 1449plusmn434 1312plusmn466 008
Wall motion score index 198plusmn105 149plusmn068 000
Mitral regurgitation () 42(477) 27(429) 055
- 22 -
SHF systolic heart failure DHF diastolic heart failure Na serum
sodium K serum potassium BUN Blood urea nitrogen HDL high
density lipoprotein LDL low density lipoprotein BNP brain natriuretic
peptide
SHF( N= 104) DHF( N= 68) p
Lab test
- 23 -
SHF systolic heart failure DHF diastolic heart failure HTN Hypertension
Hb hemoglobin BUN Biliary urea nitrogen LA left atrium MACE major
adverse cardiac event WMSI wall motion score index fu follow up
Survival(N=48) Death(N=18) P value
DHF Age(years) 680plusmn116 771plusmn96 000
Hb 124plusmn28 116plusmn21 022
Weight(kg) 547plusmn121 529plusmn81 055
BUN 224plusmn119 246plusmn123 051
Creatinine 12plusmn07 15plusmn08 012
BNP(follow up) 5384plusmn5781 11743plusmn14322 015
LA size(cm) 53plusmn10 50plusmn07 029
Symptom(day) 29plusmn17 28plusmn15 085
WMSI 151plusmn061 149plusmn086 089
MACE() 9(188) 5(277) 042
Sex(male)() 23(479) 6(333) 028
HTN() 21(417) 14(778) 002
ACEI use(Initial)() 35(729) 7(389) 001
Dichlozid use(fu)() 30(625) 4(222) 000
Furosemide use(Initial)() 15(313) 11(611) 002
Survival(N=56) Death(N=37) P value
SHF Age(years) 641plusmn146 741plusmn90 000
Hb 130plusmn18 115plusmn21 000
Weight(kg) 592plusmn138 524plusmn110 000
BUN 199plusmn110 307plusmn135 000
Creatinine 12plusmn04 15plusmn09 002
BNP(follow up) 3989plusmn5006 15221plusmn16526 000
LA size(cm) 52plusmn08 46plusmn06 000
Symptom(day) 31plusmn14 25plusmn13 003
WMSI 174plusmn114 220plusmn095 003
MACE 11(196) 19(514) 000
Sex(male)() 29(518) 23(622) 032
HTN() 23(411) 22(595) 008
ACEI use(Initial)() 36(643) 23(622) 083
Dichlozid use(fu)() 36(643) 23(622) 083
Furosemide use(Initial)() 25(446) 22(595) 016
- 24 -
SHF systolic heart failure DHF diastolic heart
failure BUN Biliary urea nitrogen LA left atrium fu
follow up
Exp(B)950 CI for EXP(B)
Lower Upper
SHF Age(year) 1047 1014 1081
Weight(day) 0963 0934 0993
Hemoglobin 0821 0702 0961
BUN 1036 1012 1060
Creatinine 1717 1114 2647
BNP(follow up) 1000 1000 1001
LA size(cm) 0416 0230 0751
Symptom(day) 0701 0505 0974
Initial ACEI use 0857 0409 1795
Initial ARB use 1085 0463 2541
dichlozid use(fu) 1199 0546 2635
Initial furosemide use 1479 0706 3098
DHF Age(year) 1080 1026 1137
Weight(kg) 0969 0922 1018
Hemoglobin 0892 0754 1055
BUN 1007 0971 1045
Creatinine 1358 0837 2203
BNP(follow up) 1001 1000 1002
LA size(cm) 0863 0502 1483
Symptom(day) 0958 0711 1292
Initial ACEI use 2970 1128 7825
Initial ARB use 0283 0104 0772
dichlozid use(fu) 3821 1245 11725
Initial furosemide use 0363 0137 0962
- 25 -
SHF systolic heart failure DHF diastolic heart failure
- ii -
Table 1 Clinical characteristics of systolic and diastolic heart failure
patients middotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddot 20
Table 2 Echocardiographic finding of systolic heart failure and diastolic
heart failure patients middotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddot 21
Table 3 Laboratory finding of systolic heart failure and diastolic heart
failure patients middotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddot 22
Table 4 Comparisons of various factors between survival and death group
in systolic and diastolic heart failure patients middotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddot 23
Table 5 Various factors that affect death in systolic and diastolic heart
failure patients (univariate Cox regression) middotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddot 24
- iii -
- iv -
003
- v -
- 1 -
- 2 -
- 3 -
- 4 -
- 5 -
- 6 -
- 7 -
- 8 -
- 9 -
1063
- 10 -
- 11 -
- 12 -
- 13 -
- 14 -
- 15 -
- 16 -
- 17 -
- 18 -
Department of Medicine
The Graduate School Yonsei University
( )
- 19 -
707 025
003
_____________________________________________________________
- 20 -
SHF systolic heart failure DHF diastolic heart failure BSA body
surface area BP blood pressure HD heart disease CMP
cardiomyopathy
Male () 56(538) 31(456) 029
Diabetes () 30(288) 21(309) 077
Smoking () 48(769) 23(338) 010
History of Hypertension () 50(481) 36(529) 039
()
()
()
()
()
- 21 -
LVIDD diastolic left ventricular internal dimension LVIDS systolic left
ventricular internal dimension SHF systolic heart failureDHF diastolic
heart failure
SHF( N= 104) DHF( N= 68) p
Ejection fraction () 286plusmn72 498plusmn104 000
LVIDD (cm) 65plusmn09 57plusmn09 000
LVIDS (cm) 55plusmn10 41plusmn08 000
Left atrium (cm) 50plusmn08 52plusmn09 004
Relaxation abnormality () 35(337) 25(368) 062
Pseudonormal pattern () 6(58) 12(176) 001
Restrictive physiology () 23(221) 4(59) 0005
E velocity (cms) 94plusmn36 99plusmn36 053
A velocity (cms) 82plusmn31 102plusmn44 001
EA ratio 14plusmn10 10plusmn05 004
EE 194plusmn118 169plusmn132 037
LV mass index (gm2) 1449plusmn434 1312plusmn466 008
Wall motion score index 198plusmn105 149plusmn068 000
Mitral regurgitation () 42(477) 27(429) 055
- 22 -
SHF systolic heart failure DHF diastolic heart failure Na serum
sodium K serum potassium BUN Blood urea nitrogen HDL high
density lipoprotein LDL low density lipoprotein BNP brain natriuretic
peptide
SHF( N= 104) DHF( N= 68) p
Lab test
- 23 -
SHF systolic heart failure DHF diastolic heart failure HTN Hypertension
Hb hemoglobin BUN Biliary urea nitrogen LA left atrium MACE major
adverse cardiac event WMSI wall motion score index fu follow up
Survival(N=48) Death(N=18) P value
DHF Age(years) 680plusmn116 771plusmn96 000
Hb 124plusmn28 116plusmn21 022
Weight(kg) 547plusmn121 529plusmn81 055
BUN 224plusmn119 246plusmn123 051
Creatinine 12plusmn07 15plusmn08 012
BNP(follow up) 5384plusmn5781 11743plusmn14322 015
LA size(cm) 53plusmn10 50plusmn07 029
Symptom(day) 29plusmn17 28plusmn15 085
WMSI 151plusmn061 149plusmn086 089
MACE() 9(188) 5(277) 042
Sex(male)() 23(479) 6(333) 028
HTN() 21(417) 14(778) 002
ACEI use(Initial)() 35(729) 7(389) 001
Dichlozid use(fu)() 30(625) 4(222) 000
Furosemide use(Initial)() 15(313) 11(611) 002
Survival(N=56) Death(N=37) P value
SHF Age(years) 641plusmn146 741plusmn90 000
Hb 130plusmn18 115plusmn21 000
Weight(kg) 592plusmn138 524plusmn110 000
BUN 199plusmn110 307plusmn135 000
Creatinine 12plusmn04 15plusmn09 002
BNP(follow up) 3989plusmn5006 15221plusmn16526 000
LA size(cm) 52plusmn08 46plusmn06 000
Symptom(day) 31plusmn14 25plusmn13 003
WMSI 174plusmn114 220plusmn095 003
MACE 11(196) 19(514) 000
Sex(male)() 29(518) 23(622) 032
HTN() 23(411) 22(595) 008
ACEI use(Initial)() 36(643) 23(622) 083
Dichlozid use(fu)() 36(643) 23(622) 083
Furosemide use(Initial)() 25(446) 22(595) 016
- 24 -
SHF systolic heart failure DHF diastolic heart
failure BUN Biliary urea nitrogen LA left atrium fu
follow up
Exp(B)950 CI for EXP(B)
Lower Upper
SHF Age(year) 1047 1014 1081
Weight(day) 0963 0934 0993
Hemoglobin 0821 0702 0961
BUN 1036 1012 1060
Creatinine 1717 1114 2647
BNP(follow up) 1000 1000 1001
LA size(cm) 0416 0230 0751
Symptom(day) 0701 0505 0974
Initial ACEI use 0857 0409 1795
Initial ARB use 1085 0463 2541
dichlozid use(fu) 1199 0546 2635
Initial furosemide use 1479 0706 3098
DHF Age(year) 1080 1026 1137
Weight(kg) 0969 0922 1018
Hemoglobin 0892 0754 1055
BUN 1007 0971 1045
Creatinine 1358 0837 2203
BNP(follow up) 1001 1000 1002
LA size(cm) 0863 0502 1483
Symptom(day) 0958 0711 1292
Initial ACEI use 2970 1128 7825
Initial ARB use 0283 0104 0772
dichlozid use(fu) 3821 1245 11725
Initial furosemide use 0363 0137 0962
- 25 -
SHF systolic heart failure DHF diastolic heart failure
- iii -
- iv -
003
- v -
- 1 -
- 2 -
- 3 -
- 4 -
- 5 -
- 6 -
- 7 -
- 8 -
- 9 -
1063
- 10 -
- 11 -
- 12 -
- 13 -
- 14 -
- 15 -
- 16 -
- 17 -
- 18 -
Department of Medicine
The Graduate School Yonsei University
( )
- 19 -
707 025
003
_____________________________________________________________
- 20 -
SHF systolic heart failure DHF diastolic heart failure BSA body
surface area BP blood pressure HD heart disease CMP
cardiomyopathy
Male () 56(538) 31(456) 029
Diabetes () 30(288) 21(309) 077
Smoking () 48(769) 23(338) 010
History of Hypertension () 50(481) 36(529) 039
()
()
()
()
()
- 21 -
LVIDD diastolic left ventricular internal dimension LVIDS systolic left
ventricular internal dimension SHF systolic heart failureDHF diastolic
heart failure
SHF( N= 104) DHF( N= 68) p
Ejection fraction () 286plusmn72 498plusmn104 000
LVIDD (cm) 65plusmn09 57plusmn09 000
LVIDS (cm) 55plusmn10 41plusmn08 000
Left atrium (cm) 50plusmn08 52plusmn09 004
Relaxation abnormality () 35(337) 25(368) 062
Pseudonormal pattern () 6(58) 12(176) 001
Restrictive physiology () 23(221) 4(59) 0005
E velocity (cms) 94plusmn36 99plusmn36 053
A velocity (cms) 82plusmn31 102plusmn44 001
EA ratio 14plusmn10 10plusmn05 004
EE 194plusmn118 169plusmn132 037
LV mass index (gm2) 1449plusmn434 1312plusmn466 008
Wall motion score index 198plusmn105 149plusmn068 000
Mitral regurgitation () 42(477) 27(429) 055
- 22 -
SHF systolic heart failure DHF diastolic heart failure Na serum
sodium K serum potassium BUN Blood urea nitrogen HDL high
density lipoprotein LDL low density lipoprotein BNP brain natriuretic
peptide
SHF( N= 104) DHF( N= 68) p
Lab test
- 23 -
SHF systolic heart failure DHF diastolic heart failure HTN Hypertension
Hb hemoglobin BUN Biliary urea nitrogen LA left atrium MACE major
adverse cardiac event WMSI wall motion score index fu follow up
Survival(N=48) Death(N=18) P value
DHF Age(years) 680plusmn116 771plusmn96 000
Hb 124plusmn28 116plusmn21 022
Weight(kg) 547plusmn121 529plusmn81 055
BUN 224plusmn119 246plusmn123 051
Creatinine 12plusmn07 15plusmn08 012
BNP(follow up) 5384plusmn5781 11743plusmn14322 015
LA size(cm) 53plusmn10 50plusmn07 029
Symptom(day) 29plusmn17 28plusmn15 085
WMSI 151plusmn061 149plusmn086 089
MACE() 9(188) 5(277) 042
Sex(male)() 23(479) 6(333) 028
HTN() 21(417) 14(778) 002
ACEI use(Initial)() 35(729) 7(389) 001
Dichlozid use(fu)() 30(625) 4(222) 000
Furosemide use(Initial)() 15(313) 11(611) 002
Survival(N=56) Death(N=37) P value
SHF Age(years) 641plusmn146 741plusmn90 000
Hb 130plusmn18 115plusmn21 000
Weight(kg) 592plusmn138 524plusmn110 000
BUN 199plusmn110 307plusmn135 000
Creatinine 12plusmn04 15plusmn09 002
BNP(follow up) 3989plusmn5006 15221plusmn16526 000
LA size(cm) 52plusmn08 46plusmn06 000
Symptom(day) 31plusmn14 25plusmn13 003
WMSI 174plusmn114 220plusmn095 003
MACE 11(196) 19(514) 000
Sex(male)() 29(518) 23(622) 032
HTN() 23(411) 22(595) 008
ACEI use(Initial)() 36(643) 23(622) 083
Dichlozid use(fu)() 36(643) 23(622) 083
Furosemide use(Initial)() 25(446) 22(595) 016
- 24 -
SHF systolic heart failure DHF diastolic heart
failure BUN Biliary urea nitrogen LA left atrium fu
follow up
Exp(B)950 CI for EXP(B)
Lower Upper
SHF Age(year) 1047 1014 1081
Weight(day) 0963 0934 0993
Hemoglobin 0821 0702 0961
BUN 1036 1012 1060
Creatinine 1717 1114 2647
BNP(follow up) 1000 1000 1001
LA size(cm) 0416 0230 0751
Symptom(day) 0701 0505 0974
Initial ACEI use 0857 0409 1795
Initial ARB use 1085 0463 2541
dichlozid use(fu) 1199 0546 2635
Initial furosemide use 1479 0706 3098
DHF Age(year) 1080 1026 1137
Weight(kg) 0969 0922 1018
Hemoglobin 0892 0754 1055
BUN 1007 0971 1045
Creatinine 1358 0837 2203
BNP(follow up) 1001 1000 1002
LA size(cm) 0863 0502 1483
Symptom(day) 0958 0711 1292
Initial ACEI use 2970 1128 7825
Initial ARB use 0283 0104 0772
dichlozid use(fu) 3821 1245 11725
Initial furosemide use 0363 0137 0962
- 25 -
SHF systolic heart failure DHF diastolic heart failure
- iv -
003
- v -
- 1 -
- 2 -
- 3 -
- 4 -
- 5 -
- 6 -
- 7 -
- 8 -
- 9 -
1063
- 10 -
- 11 -
- 12 -
- 13 -
- 14 -
- 15 -
- 16 -
- 17 -
- 18 -
Department of Medicine
The Graduate School Yonsei University
( )
- 19 -
707 025
003
_____________________________________________________________
- 20 -
SHF systolic heart failure DHF diastolic heart failure BSA body
surface area BP blood pressure HD heart disease CMP
cardiomyopathy
Male () 56(538) 31(456) 029
Diabetes () 30(288) 21(309) 077
Smoking () 48(769) 23(338) 010
History of Hypertension () 50(481) 36(529) 039
()
()
()
()
()
- 21 -
LVIDD diastolic left ventricular internal dimension LVIDS systolic left
ventricular internal dimension SHF systolic heart failureDHF diastolic
heart failure
SHF( N= 104) DHF( N= 68) p
Ejection fraction () 286plusmn72 498plusmn104 000
LVIDD (cm) 65plusmn09 57plusmn09 000
LVIDS (cm) 55plusmn10 41plusmn08 000
Left atrium (cm) 50plusmn08 52plusmn09 004
Relaxation abnormality () 35(337) 25(368) 062
Pseudonormal pattern () 6(58) 12(176) 001
Restrictive physiology () 23(221) 4(59) 0005
E velocity (cms) 94plusmn36 99plusmn36 053
A velocity (cms) 82plusmn31 102plusmn44 001
EA ratio 14plusmn10 10plusmn05 004
EE 194plusmn118 169plusmn132 037
LV mass index (gm2) 1449plusmn434 1312plusmn466 008
Wall motion score index 198plusmn105 149plusmn068 000
Mitral regurgitation () 42(477) 27(429) 055
- 22 -
SHF systolic heart failure DHF diastolic heart failure Na serum
sodium K serum potassium BUN Blood urea nitrogen HDL high
density lipoprotein LDL low density lipoprotein BNP brain natriuretic
peptide
SHF( N= 104) DHF( N= 68) p
Lab test
- 23 -
SHF systolic heart failure DHF diastolic heart failure HTN Hypertension
Hb hemoglobin BUN Biliary urea nitrogen LA left atrium MACE major
adverse cardiac event WMSI wall motion score index fu follow up
Survival(N=48) Death(N=18) P value
DHF Age(years) 680plusmn116 771plusmn96 000
Hb 124plusmn28 116plusmn21 022
Weight(kg) 547plusmn121 529plusmn81 055
BUN 224plusmn119 246plusmn123 051
Creatinine 12plusmn07 15plusmn08 012
BNP(follow up) 5384plusmn5781 11743plusmn14322 015
LA size(cm) 53plusmn10 50plusmn07 029
Symptom(day) 29plusmn17 28plusmn15 085
WMSI 151plusmn061 149plusmn086 089
MACE() 9(188) 5(277) 042
Sex(male)() 23(479) 6(333) 028
HTN() 21(417) 14(778) 002
ACEI use(Initial)() 35(729) 7(389) 001
Dichlozid use(fu)() 30(625) 4(222) 000
Furosemide use(Initial)() 15(313) 11(611) 002
Survival(N=56) Death(N=37) P value
SHF Age(years) 641plusmn146 741plusmn90 000
Hb 130plusmn18 115plusmn21 000
Weight(kg) 592plusmn138 524plusmn110 000
BUN 199plusmn110 307plusmn135 000
Creatinine 12plusmn04 15plusmn09 002
BNP(follow up) 3989plusmn5006 15221plusmn16526 000
LA size(cm) 52plusmn08 46plusmn06 000
Symptom(day) 31plusmn14 25plusmn13 003
WMSI 174plusmn114 220plusmn095 003
MACE 11(196) 19(514) 000
Sex(male)() 29(518) 23(622) 032
HTN() 23(411) 22(595) 008
ACEI use(Initial)() 36(643) 23(622) 083
Dichlozid use(fu)() 36(643) 23(622) 083
Furosemide use(Initial)() 25(446) 22(595) 016
- 24 -
SHF systolic heart failure DHF diastolic heart
failure BUN Biliary urea nitrogen LA left atrium fu
follow up
Exp(B)950 CI for EXP(B)
Lower Upper
SHF Age(year) 1047 1014 1081
Weight(day) 0963 0934 0993
Hemoglobin 0821 0702 0961
BUN 1036 1012 1060
Creatinine 1717 1114 2647
BNP(follow up) 1000 1000 1001
LA size(cm) 0416 0230 0751
Symptom(day) 0701 0505 0974
Initial ACEI use 0857 0409 1795
Initial ARB use 1085 0463 2541
dichlozid use(fu) 1199 0546 2635
Initial furosemide use 1479 0706 3098
DHF Age(year) 1080 1026 1137
Weight(kg) 0969 0922 1018
Hemoglobin 0892 0754 1055
BUN 1007 0971 1045
Creatinine 1358 0837 2203
BNP(follow up) 1001 1000 1002
LA size(cm) 0863 0502 1483
Symptom(day) 0958 0711 1292
Initial ACEI use 2970 1128 7825
Initial ARB use 0283 0104 0772
dichlozid use(fu) 3821 1245 11725
Initial furosemide use 0363 0137 0962
- 25 -
SHF systolic heart failure DHF diastolic heart failure
- v -
- 1 -
- 2 -
- 3 -
- 4 -
- 5 -
- 6 -
- 7 -
- 8 -
- 9 -
1063
- 10 -
- 11 -
- 12 -
- 13 -
- 14 -
- 15 -
- 16 -
- 17 -
- 18 -
Department of Medicine
The Graduate School Yonsei University
( )
- 19 -
707 025
003
_____________________________________________________________
- 20 -
SHF systolic heart failure DHF diastolic heart failure BSA body
surface area BP blood pressure HD heart disease CMP
cardiomyopathy
Male () 56(538) 31(456) 029
Diabetes () 30(288) 21(309) 077
Smoking () 48(769) 23(338) 010
History of Hypertension () 50(481) 36(529) 039
()
()
()
()
()
- 21 -
LVIDD diastolic left ventricular internal dimension LVIDS systolic left
ventricular internal dimension SHF systolic heart failureDHF diastolic
heart failure
SHF( N= 104) DHF( N= 68) p
Ejection fraction () 286plusmn72 498plusmn104 000
LVIDD (cm) 65plusmn09 57plusmn09 000
LVIDS (cm) 55plusmn10 41plusmn08 000
Left atrium (cm) 50plusmn08 52plusmn09 004
Relaxation abnormality () 35(337) 25(368) 062
Pseudonormal pattern () 6(58) 12(176) 001
Restrictive physiology () 23(221) 4(59) 0005
E velocity (cms) 94plusmn36 99plusmn36 053
A velocity (cms) 82plusmn31 102plusmn44 001
EA ratio 14plusmn10 10plusmn05 004
EE 194plusmn118 169plusmn132 037
LV mass index (gm2) 1449plusmn434 1312plusmn466 008
Wall motion score index 198plusmn105 149plusmn068 000
Mitral regurgitation () 42(477) 27(429) 055
- 22 -
SHF systolic heart failure DHF diastolic heart failure Na serum
sodium K serum potassium BUN Blood urea nitrogen HDL high
density lipoprotein LDL low density lipoprotein BNP brain natriuretic
peptide
SHF( N= 104) DHF( N= 68) p
Lab test
- 23 -
SHF systolic heart failure DHF diastolic heart failure HTN Hypertension
Hb hemoglobin BUN Biliary urea nitrogen LA left atrium MACE major
adverse cardiac event WMSI wall motion score index fu follow up
Survival(N=48) Death(N=18) P value
DHF Age(years) 680plusmn116 771plusmn96 000
Hb 124plusmn28 116plusmn21 022
Weight(kg) 547plusmn121 529plusmn81 055
BUN 224plusmn119 246plusmn123 051
Creatinine 12plusmn07 15plusmn08 012
BNP(follow up) 5384plusmn5781 11743plusmn14322 015
LA size(cm) 53plusmn10 50plusmn07 029
Symptom(day) 29plusmn17 28plusmn15 085
WMSI 151plusmn061 149plusmn086 089
MACE() 9(188) 5(277) 042
Sex(male)() 23(479) 6(333) 028
HTN() 21(417) 14(778) 002
ACEI use(Initial)() 35(729) 7(389) 001
Dichlozid use(fu)() 30(625) 4(222) 000
Furosemide use(Initial)() 15(313) 11(611) 002
Survival(N=56) Death(N=37) P value
SHF Age(years) 641plusmn146 741plusmn90 000
Hb 130plusmn18 115plusmn21 000
Weight(kg) 592plusmn138 524plusmn110 000
BUN 199plusmn110 307plusmn135 000
Creatinine 12plusmn04 15plusmn09 002
BNP(follow up) 3989plusmn5006 15221plusmn16526 000
LA size(cm) 52plusmn08 46plusmn06 000
Symptom(day) 31plusmn14 25plusmn13 003
WMSI 174plusmn114 220plusmn095 003
MACE 11(196) 19(514) 000
Sex(male)() 29(518) 23(622) 032
HTN() 23(411) 22(595) 008
ACEI use(Initial)() 36(643) 23(622) 083
Dichlozid use(fu)() 36(643) 23(622) 083
Furosemide use(Initial)() 25(446) 22(595) 016
- 24 -
SHF systolic heart failure DHF diastolic heart
failure BUN Biliary urea nitrogen LA left atrium fu
follow up
Exp(B)950 CI for EXP(B)
Lower Upper
SHF Age(year) 1047 1014 1081
Weight(day) 0963 0934 0993
Hemoglobin 0821 0702 0961
BUN 1036 1012 1060
Creatinine 1717 1114 2647
BNP(follow up) 1000 1000 1001
LA size(cm) 0416 0230 0751
Symptom(day) 0701 0505 0974
Initial ACEI use 0857 0409 1795
Initial ARB use 1085 0463 2541
dichlozid use(fu) 1199 0546 2635
Initial furosemide use 1479 0706 3098
DHF Age(year) 1080 1026 1137
Weight(kg) 0969 0922 1018
Hemoglobin 0892 0754 1055
BUN 1007 0971 1045
Creatinine 1358 0837 2203
BNP(follow up) 1001 1000 1002
LA size(cm) 0863 0502 1483
Symptom(day) 0958 0711 1292
Initial ACEI use 2970 1128 7825
Initial ARB use 0283 0104 0772
dichlozid use(fu) 3821 1245 11725
Initial furosemide use 0363 0137 0962
- 25 -
SHF systolic heart failure DHF diastolic heart failure
- 1 -
- 2 -
- 3 -
- 4 -
- 5 -
- 6 -
- 7 -
- 8 -
- 9 -
1063
- 10 -
- 11 -
- 12 -
- 13 -
- 14 -
- 15 -
- 16 -
- 17 -
- 18 -
Department of Medicine
The Graduate School Yonsei University
( )
- 19 -
707 025
003
_____________________________________________________________
- 20 -
SHF systolic heart failure DHF diastolic heart failure BSA body
surface area BP blood pressure HD heart disease CMP
cardiomyopathy
Male () 56(538) 31(456) 029
Diabetes () 30(288) 21(309) 077
Smoking () 48(769) 23(338) 010
History of Hypertension () 50(481) 36(529) 039
()
()
()
()
()
- 21 -
LVIDD diastolic left ventricular internal dimension LVIDS systolic left
ventricular internal dimension SHF systolic heart failureDHF diastolic
heart failure
SHF( N= 104) DHF( N= 68) p
Ejection fraction () 286plusmn72 498plusmn104 000
LVIDD (cm) 65plusmn09 57plusmn09 000
LVIDS (cm) 55plusmn10 41plusmn08 000
Left atrium (cm) 50plusmn08 52plusmn09 004
Relaxation abnormality () 35(337) 25(368) 062
Pseudonormal pattern () 6(58) 12(176) 001
Restrictive physiology () 23(221) 4(59) 0005
E velocity (cms) 94plusmn36 99plusmn36 053
A velocity (cms) 82plusmn31 102plusmn44 001
EA ratio 14plusmn10 10plusmn05 004
EE 194plusmn118 169plusmn132 037
LV mass index (gm2) 1449plusmn434 1312plusmn466 008
Wall motion score index 198plusmn105 149plusmn068 000
Mitral regurgitation () 42(477) 27(429) 055
- 22 -
SHF systolic heart failure DHF diastolic heart failure Na serum
sodium K serum potassium BUN Blood urea nitrogen HDL high
density lipoprotein LDL low density lipoprotein BNP brain natriuretic
peptide
SHF( N= 104) DHF( N= 68) p
Lab test
- 23 -
SHF systolic heart failure DHF diastolic heart failure HTN Hypertension
Hb hemoglobin BUN Biliary urea nitrogen LA left atrium MACE major
adverse cardiac event WMSI wall motion score index fu follow up
Survival(N=48) Death(N=18) P value
DHF Age(years) 680plusmn116 771plusmn96 000
Hb 124plusmn28 116plusmn21 022
Weight(kg) 547plusmn121 529plusmn81 055
BUN 224plusmn119 246plusmn123 051
Creatinine 12plusmn07 15plusmn08 012
BNP(follow up) 5384plusmn5781 11743plusmn14322 015
LA size(cm) 53plusmn10 50plusmn07 029
Symptom(day) 29plusmn17 28plusmn15 085
WMSI 151plusmn061 149plusmn086 089
MACE() 9(188) 5(277) 042
Sex(male)() 23(479) 6(333) 028
HTN() 21(417) 14(778) 002
ACEI use(Initial)() 35(729) 7(389) 001
Dichlozid use(fu)() 30(625) 4(222) 000
Furosemide use(Initial)() 15(313) 11(611) 002
Survival(N=56) Death(N=37) P value
SHF Age(years) 641plusmn146 741plusmn90 000
Hb 130plusmn18 115plusmn21 000
Weight(kg) 592plusmn138 524plusmn110 000
BUN 199plusmn110 307plusmn135 000
Creatinine 12plusmn04 15plusmn09 002
BNP(follow up) 3989plusmn5006 15221plusmn16526 000
LA size(cm) 52plusmn08 46plusmn06 000
Symptom(day) 31plusmn14 25plusmn13 003
WMSI 174plusmn114 220plusmn095 003
MACE 11(196) 19(514) 000
Sex(male)() 29(518) 23(622) 032
HTN() 23(411) 22(595) 008
ACEI use(Initial)() 36(643) 23(622) 083
Dichlozid use(fu)() 36(643) 23(622) 083
Furosemide use(Initial)() 25(446) 22(595) 016
- 24 -
SHF systolic heart failure DHF diastolic heart
failure BUN Biliary urea nitrogen LA left atrium fu
follow up
Exp(B)950 CI for EXP(B)
Lower Upper
SHF Age(year) 1047 1014 1081
Weight(day) 0963 0934 0993
Hemoglobin 0821 0702 0961
BUN 1036 1012 1060
Creatinine 1717 1114 2647
BNP(follow up) 1000 1000 1001
LA size(cm) 0416 0230 0751
Symptom(day) 0701 0505 0974
Initial ACEI use 0857 0409 1795
Initial ARB use 1085 0463 2541
dichlozid use(fu) 1199 0546 2635
Initial furosemide use 1479 0706 3098
DHF Age(year) 1080 1026 1137
Weight(kg) 0969 0922 1018
Hemoglobin 0892 0754 1055
BUN 1007 0971 1045
Creatinine 1358 0837 2203
BNP(follow up) 1001 1000 1002
LA size(cm) 0863 0502 1483
Symptom(day) 0958 0711 1292
Initial ACEI use 2970 1128 7825
Initial ARB use 0283 0104 0772
dichlozid use(fu) 3821 1245 11725
Initial furosemide use 0363 0137 0962
- 25 -
SHF systolic heart failure DHF diastolic heart failure
- 2 -
- 3 -
- 4 -
- 5 -
- 6 -
- 7 -
- 8 -
- 9 -
1063
- 10 -
- 11 -
- 12 -
- 13 -
- 14 -
- 15 -
- 16 -
- 17 -
- 18 -
Department of Medicine
The Graduate School Yonsei University
( )
- 19 -
707 025
003
_____________________________________________________________
- 20 -
SHF systolic heart failure DHF diastolic heart failure BSA body
surface area BP blood pressure HD heart disease CMP
cardiomyopathy
Male () 56(538) 31(456) 029
Diabetes () 30(288) 21(309) 077
Smoking () 48(769) 23(338) 010
History of Hypertension () 50(481) 36(529) 039
()
()
()
()
()
- 21 -
LVIDD diastolic left ventricular internal dimension LVIDS systolic left
ventricular internal dimension SHF systolic heart failureDHF diastolic
heart failure
SHF( N= 104) DHF( N= 68) p
Ejection fraction () 286plusmn72 498plusmn104 000
LVIDD (cm) 65plusmn09 57plusmn09 000
LVIDS (cm) 55plusmn10 41plusmn08 000
Left atrium (cm) 50plusmn08 52plusmn09 004
Relaxation abnormality () 35(337) 25(368) 062
Pseudonormal pattern () 6(58) 12(176) 001
Restrictive physiology () 23(221) 4(59) 0005
E velocity (cms) 94plusmn36 99plusmn36 053
A velocity (cms) 82plusmn31 102plusmn44 001
EA ratio 14plusmn10 10plusmn05 004
EE 194plusmn118 169plusmn132 037
LV mass index (gm2) 1449plusmn434 1312plusmn466 008
Wall motion score index 198plusmn105 149plusmn068 000
Mitral regurgitation () 42(477) 27(429) 055
- 22 -
SHF systolic heart failure DHF diastolic heart failure Na serum
sodium K serum potassium BUN Blood urea nitrogen HDL high
density lipoprotein LDL low density lipoprotein BNP brain natriuretic
peptide
SHF( N= 104) DHF( N= 68) p
Lab test
- 23 -
SHF systolic heart failure DHF diastolic heart failure HTN Hypertension
Hb hemoglobin BUN Biliary urea nitrogen LA left atrium MACE major
adverse cardiac event WMSI wall motion score index fu follow up
Survival(N=48) Death(N=18) P value
DHF Age(years) 680plusmn116 771plusmn96 000
Hb 124plusmn28 116plusmn21 022
Weight(kg) 547plusmn121 529plusmn81 055
BUN 224plusmn119 246plusmn123 051
Creatinine 12plusmn07 15plusmn08 012
BNP(follow up) 5384plusmn5781 11743plusmn14322 015
LA size(cm) 53plusmn10 50plusmn07 029
Symptom(day) 29plusmn17 28plusmn15 085
WMSI 151plusmn061 149plusmn086 089
MACE() 9(188) 5(277) 042
Sex(male)() 23(479) 6(333) 028
HTN() 21(417) 14(778) 002
ACEI use(Initial)() 35(729) 7(389) 001
Dichlozid use(fu)() 30(625) 4(222) 000
Furosemide use(Initial)() 15(313) 11(611) 002
Survival(N=56) Death(N=37) P value
SHF Age(years) 641plusmn146 741plusmn90 000
Hb 130plusmn18 115plusmn21 000
Weight(kg) 592plusmn138 524plusmn110 000
BUN 199plusmn110 307plusmn135 000
Creatinine 12plusmn04 15plusmn09 002
BNP(follow up) 3989plusmn5006 15221plusmn16526 000
LA size(cm) 52plusmn08 46plusmn06 000
Symptom(day) 31plusmn14 25plusmn13 003
WMSI 174plusmn114 220plusmn095 003
MACE 11(196) 19(514) 000
Sex(male)() 29(518) 23(622) 032
HTN() 23(411) 22(595) 008
ACEI use(Initial)() 36(643) 23(622) 083
Dichlozid use(fu)() 36(643) 23(622) 083
Furosemide use(Initial)() 25(446) 22(595) 016
- 24 -
SHF systolic heart failure DHF diastolic heart
failure BUN Biliary urea nitrogen LA left atrium fu
follow up
Exp(B)950 CI for EXP(B)
Lower Upper
SHF Age(year) 1047 1014 1081
Weight(day) 0963 0934 0993
Hemoglobin 0821 0702 0961
BUN 1036 1012 1060
Creatinine 1717 1114 2647
BNP(follow up) 1000 1000 1001
LA size(cm) 0416 0230 0751
Symptom(day) 0701 0505 0974
Initial ACEI use 0857 0409 1795
Initial ARB use 1085 0463 2541
dichlozid use(fu) 1199 0546 2635
Initial furosemide use 1479 0706 3098
DHF Age(year) 1080 1026 1137
Weight(kg) 0969 0922 1018
Hemoglobin 0892 0754 1055
BUN 1007 0971 1045
Creatinine 1358 0837 2203
BNP(follow up) 1001 1000 1002
LA size(cm) 0863 0502 1483
Symptom(day) 0958 0711 1292
Initial ACEI use 2970 1128 7825
Initial ARB use 0283 0104 0772
dichlozid use(fu) 3821 1245 11725
Initial furosemide use 0363 0137 0962
- 25 -
SHF systolic heart failure DHF diastolic heart failure
- 3 -
- 4 -
- 5 -
- 6 -
- 7 -
- 8 -
- 9 -
1063
- 10 -
- 11 -
- 12 -
- 13 -
- 14 -
- 15 -
- 16 -
- 17 -
- 18 -
Department of Medicine
The Graduate School Yonsei University
( )
- 19 -
707 025
003
_____________________________________________________________
- 20 -
SHF systolic heart failure DHF diastolic heart failure BSA body
surface area BP blood pressure HD heart disease CMP
cardiomyopathy
Male () 56(538) 31(456) 029
Diabetes () 30(288) 21(309) 077
Smoking () 48(769) 23(338) 010
History of Hypertension () 50(481) 36(529) 039
()
()
()
()
()
- 21 -
LVIDD diastolic left ventricular internal dimension LVIDS systolic left
ventricular internal dimension SHF systolic heart failureDHF diastolic
heart failure
SHF( N= 104) DHF( N= 68) p
Ejection fraction () 286plusmn72 498plusmn104 000
LVIDD (cm) 65plusmn09 57plusmn09 000
LVIDS (cm) 55plusmn10 41plusmn08 000
Left atrium (cm) 50plusmn08 52plusmn09 004
Relaxation abnormality () 35(337) 25(368) 062
Pseudonormal pattern () 6(58) 12(176) 001
Restrictive physiology () 23(221) 4(59) 0005
E velocity (cms) 94plusmn36 99plusmn36 053
A velocity (cms) 82plusmn31 102plusmn44 001
EA ratio 14plusmn10 10plusmn05 004
EE 194plusmn118 169plusmn132 037
LV mass index (gm2) 1449plusmn434 1312plusmn466 008
Wall motion score index 198plusmn105 149plusmn068 000
Mitral regurgitation () 42(477) 27(429) 055
- 22 -
SHF systolic heart failure DHF diastolic heart failure Na serum
sodium K serum potassium BUN Blood urea nitrogen HDL high
density lipoprotein LDL low density lipoprotein BNP brain natriuretic
peptide
SHF( N= 104) DHF( N= 68) p
Lab test
- 23 -
SHF systolic heart failure DHF diastolic heart failure HTN Hypertension
Hb hemoglobin BUN Biliary urea nitrogen LA left atrium MACE major
adverse cardiac event WMSI wall motion score index fu follow up
Survival(N=48) Death(N=18) P value
DHF Age(years) 680plusmn116 771plusmn96 000
Hb 124plusmn28 116plusmn21 022
Weight(kg) 547plusmn121 529plusmn81 055
BUN 224plusmn119 246plusmn123 051
Creatinine 12plusmn07 15plusmn08 012
BNP(follow up) 5384plusmn5781 11743plusmn14322 015
LA size(cm) 53plusmn10 50plusmn07 029
Symptom(day) 29plusmn17 28plusmn15 085
WMSI 151plusmn061 149plusmn086 089
MACE() 9(188) 5(277) 042
Sex(male)() 23(479) 6(333) 028
HTN() 21(417) 14(778) 002
ACEI use(Initial)() 35(729) 7(389) 001
Dichlozid use(fu)() 30(625) 4(222) 000
Furosemide use(Initial)() 15(313) 11(611) 002
Survival(N=56) Death(N=37) P value
SHF Age(years) 641plusmn146 741plusmn90 000
Hb 130plusmn18 115plusmn21 000
Weight(kg) 592plusmn138 524plusmn110 000
BUN 199plusmn110 307plusmn135 000
Creatinine 12plusmn04 15plusmn09 002
BNP(follow up) 3989plusmn5006 15221plusmn16526 000
LA size(cm) 52plusmn08 46plusmn06 000
Symptom(day) 31plusmn14 25plusmn13 003
WMSI 174plusmn114 220plusmn095 003
MACE 11(196) 19(514) 000
Sex(male)() 29(518) 23(622) 032
HTN() 23(411) 22(595) 008
ACEI use(Initial)() 36(643) 23(622) 083
Dichlozid use(fu)() 36(643) 23(622) 083
Furosemide use(Initial)() 25(446) 22(595) 016
- 24 -
SHF systolic heart failure DHF diastolic heart
failure BUN Biliary urea nitrogen LA left atrium fu
follow up
Exp(B)950 CI for EXP(B)
Lower Upper
SHF Age(year) 1047 1014 1081
Weight(day) 0963 0934 0993
Hemoglobin 0821 0702 0961
BUN 1036 1012 1060
Creatinine 1717 1114 2647
BNP(follow up) 1000 1000 1001
LA size(cm) 0416 0230 0751
Symptom(day) 0701 0505 0974
Initial ACEI use 0857 0409 1795
Initial ARB use 1085 0463 2541
dichlozid use(fu) 1199 0546 2635
Initial furosemide use 1479 0706 3098
DHF Age(year) 1080 1026 1137
Weight(kg) 0969 0922 1018
Hemoglobin 0892 0754 1055
BUN 1007 0971 1045
Creatinine 1358 0837 2203
BNP(follow up) 1001 1000 1002
LA size(cm) 0863 0502 1483
Symptom(day) 0958 0711 1292
Initial ACEI use 2970 1128 7825
Initial ARB use 0283 0104 0772
dichlozid use(fu) 3821 1245 11725
Initial furosemide use 0363 0137 0962
- 25 -
SHF systolic heart failure DHF diastolic heart failure
- 4 -
- 5 -
- 6 -
- 7 -
- 8 -
- 9 -
1063
- 10 -
- 11 -
- 12 -
- 13 -
- 14 -
- 15 -
- 16 -
- 17 -
- 18 -
Department of Medicine
The Graduate School Yonsei University
( )
- 19 -
707 025
003
_____________________________________________________________
- 20 -
SHF systolic heart failure DHF diastolic heart failure BSA body
surface area BP blood pressure HD heart disease CMP
cardiomyopathy
Male () 56(538) 31(456) 029
Diabetes () 30(288) 21(309) 077
Smoking () 48(769) 23(338) 010
History of Hypertension () 50(481) 36(529) 039
()
()
()
()
()
- 21 -
LVIDD diastolic left ventricular internal dimension LVIDS systolic left
ventricular internal dimension SHF systolic heart failureDHF diastolic
heart failure
SHF( N= 104) DHF( N= 68) p
Ejection fraction () 286plusmn72 498plusmn104 000
LVIDD (cm) 65plusmn09 57plusmn09 000
LVIDS (cm) 55plusmn10 41plusmn08 000
Left atrium (cm) 50plusmn08 52plusmn09 004
Relaxation abnormality () 35(337) 25(368) 062
Pseudonormal pattern () 6(58) 12(176) 001
Restrictive physiology () 23(221) 4(59) 0005
E velocity (cms) 94plusmn36 99plusmn36 053
A velocity (cms) 82plusmn31 102plusmn44 001
EA ratio 14plusmn10 10plusmn05 004
EE 194plusmn118 169plusmn132 037
LV mass index (gm2) 1449plusmn434 1312plusmn466 008
Wall motion score index 198plusmn105 149plusmn068 000
Mitral regurgitation () 42(477) 27(429) 055
- 22 -
SHF systolic heart failure DHF diastolic heart failure Na serum
sodium K serum potassium BUN Blood urea nitrogen HDL high
density lipoprotein LDL low density lipoprotein BNP brain natriuretic
peptide
SHF( N= 104) DHF( N= 68) p
Lab test
- 23 -
SHF systolic heart failure DHF diastolic heart failure HTN Hypertension
Hb hemoglobin BUN Biliary urea nitrogen LA left atrium MACE major
adverse cardiac event WMSI wall motion score index fu follow up
Survival(N=48) Death(N=18) P value
DHF Age(years) 680plusmn116 771plusmn96 000
Hb 124plusmn28 116plusmn21 022
Weight(kg) 547plusmn121 529plusmn81 055
BUN 224plusmn119 246plusmn123 051
Creatinine 12plusmn07 15plusmn08 012
BNP(follow up) 5384plusmn5781 11743plusmn14322 015
LA size(cm) 53plusmn10 50plusmn07 029
Symptom(day) 29plusmn17 28plusmn15 085
WMSI 151plusmn061 149plusmn086 089
MACE() 9(188) 5(277) 042
Sex(male)() 23(479) 6(333) 028
HTN() 21(417) 14(778) 002
ACEI use(Initial)() 35(729) 7(389) 001
Dichlozid use(fu)() 30(625) 4(222) 000
Furosemide use(Initial)() 15(313) 11(611) 002
Survival(N=56) Death(N=37) P value
SHF Age(years) 641plusmn146 741plusmn90 000
Hb 130plusmn18 115plusmn21 000
Weight(kg) 592plusmn138 524plusmn110 000
BUN 199plusmn110 307plusmn135 000
Creatinine 12plusmn04 15plusmn09 002
BNP(follow up) 3989plusmn5006 15221plusmn16526 000
LA size(cm) 52plusmn08 46plusmn06 000
Symptom(day) 31plusmn14 25plusmn13 003
WMSI 174plusmn114 220plusmn095 003
MACE 11(196) 19(514) 000
Sex(male)() 29(518) 23(622) 032
HTN() 23(411) 22(595) 008
ACEI use(Initial)() 36(643) 23(622) 083
Dichlozid use(fu)() 36(643) 23(622) 083
Furosemide use(Initial)() 25(446) 22(595) 016
- 24 -
SHF systolic heart failure DHF diastolic heart
failure BUN Biliary urea nitrogen LA left atrium fu
follow up
Exp(B)950 CI for EXP(B)
Lower Upper
SHF Age(year) 1047 1014 1081
Weight(day) 0963 0934 0993
Hemoglobin 0821 0702 0961
BUN 1036 1012 1060
Creatinine 1717 1114 2647
BNP(follow up) 1000 1000 1001
LA size(cm) 0416 0230 0751
Symptom(day) 0701 0505 0974
Initial ACEI use 0857 0409 1795
Initial ARB use 1085 0463 2541
dichlozid use(fu) 1199 0546 2635
Initial furosemide use 1479 0706 3098
DHF Age(year) 1080 1026 1137
Weight(kg) 0969 0922 1018
Hemoglobin 0892 0754 1055
BUN 1007 0971 1045
Creatinine 1358 0837 2203
BNP(follow up) 1001 1000 1002
LA size(cm) 0863 0502 1483
Symptom(day) 0958 0711 1292
Initial ACEI use 2970 1128 7825
Initial ARB use 0283 0104 0772
dichlozid use(fu) 3821 1245 11725
Initial furosemide use 0363 0137 0962
- 25 -
SHF systolic heart failure DHF diastolic heart failure
- 5 -
- 6 -
- 7 -
- 8 -
- 9 -
1063
- 10 -
- 11 -
- 12 -
- 13 -
- 14 -
- 15 -
- 16 -
- 17 -
- 18 -
Department of Medicine
The Graduate School Yonsei University
( )
- 19 -
707 025
003
_____________________________________________________________
- 20 -
SHF systolic heart failure DHF diastolic heart failure BSA body
surface area BP blood pressure HD heart disease CMP
cardiomyopathy
Male () 56(538) 31(456) 029
Diabetes () 30(288) 21(309) 077
Smoking () 48(769) 23(338) 010
History of Hypertension () 50(481) 36(529) 039
()
()
()
()
()
- 21 -
LVIDD diastolic left ventricular internal dimension LVIDS systolic left
ventricular internal dimension SHF systolic heart failureDHF diastolic
heart failure
SHF( N= 104) DHF( N= 68) p
Ejection fraction () 286plusmn72 498plusmn104 000
LVIDD (cm) 65plusmn09 57plusmn09 000
LVIDS (cm) 55plusmn10 41plusmn08 000
Left atrium (cm) 50plusmn08 52plusmn09 004
Relaxation abnormality () 35(337) 25(368) 062
Pseudonormal pattern () 6(58) 12(176) 001
Restrictive physiology () 23(221) 4(59) 0005
E velocity (cms) 94plusmn36 99plusmn36 053
A velocity (cms) 82plusmn31 102plusmn44 001
EA ratio 14plusmn10 10plusmn05 004
EE 194plusmn118 169plusmn132 037
LV mass index (gm2) 1449plusmn434 1312plusmn466 008
Wall motion score index 198plusmn105 149plusmn068 000
Mitral regurgitation () 42(477) 27(429) 055
- 22 -
SHF systolic heart failure DHF diastolic heart failure Na serum
sodium K serum potassium BUN Blood urea nitrogen HDL high
density lipoprotein LDL low density lipoprotein BNP brain natriuretic
peptide
SHF( N= 104) DHF( N= 68) p
Lab test
- 23 -
SHF systolic heart failure DHF diastolic heart failure HTN Hypertension
Hb hemoglobin BUN Biliary urea nitrogen LA left atrium MACE major
adverse cardiac event WMSI wall motion score index fu follow up
Survival(N=48) Death(N=18) P value
DHF Age(years) 680plusmn116 771plusmn96 000
Hb 124plusmn28 116plusmn21 022
Weight(kg) 547plusmn121 529plusmn81 055
BUN 224plusmn119 246plusmn123 051
Creatinine 12plusmn07 15plusmn08 012
BNP(follow up) 5384plusmn5781 11743plusmn14322 015
LA size(cm) 53plusmn10 50plusmn07 029
Symptom(day) 29plusmn17 28plusmn15 085
WMSI 151plusmn061 149plusmn086 089
MACE() 9(188) 5(277) 042
Sex(male)() 23(479) 6(333) 028
HTN() 21(417) 14(778) 002
ACEI use(Initial)() 35(729) 7(389) 001
Dichlozid use(fu)() 30(625) 4(222) 000
Furosemide use(Initial)() 15(313) 11(611) 002
Survival(N=56) Death(N=37) P value
SHF Age(years) 641plusmn146 741plusmn90 000
Hb 130plusmn18 115plusmn21 000
Weight(kg) 592plusmn138 524plusmn110 000
BUN 199plusmn110 307plusmn135 000
Creatinine 12plusmn04 15plusmn09 002
BNP(follow up) 3989plusmn5006 15221plusmn16526 000
LA size(cm) 52plusmn08 46plusmn06 000
Symptom(day) 31plusmn14 25plusmn13 003
WMSI 174plusmn114 220plusmn095 003
MACE 11(196) 19(514) 000
Sex(male)() 29(518) 23(622) 032
HTN() 23(411) 22(595) 008
ACEI use(Initial)() 36(643) 23(622) 083
Dichlozid use(fu)() 36(643) 23(622) 083
Furosemide use(Initial)() 25(446) 22(595) 016
- 24 -
SHF systolic heart failure DHF diastolic heart
failure BUN Biliary urea nitrogen LA left atrium fu
follow up
Exp(B)950 CI for EXP(B)
Lower Upper
SHF Age(year) 1047 1014 1081
Weight(day) 0963 0934 0993
Hemoglobin 0821 0702 0961
BUN 1036 1012 1060
Creatinine 1717 1114 2647
BNP(follow up) 1000 1000 1001
LA size(cm) 0416 0230 0751
Symptom(day) 0701 0505 0974
Initial ACEI use 0857 0409 1795
Initial ARB use 1085 0463 2541
dichlozid use(fu) 1199 0546 2635
Initial furosemide use 1479 0706 3098
DHF Age(year) 1080 1026 1137
Weight(kg) 0969 0922 1018
Hemoglobin 0892 0754 1055
BUN 1007 0971 1045
Creatinine 1358 0837 2203
BNP(follow up) 1001 1000 1002
LA size(cm) 0863 0502 1483
Symptom(day) 0958 0711 1292
Initial ACEI use 2970 1128 7825
Initial ARB use 0283 0104 0772
dichlozid use(fu) 3821 1245 11725
Initial furosemide use 0363 0137 0962
- 25 -
SHF systolic heart failure DHF diastolic heart failure
- 6 -
- 7 -
- 8 -
- 9 -
1063
- 10 -
- 11 -
- 12 -
- 13 -
- 14 -
- 15 -
- 16 -
- 17 -
- 18 -
Department of Medicine
The Graduate School Yonsei University
( )
- 19 -
707 025
003
_____________________________________________________________
- 20 -
SHF systolic heart failure DHF diastolic heart failure BSA body
surface area BP blood pressure HD heart disease CMP
cardiomyopathy
Male () 56(538) 31(456) 029
Diabetes () 30(288) 21(309) 077
Smoking () 48(769) 23(338) 010
History of Hypertension () 50(481) 36(529) 039
()
()
()
()
()
- 21 -
LVIDD diastolic left ventricular internal dimension LVIDS systolic left
ventricular internal dimension SHF systolic heart failureDHF diastolic
heart failure
SHF( N= 104) DHF( N= 68) p
Ejection fraction () 286plusmn72 498plusmn104 000
LVIDD (cm) 65plusmn09 57plusmn09 000
LVIDS (cm) 55plusmn10 41plusmn08 000
Left atrium (cm) 50plusmn08 52plusmn09 004
Relaxation abnormality () 35(337) 25(368) 062
Pseudonormal pattern () 6(58) 12(176) 001
Restrictive physiology () 23(221) 4(59) 0005
E velocity (cms) 94plusmn36 99plusmn36 053
A velocity (cms) 82plusmn31 102plusmn44 001
EA ratio 14plusmn10 10plusmn05 004
EE 194plusmn118 169plusmn132 037
LV mass index (gm2) 1449plusmn434 1312plusmn466 008
Wall motion score index 198plusmn105 149plusmn068 000
Mitral regurgitation () 42(477) 27(429) 055
- 22 -
SHF systolic heart failure DHF diastolic heart failure Na serum
sodium K serum potassium BUN Blood urea nitrogen HDL high
density lipoprotein LDL low density lipoprotein BNP brain natriuretic
peptide
SHF( N= 104) DHF( N= 68) p
Lab test
- 23 -
SHF systolic heart failure DHF diastolic heart failure HTN Hypertension
Hb hemoglobin BUN Biliary urea nitrogen LA left atrium MACE major
adverse cardiac event WMSI wall motion score index fu follow up
Survival(N=48) Death(N=18) P value
DHF Age(years) 680plusmn116 771plusmn96 000
Hb 124plusmn28 116plusmn21 022
Weight(kg) 547plusmn121 529plusmn81 055
BUN 224plusmn119 246plusmn123 051
Creatinine 12plusmn07 15plusmn08 012
BNP(follow up) 5384plusmn5781 11743plusmn14322 015
LA size(cm) 53plusmn10 50plusmn07 029
Symptom(day) 29plusmn17 28plusmn15 085
WMSI 151plusmn061 149plusmn086 089
MACE() 9(188) 5(277) 042
Sex(male)() 23(479) 6(333) 028
HTN() 21(417) 14(778) 002
ACEI use(Initial)() 35(729) 7(389) 001
Dichlozid use(fu)() 30(625) 4(222) 000
Furosemide use(Initial)() 15(313) 11(611) 002
Survival(N=56) Death(N=37) P value
SHF Age(years) 641plusmn146 741plusmn90 000
Hb 130plusmn18 115plusmn21 000
Weight(kg) 592plusmn138 524plusmn110 000
BUN 199plusmn110 307plusmn135 000
Creatinine 12plusmn04 15plusmn09 002
BNP(follow up) 3989plusmn5006 15221plusmn16526 000
LA size(cm) 52plusmn08 46plusmn06 000
Symptom(day) 31plusmn14 25plusmn13 003
WMSI 174plusmn114 220plusmn095 003
MACE 11(196) 19(514) 000
Sex(male)() 29(518) 23(622) 032
HTN() 23(411) 22(595) 008
ACEI use(Initial)() 36(643) 23(622) 083
Dichlozid use(fu)() 36(643) 23(622) 083
Furosemide use(Initial)() 25(446) 22(595) 016
- 24 -
SHF systolic heart failure DHF diastolic heart
failure BUN Biliary urea nitrogen LA left atrium fu
follow up
Exp(B)950 CI for EXP(B)
Lower Upper
SHF Age(year) 1047 1014 1081
Weight(day) 0963 0934 0993
Hemoglobin 0821 0702 0961
BUN 1036 1012 1060
Creatinine 1717 1114 2647
BNP(follow up) 1000 1000 1001
LA size(cm) 0416 0230 0751
Symptom(day) 0701 0505 0974
Initial ACEI use 0857 0409 1795
Initial ARB use 1085 0463 2541
dichlozid use(fu) 1199 0546 2635
Initial furosemide use 1479 0706 3098
DHF Age(year) 1080 1026 1137
Weight(kg) 0969 0922 1018
Hemoglobin 0892 0754 1055
BUN 1007 0971 1045
Creatinine 1358 0837 2203
BNP(follow up) 1001 1000 1002
LA size(cm) 0863 0502 1483
Symptom(day) 0958 0711 1292
Initial ACEI use 2970 1128 7825
Initial ARB use 0283 0104 0772
dichlozid use(fu) 3821 1245 11725
Initial furosemide use 0363 0137 0962
- 25 -
SHF systolic heart failure DHF diastolic heart failure
- 7 -
- 8 -
- 9 -
1063
- 10 -
- 11 -
- 12 -
- 13 -
- 14 -
- 15 -
- 16 -
- 17 -
- 18 -
Department of Medicine
The Graduate School Yonsei University
( )
- 19 -
707 025
003
_____________________________________________________________
- 20 -
SHF systolic heart failure DHF diastolic heart failure BSA body
surface area BP blood pressure HD heart disease CMP
cardiomyopathy
Male () 56(538) 31(456) 029
Diabetes () 30(288) 21(309) 077
Smoking () 48(769) 23(338) 010
History of Hypertension () 50(481) 36(529) 039
()
()
()
()
()
- 21 -
LVIDD diastolic left ventricular internal dimension LVIDS systolic left
ventricular internal dimension SHF systolic heart failureDHF diastolic
heart failure
SHF( N= 104) DHF( N= 68) p
Ejection fraction () 286plusmn72 498plusmn104 000
LVIDD (cm) 65plusmn09 57plusmn09 000
LVIDS (cm) 55plusmn10 41plusmn08 000
Left atrium (cm) 50plusmn08 52plusmn09 004
Relaxation abnormality () 35(337) 25(368) 062
Pseudonormal pattern () 6(58) 12(176) 001
Restrictive physiology () 23(221) 4(59) 0005
E velocity (cms) 94plusmn36 99plusmn36 053
A velocity (cms) 82plusmn31 102plusmn44 001
EA ratio 14plusmn10 10plusmn05 004
EE 194plusmn118 169plusmn132 037
LV mass index (gm2) 1449plusmn434 1312plusmn466 008
Wall motion score index 198plusmn105 149plusmn068 000
Mitral regurgitation () 42(477) 27(429) 055
- 22 -
SHF systolic heart failure DHF diastolic heart failure Na serum
sodium K serum potassium BUN Blood urea nitrogen HDL high
density lipoprotein LDL low density lipoprotein BNP brain natriuretic
peptide
SHF( N= 104) DHF( N= 68) p
Lab test
- 23 -
SHF systolic heart failure DHF diastolic heart failure HTN Hypertension
Hb hemoglobin BUN Biliary urea nitrogen LA left atrium MACE major
adverse cardiac event WMSI wall motion score index fu follow up
Survival(N=48) Death(N=18) P value
DHF Age(years) 680plusmn116 771plusmn96 000
Hb 124plusmn28 116plusmn21 022
Weight(kg) 547plusmn121 529plusmn81 055
BUN 224plusmn119 246plusmn123 051
Creatinine 12plusmn07 15plusmn08 012
BNP(follow up) 5384plusmn5781 11743plusmn14322 015
LA size(cm) 53plusmn10 50plusmn07 029
Symptom(day) 29plusmn17 28plusmn15 085
WMSI 151plusmn061 149plusmn086 089
MACE() 9(188) 5(277) 042
Sex(male)() 23(479) 6(333) 028
HTN() 21(417) 14(778) 002
ACEI use(Initial)() 35(729) 7(389) 001
Dichlozid use(fu)() 30(625) 4(222) 000
Furosemide use(Initial)() 15(313) 11(611) 002
Survival(N=56) Death(N=37) P value
SHF Age(years) 641plusmn146 741plusmn90 000
Hb 130plusmn18 115plusmn21 000
Weight(kg) 592plusmn138 524plusmn110 000
BUN 199plusmn110 307plusmn135 000
Creatinine 12plusmn04 15plusmn09 002
BNP(follow up) 3989plusmn5006 15221plusmn16526 000
LA size(cm) 52plusmn08 46plusmn06 000
Symptom(day) 31plusmn14 25plusmn13 003
WMSI 174plusmn114 220plusmn095 003
MACE 11(196) 19(514) 000
Sex(male)() 29(518) 23(622) 032
HTN() 23(411) 22(595) 008
ACEI use(Initial)() 36(643) 23(622) 083
Dichlozid use(fu)() 36(643) 23(622) 083
Furosemide use(Initial)() 25(446) 22(595) 016
- 24 -
SHF systolic heart failure DHF diastolic heart
failure BUN Biliary urea nitrogen LA left atrium fu
follow up
Exp(B)950 CI for EXP(B)
Lower Upper
SHF Age(year) 1047 1014 1081
Weight(day) 0963 0934 0993
Hemoglobin 0821 0702 0961
BUN 1036 1012 1060
Creatinine 1717 1114 2647
BNP(follow up) 1000 1000 1001
LA size(cm) 0416 0230 0751
Symptom(day) 0701 0505 0974
Initial ACEI use 0857 0409 1795
Initial ARB use 1085 0463 2541
dichlozid use(fu) 1199 0546 2635
Initial furosemide use 1479 0706 3098
DHF Age(year) 1080 1026 1137
Weight(kg) 0969 0922 1018
Hemoglobin 0892 0754 1055
BUN 1007 0971 1045
Creatinine 1358 0837 2203
BNP(follow up) 1001 1000 1002
LA size(cm) 0863 0502 1483
Symptom(day) 0958 0711 1292
Initial ACEI use 2970 1128 7825
Initial ARB use 0283 0104 0772
dichlozid use(fu) 3821 1245 11725
Initial furosemide use 0363 0137 0962
- 25 -
SHF systolic heart failure DHF diastolic heart failure
- 8 -
- 9 -
1063
- 10 -
- 11 -
- 12 -
- 13 -
- 14 -
- 15 -
- 16 -
- 17 -
- 18 -
Department of Medicine
The Graduate School Yonsei University
( )
- 19 -
707 025
003
_____________________________________________________________
- 20 -
SHF systolic heart failure DHF diastolic heart failure BSA body
surface area BP blood pressure HD heart disease CMP
cardiomyopathy
Male () 56(538) 31(456) 029
Diabetes () 30(288) 21(309) 077
Smoking () 48(769) 23(338) 010
History of Hypertension () 50(481) 36(529) 039
()
()
()
()
()
- 21 -
LVIDD diastolic left ventricular internal dimension LVIDS systolic left
ventricular internal dimension SHF systolic heart failureDHF diastolic
heart failure
SHF( N= 104) DHF( N= 68) p
Ejection fraction () 286plusmn72 498plusmn104 000
LVIDD (cm) 65plusmn09 57plusmn09 000
LVIDS (cm) 55plusmn10 41plusmn08 000
Left atrium (cm) 50plusmn08 52plusmn09 004
Relaxation abnormality () 35(337) 25(368) 062
Pseudonormal pattern () 6(58) 12(176) 001
Restrictive physiology () 23(221) 4(59) 0005
E velocity (cms) 94plusmn36 99plusmn36 053
A velocity (cms) 82plusmn31 102plusmn44 001
EA ratio 14plusmn10 10plusmn05 004
EE 194plusmn118 169plusmn132 037
LV mass index (gm2) 1449plusmn434 1312plusmn466 008
Wall motion score index 198plusmn105 149plusmn068 000
Mitral regurgitation () 42(477) 27(429) 055
- 22 -
SHF systolic heart failure DHF diastolic heart failure Na serum
sodium K serum potassium BUN Blood urea nitrogen HDL high
density lipoprotein LDL low density lipoprotein BNP brain natriuretic
peptide
SHF( N= 104) DHF( N= 68) p
Lab test
- 23 -
SHF systolic heart failure DHF diastolic heart failure HTN Hypertension
Hb hemoglobin BUN Biliary urea nitrogen LA left atrium MACE major
adverse cardiac event WMSI wall motion score index fu follow up
Survival(N=48) Death(N=18) P value
DHF Age(years) 680plusmn116 771plusmn96 000
Hb 124plusmn28 116plusmn21 022
Weight(kg) 547plusmn121 529plusmn81 055
BUN 224plusmn119 246plusmn123 051
Creatinine 12plusmn07 15plusmn08 012
BNP(follow up) 5384plusmn5781 11743plusmn14322 015
LA size(cm) 53plusmn10 50plusmn07 029
Symptom(day) 29plusmn17 28plusmn15 085
WMSI 151plusmn061 149plusmn086 089
MACE() 9(188) 5(277) 042
Sex(male)() 23(479) 6(333) 028
HTN() 21(417) 14(778) 002
ACEI use(Initial)() 35(729) 7(389) 001
Dichlozid use(fu)() 30(625) 4(222) 000
Furosemide use(Initial)() 15(313) 11(611) 002
Survival(N=56) Death(N=37) P value
SHF Age(years) 641plusmn146 741plusmn90 000
Hb 130plusmn18 115plusmn21 000
Weight(kg) 592plusmn138 524plusmn110 000
BUN 199plusmn110 307plusmn135 000
Creatinine 12plusmn04 15plusmn09 002
BNP(follow up) 3989plusmn5006 15221plusmn16526 000
LA size(cm) 52plusmn08 46plusmn06 000
Symptom(day) 31plusmn14 25plusmn13 003
WMSI 174plusmn114 220plusmn095 003
MACE 11(196) 19(514) 000
Sex(male)() 29(518) 23(622) 032
HTN() 23(411) 22(595) 008
ACEI use(Initial)() 36(643) 23(622) 083
Dichlozid use(fu)() 36(643) 23(622) 083
Furosemide use(Initial)() 25(446) 22(595) 016
- 24 -
SHF systolic heart failure DHF diastolic heart
failure BUN Biliary urea nitrogen LA left atrium fu
follow up
Exp(B)950 CI for EXP(B)
Lower Upper
SHF Age(year) 1047 1014 1081
Weight(day) 0963 0934 0993
Hemoglobin 0821 0702 0961
BUN 1036 1012 1060
Creatinine 1717 1114 2647
BNP(follow up) 1000 1000 1001
LA size(cm) 0416 0230 0751
Symptom(day) 0701 0505 0974
Initial ACEI use 0857 0409 1795
Initial ARB use 1085 0463 2541
dichlozid use(fu) 1199 0546 2635
Initial furosemide use 1479 0706 3098
DHF Age(year) 1080 1026 1137
Weight(kg) 0969 0922 1018
Hemoglobin 0892 0754 1055
BUN 1007 0971 1045
Creatinine 1358 0837 2203
BNP(follow up) 1001 1000 1002
LA size(cm) 0863 0502 1483
Symptom(day) 0958 0711 1292
Initial ACEI use 2970 1128 7825
Initial ARB use 0283 0104 0772
dichlozid use(fu) 3821 1245 11725
Initial furosemide use 0363 0137 0962
- 25 -
SHF systolic heart failure DHF diastolic heart failure
- 9 -
1063
- 10 -
- 11 -
- 12 -
- 13 -
- 14 -
- 15 -
- 16 -
- 17 -
- 18 -
Department of Medicine
The Graduate School Yonsei University
( )
- 19 -
707 025
003
_____________________________________________________________
- 20 -
SHF systolic heart failure DHF diastolic heart failure BSA body
surface area BP blood pressure HD heart disease CMP
cardiomyopathy
Male () 56(538) 31(456) 029
Diabetes () 30(288) 21(309) 077
Smoking () 48(769) 23(338) 010
History of Hypertension () 50(481) 36(529) 039
()
()
()
()
()
- 21 -
LVIDD diastolic left ventricular internal dimension LVIDS systolic left
ventricular internal dimension SHF systolic heart failureDHF diastolic
heart failure
SHF( N= 104) DHF( N= 68) p
Ejection fraction () 286plusmn72 498plusmn104 000
LVIDD (cm) 65plusmn09 57plusmn09 000
LVIDS (cm) 55plusmn10 41plusmn08 000
Left atrium (cm) 50plusmn08 52plusmn09 004
Relaxation abnormality () 35(337) 25(368) 062
Pseudonormal pattern () 6(58) 12(176) 001
Restrictive physiology () 23(221) 4(59) 0005
E velocity (cms) 94plusmn36 99plusmn36 053
A velocity (cms) 82plusmn31 102plusmn44 001
EA ratio 14plusmn10 10plusmn05 004
EE 194plusmn118 169plusmn132 037
LV mass index (gm2) 1449plusmn434 1312plusmn466 008
Wall motion score index 198plusmn105 149plusmn068 000
Mitral regurgitation () 42(477) 27(429) 055
- 22 -
SHF systolic heart failure DHF diastolic heart failure Na serum
sodium K serum potassium BUN Blood urea nitrogen HDL high
density lipoprotein LDL low density lipoprotein BNP brain natriuretic
peptide
SHF( N= 104) DHF( N= 68) p
Lab test
- 23 -
SHF systolic heart failure DHF diastolic heart failure HTN Hypertension
Hb hemoglobin BUN Biliary urea nitrogen LA left atrium MACE major
adverse cardiac event WMSI wall motion score index fu follow up
Survival(N=48) Death(N=18) P value
DHF Age(years) 680plusmn116 771plusmn96 000
Hb 124plusmn28 116plusmn21 022
Weight(kg) 547plusmn121 529plusmn81 055
BUN 224plusmn119 246plusmn123 051
Creatinine 12plusmn07 15plusmn08 012
BNP(follow up) 5384plusmn5781 11743plusmn14322 015
LA size(cm) 53plusmn10 50plusmn07 029
Symptom(day) 29plusmn17 28plusmn15 085
WMSI 151plusmn061 149plusmn086 089
MACE() 9(188) 5(277) 042
Sex(male)() 23(479) 6(333) 028
HTN() 21(417) 14(778) 002
ACEI use(Initial)() 35(729) 7(389) 001
Dichlozid use(fu)() 30(625) 4(222) 000
Furosemide use(Initial)() 15(313) 11(611) 002
Survival(N=56) Death(N=37) P value
SHF Age(years) 641plusmn146 741plusmn90 000
Hb 130plusmn18 115plusmn21 000
Weight(kg) 592plusmn138 524plusmn110 000
BUN 199plusmn110 307plusmn135 000
Creatinine 12plusmn04 15plusmn09 002
BNP(follow up) 3989plusmn5006 15221plusmn16526 000
LA size(cm) 52plusmn08 46plusmn06 000
Symptom(day) 31plusmn14 25plusmn13 003
WMSI 174plusmn114 220plusmn095 003
MACE 11(196) 19(514) 000
Sex(male)() 29(518) 23(622) 032
HTN() 23(411) 22(595) 008
ACEI use(Initial)() 36(643) 23(622) 083
Dichlozid use(fu)() 36(643) 23(622) 083
Furosemide use(Initial)() 25(446) 22(595) 016
- 24 -
SHF systolic heart failure DHF diastolic heart
failure BUN Biliary urea nitrogen LA left atrium fu
follow up
Exp(B)950 CI for EXP(B)
Lower Upper
SHF Age(year) 1047 1014 1081
Weight(day) 0963 0934 0993
Hemoglobin 0821 0702 0961
BUN 1036 1012 1060
Creatinine 1717 1114 2647
BNP(follow up) 1000 1000 1001
LA size(cm) 0416 0230 0751
Symptom(day) 0701 0505 0974
Initial ACEI use 0857 0409 1795
Initial ARB use 1085 0463 2541
dichlozid use(fu) 1199 0546 2635
Initial furosemide use 1479 0706 3098
DHF Age(year) 1080 1026 1137
Weight(kg) 0969 0922 1018
Hemoglobin 0892 0754 1055
BUN 1007 0971 1045
Creatinine 1358 0837 2203
BNP(follow up) 1001 1000 1002
LA size(cm) 0863 0502 1483
Symptom(day) 0958 0711 1292
Initial ACEI use 2970 1128 7825
Initial ARB use 0283 0104 0772
dichlozid use(fu) 3821 1245 11725
Initial furosemide use 0363 0137 0962
- 25 -
SHF systolic heart failure DHF diastolic heart failure
- 10 -
- 11 -
- 12 -
- 13 -
- 14 -
- 15 -
- 16 -
- 17 -
- 18 -
Department of Medicine
The Graduate School Yonsei University
( )
- 19 -
707 025
003
_____________________________________________________________
- 20 -
SHF systolic heart failure DHF diastolic heart failure BSA body
surface area BP blood pressure HD heart disease CMP
cardiomyopathy
Male () 56(538) 31(456) 029
Diabetes () 30(288) 21(309) 077
Smoking () 48(769) 23(338) 010
History of Hypertension () 50(481) 36(529) 039
()
()
()
()
()
- 21 -
LVIDD diastolic left ventricular internal dimension LVIDS systolic left
ventricular internal dimension SHF systolic heart failureDHF diastolic
heart failure
SHF( N= 104) DHF( N= 68) p
Ejection fraction () 286plusmn72 498plusmn104 000
LVIDD (cm) 65plusmn09 57plusmn09 000
LVIDS (cm) 55plusmn10 41plusmn08 000
Left atrium (cm) 50plusmn08 52plusmn09 004
Relaxation abnormality () 35(337) 25(368) 062
Pseudonormal pattern () 6(58) 12(176) 001
Restrictive physiology () 23(221) 4(59) 0005
E velocity (cms) 94plusmn36 99plusmn36 053
A velocity (cms) 82plusmn31 102plusmn44 001
EA ratio 14plusmn10 10plusmn05 004
EE 194plusmn118 169plusmn132 037
LV mass index (gm2) 1449plusmn434 1312plusmn466 008
Wall motion score index 198plusmn105 149plusmn068 000
Mitral regurgitation () 42(477) 27(429) 055
- 22 -
SHF systolic heart failure DHF diastolic heart failure Na serum
sodium K serum potassium BUN Blood urea nitrogen HDL high
density lipoprotein LDL low density lipoprotein BNP brain natriuretic
peptide
SHF( N= 104) DHF( N= 68) p
Lab test
- 23 -
SHF systolic heart failure DHF diastolic heart failure HTN Hypertension
Hb hemoglobin BUN Biliary urea nitrogen LA left atrium MACE major
adverse cardiac event WMSI wall motion score index fu follow up
Survival(N=48) Death(N=18) P value
DHF Age(years) 680plusmn116 771plusmn96 000
Hb 124plusmn28 116plusmn21 022
Weight(kg) 547plusmn121 529plusmn81 055
BUN 224plusmn119 246plusmn123 051
Creatinine 12plusmn07 15plusmn08 012
BNP(follow up) 5384plusmn5781 11743plusmn14322 015
LA size(cm) 53plusmn10 50plusmn07 029
Symptom(day) 29plusmn17 28plusmn15 085
WMSI 151plusmn061 149plusmn086 089
MACE() 9(188) 5(277) 042
Sex(male)() 23(479) 6(333) 028
HTN() 21(417) 14(778) 002
ACEI use(Initial)() 35(729) 7(389) 001
Dichlozid use(fu)() 30(625) 4(222) 000
Furosemide use(Initial)() 15(313) 11(611) 002
Survival(N=56) Death(N=37) P value
SHF Age(years) 641plusmn146 741plusmn90 000
Hb 130plusmn18 115plusmn21 000
Weight(kg) 592plusmn138 524plusmn110 000
BUN 199plusmn110 307plusmn135 000
Creatinine 12plusmn04 15plusmn09 002
BNP(follow up) 3989plusmn5006 15221plusmn16526 000
LA size(cm) 52plusmn08 46plusmn06 000
Symptom(day) 31plusmn14 25plusmn13 003
WMSI 174plusmn114 220plusmn095 003
MACE 11(196) 19(514) 000
Sex(male)() 29(518) 23(622) 032
HTN() 23(411) 22(595) 008
ACEI use(Initial)() 36(643) 23(622) 083
Dichlozid use(fu)() 36(643) 23(622) 083
Furosemide use(Initial)() 25(446) 22(595) 016
- 24 -
SHF systolic heart failure DHF diastolic heart
failure BUN Biliary urea nitrogen LA left atrium fu
follow up
Exp(B)950 CI for EXP(B)
Lower Upper
SHF Age(year) 1047 1014 1081
Weight(day) 0963 0934 0993
Hemoglobin 0821 0702 0961
BUN 1036 1012 1060
Creatinine 1717 1114 2647
BNP(follow up) 1000 1000 1001
LA size(cm) 0416 0230 0751
Symptom(day) 0701 0505 0974
Initial ACEI use 0857 0409 1795
Initial ARB use 1085 0463 2541
dichlozid use(fu) 1199 0546 2635
Initial furosemide use 1479 0706 3098
DHF Age(year) 1080 1026 1137
Weight(kg) 0969 0922 1018
Hemoglobin 0892 0754 1055
BUN 1007 0971 1045
Creatinine 1358 0837 2203
BNP(follow up) 1001 1000 1002
LA size(cm) 0863 0502 1483
Symptom(day) 0958 0711 1292
Initial ACEI use 2970 1128 7825
Initial ARB use 0283 0104 0772
dichlozid use(fu) 3821 1245 11725
Initial furosemide use 0363 0137 0962
- 25 -
SHF systolic heart failure DHF diastolic heart failure
- 11 -
- 12 -
- 13 -
- 14 -
- 15 -
- 16 -
- 17 -
- 18 -
Department of Medicine
The Graduate School Yonsei University
( )
- 19 -
707 025
003
_____________________________________________________________
- 20 -
SHF systolic heart failure DHF diastolic heart failure BSA body
surface area BP blood pressure HD heart disease CMP
cardiomyopathy
Male () 56(538) 31(456) 029
Diabetes () 30(288) 21(309) 077
Smoking () 48(769) 23(338) 010
History of Hypertension () 50(481) 36(529) 039
()
()
()
()
()
- 21 -
LVIDD diastolic left ventricular internal dimension LVIDS systolic left
ventricular internal dimension SHF systolic heart failureDHF diastolic
heart failure
SHF( N= 104) DHF( N= 68) p
Ejection fraction () 286plusmn72 498plusmn104 000
LVIDD (cm) 65plusmn09 57plusmn09 000
LVIDS (cm) 55plusmn10 41plusmn08 000
Left atrium (cm) 50plusmn08 52plusmn09 004
Relaxation abnormality () 35(337) 25(368) 062
Pseudonormal pattern () 6(58) 12(176) 001
Restrictive physiology () 23(221) 4(59) 0005
E velocity (cms) 94plusmn36 99plusmn36 053
A velocity (cms) 82plusmn31 102plusmn44 001
EA ratio 14plusmn10 10plusmn05 004
EE 194plusmn118 169plusmn132 037
LV mass index (gm2) 1449plusmn434 1312plusmn466 008
Wall motion score index 198plusmn105 149plusmn068 000
Mitral regurgitation () 42(477) 27(429) 055
- 22 -
SHF systolic heart failure DHF diastolic heart failure Na serum
sodium K serum potassium BUN Blood urea nitrogen HDL high
density lipoprotein LDL low density lipoprotein BNP brain natriuretic
peptide
SHF( N= 104) DHF( N= 68) p
Lab test
- 23 -
SHF systolic heart failure DHF diastolic heart failure HTN Hypertension
Hb hemoglobin BUN Biliary urea nitrogen LA left atrium MACE major
adverse cardiac event WMSI wall motion score index fu follow up
Survival(N=48) Death(N=18) P value
DHF Age(years) 680plusmn116 771plusmn96 000
Hb 124plusmn28 116plusmn21 022
Weight(kg) 547plusmn121 529plusmn81 055
BUN 224plusmn119 246plusmn123 051
Creatinine 12plusmn07 15plusmn08 012
BNP(follow up) 5384plusmn5781 11743plusmn14322 015
LA size(cm) 53plusmn10 50plusmn07 029
Symptom(day) 29plusmn17 28plusmn15 085
WMSI 151plusmn061 149plusmn086 089
MACE() 9(188) 5(277) 042
Sex(male)() 23(479) 6(333) 028
HTN() 21(417) 14(778) 002
ACEI use(Initial)() 35(729) 7(389) 001
Dichlozid use(fu)() 30(625) 4(222) 000
Furosemide use(Initial)() 15(313) 11(611) 002
Survival(N=56) Death(N=37) P value
SHF Age(years) 641plusmn146 741plusmn90 000
Hb 130plusmn18 115plusmn21 000
Weight(kg) 592plusmn138 524plusmn110 000
BUN 199plusmn110 307plusmn135 000
Creatinine 12plusmn04 15plusmn09 002
BNP(follow up) 3989plusmn5006 15221plusmn16526 000
LA size(cm) 52plusmn08 46plusmn06 000
Symptom(day) 31plusmn14 25plusmn13 003
WMSI 174plusmn114 220plusmn095 003
MACE 11(196) 19(514) 000
Sex(male)() 29(518) 23(622) 032
HTN() 23(411) 22(595) 008
ACEI use(Initial)() 36(643) 23(622) 083
Dichlozid use(fu)() 36(643) 23(622) 083
Furosemide use(Initial)() 25(446) 22(595) 016
- 24 -
SHF systolic heart failure DHF diastolic heart
failure BUN Biliary urea nitrogen LA left atrium fu
follow up
Exp(B)950 CI for EXP(B)
Lower Upper
SHF Age(year) 1047 1014 1081
Weight(day) 0963 0934 0993
Hemoglobin 0821 0702 0961
BUN 1036 1012 1060
Creatinine 1717 1114 2647
BNP(follow up) 1000 1000 1001
LA size(cm) 0416 0230 0751
Symptom(day) 0701 0505 0974
Initial ACEI use 0857 0409 1795
Initial ARB use 1085 0463 2541
dichlozid use(fu) 1199 0546 2635
Initial furosemide use 1479 0706 3098
DHF Age(year) 1080 1026 1137
Weight(kg) 0969 0922 1018
Hemoglobin 0892 0754 1055
BUN 1007 0971 1045
Creatinine 1358 0837 2203
BNP(follow up) 1001 1000 1002
LA size(cm) 0863 0502 1483
Symptom(day) 0958 0711 1292
Initial ACEI use 2970 1128 7825
Initial ARB use 0283 0104 0772
dichlozid use(fu) 3821 1245 11725
Initial furosemide use 0363 0137 0962
- 25 -
SHF systolic heart failure DHF diastolic heart failure
- 12 -
- 13 -
- 14 -
- 15 -
- 16 -
- 17 -
- 18 -
Department of Medicine
The Graduate School Yonsei University
( )
- 19 -
707 025
003
_____________________________________________________________
- 20 -
SHF systolic heart failure DHF diastolic heart failure BSA body
surface area BP blood pressure HD heart disease CMP
cardiomyopathy
Male () 56(538) 31(456) 029
Diabetes () 30(288) 21(309) 077
Smoking () 48(769) 23(338) 010
History of Hypertension () 50(481) 36(529) 039
()
()
()
()
()
- 21 -
LVIDD diastolic left ventricular internal dimension LVIDS systolic left
ventricular internal dimension SHF systolic heart failureDHF diastolic
heart failure
SHF( N= 104) DHF( N= 68) p
Ejection fraction () 286plusmn72 498plusmn104 000
LVIDD (cm) 65plusmn09 57plusmn09 000
LVIDS (cm) 55plusmn10 41plusmn08 000
Left atrium (cm) 50plusmn08 52plusmn09 004
Relaxation abnormality () 35(337) 25(368) 062
Pseudonormal pattern () 6(58) 12(176) 001
Restrictive physiology () 23(221) 4(59) 0005
E velocity (cms) 94plusmn36 99plusmn36 053
A velocity (cms) 82plusmn31 102plusmn44 001
EA ratio 14plusmn10 10plusmn05 004
EE 194plusmn118 169plusmn132 037
LV mass index (gm2) 1449plusmn434 1312plusmn466 008
Wall motion score index 198plusmn105 149plusmn068 000
Mitral regurgitation () 42(477) 27(429) 055
- 22 -
SHF systolic heart failure DHF diastolic heart failure Na serum
sodium K serum potassium BUN Blood urea nitrogen HDL high
density lipoprotein LDL low density lipoprotein BNP brain natriuretic
peptide
SHF( N= 104) DHF( N= 68) p
Lab test
- 23 -
SHF systolic heart failure DHF diastolic heart failure HTN Hypertension
Hb hemoglobin BUN Biliary urea nitrogen LA left atrium MACE major
adverse cardiac event WMSI wall motion score index fu follow up
Survival(N=48) Death(N=18) P value
DHF Age(years) 680plusmn116 771plusmn96 000
Hb 124plusmn28 116plusmn21 022
Weight(kg) 547plusmn121 529plusmn81 055
BUN 224plusmn119 246plusmn123 051
Creatinine 12plusmn07 15plusmn08 012
BNP(follow up) 5384plusmn5781 11743plusmn14322 015
LA size(cm) 53plusmn10 50plusmn07 029
Symptom(day) 29plusmn17 28plusmn15 085
WMSI 151plusmn061 149plusmn086 089
MACE() 9(188) 5(277) 042
Sex(male)() 23(479) 6(333) 028
HTN() 21(417) 14(778) 002
ACEI use(Initial)() 35(729) 7(389) 001
Dichlozid use(fu)() 30(625) 4(222) 000
Furosemide use(Initial)() 15(313) 11(611) 002
Survival(N=56) Death(N=37) P value
SHF Age(years) 641plusmn146 741plusmn90 000
Hb 130plusmn18 115plusmn21 000
Weight(kg) 592plusmn138 524plusmn110 000
BUN 199plusmn110 307plusmn135 000
Creatinine 12plusmn04 15plusmn09 002
BNP(follow up) 3989plusmn5006 15221plusmn16526 000
LA size(cm) 52plusmn08 46plusmn06 000
Symptom(day) 31plusmn14 25plusmn13 003
WMSI 174plusmn114 220plusmn095 003
MACE 11(196) 19(514) 000
Sex(male)() 29(518) 23(622) 032
HTN() 23(411) 22(595) 008
ACEI use(Initial)() 36(643) 23(622) 083
Dichlozid use(fu)() 36(643) 23(622) 083
Furosemide use(Initial)() 25(446) 22(595) 016
- 24 -
SHF systolic heart failure DHF diastolic heart
failure BUN Biliary urea nitrogen LA left atrium fu
follow up
Exp(B)950 CI for EXP(B)
Lower Upper
SHF Age(year) 1047 1014 1081
Weight(day) 0963 0934 0993
Hemoglobin 0821 0702 0961
BUN 1036 1012 1060
Creatinine 1717 1114 2647
BNP(follow up) 1000 1000 1001
LA size(cm) 0416 0230 0751
Symptom(day) 0701 0505 0974
Initial ACEI use 0857 0409 1795
Initial ARB use 1085 0463 2541
dichlozid use(fu) 1199 0546 2635
Initial furosemide use 1479 0706 3098
DHF Age(year) 1080 1026 1137
Weight(kg) 0969 0922 1018
Hemoglobin 0892 0754 1055
BUN 1007 0971 1045
Creatinine 1358 0837 2203
BNP(follow up) 1001 1000 1002
LA size(cm) 0863 0502 1483
Symptom(day) 0958 0711 1292
Initial ACEI use 2970 1128 7825
Initial ARB use 0283 0104 0772
dichlozid use(fu) 3821 1245 11725
Initial furosemide use 0363 0137 0962
- 25 -
SHF systolic heart failure DHF diastolic heart failure
- 13 -
- 14 -
- 15 -
- 16 -
- 17 -
- 18 -
Department of Medicine
The Graduate School Yonsei University
( )
- 19 -
707 025
003
_____________________________________________________________
- 20 -
SHF systolic heart failure DHF diastolic heart failure BSA body
surface area BP blood pressure HD heart disease CMP
cardiomyopathy
Male () 56(538) 31(456) 029
Diabetes () 30(288) 21(309) 077
Smoking () 48(769) 23(338) 010
History of Hypertension () 50(481) 36(529) 039
()
()
()
()
()
- 21 -
LVIDD diastolic left ventricular internal dimension LVIDS systolic left
ventricular internal dimension SHF systolic heart failureDHF diastolic
heart failure
SHF( N= 104) DHF( N= 68) p
Ejection fraction () 286plusmn72 498plusmn104 000
LVIDD (cm) 65plusmn09 57plusmn09 000
LVIDS (cm) 55plusmn10 41plusmn08 000
Left atrium (cm) 50plusmn08 52plusmn09 004
Relaxation abnormality () 35(337) 25(368) 062
Pseudonormal pattern () 6(58) 12(176) 001
Restrictive physiology () 23(221) 4(59) 0005
E velocity (cms) 94plusmn36 99plusmn36 053
A velocity (cms) 82plusmn31 102plusmn44 001
EA ratio 14plusmn10 10plusmn05 004
EE 194plusmn118 169plusmn132 037
LV mass index (gm2) 1449plusmn434 1312plusmn466 008
Wall motion score index 198plusmn105 149plusmn068 000
Mitral regurgitation () 42(477) 27(429) 055
- 22 -
SHF systolic heart failure DHF diastolic heart failure Na serum
sodium K serum potassium BUN Blood urea nitrogen HDL high
density lipoprotein LDL low density lipoprotein BNP brain natriuretic
peptide
SHF( N= 104) DHF( N= 68) p
Lab test
- 23 -
SHF systolic heart failure DHF diastolic heart failure HTN Hypertension
Hb hemoglobin BUN Biliary urea nitrogen LA left atrium MACE major
adverse cardiac event WMSI wall motion score index fu follow up
Survival(N=48) Death(N=18) P value
DHF Age(years) 680plusmn116 771plusmn96 000
Hb 124plusmn28 116plusmn21 022
Weight(kg) 547plusmn121 529plusmn81 055
BUN 224plusmn119 246plusmn123 051
Creatinine 12plusmn07 15plusmn08 012
BNP(follow up) 5384plusmn5781 11743plusmn14322 015
LA size(cm) 53plusmn10 50plusmn07 029
Symptom(day) 29plusmn17 28plusmn15 085
WMSI 151plusmn061 149plusmn086 089
MACE() 9(188) 5(277) 042
Sex(male)() 23(479) 6(333) 028
HTN() 21(417) 14(778) 002
ACEI use(Initial)() 35(729) 7(389) 001
Dichlozid use(fu)() 30(625) 4(222) 000
Furosemide use(Initial)() 15(313) 11(611) 002
Survival(N=56) Death(N=37) P value
SHF Age(years) 641plusmn146 741plusmn90 000
Hb 130plusmn18 115plusmn21 000
Weight(kg) 592plusmn138 524plusmn110 000
BUN 199plusmn110 307plusmn135 000
Creatinine 12plusmn04 15plusmn09 002
BNP(follow up) 3989plusmn5006 15221plusmn16526 000
LA size(cm) 52plusmn08 46plusmn06 000
Symptom(day) 31plusmn14 25plusmn13 003
WMSI 174plusmn114 220plusmn095 003
MACE 11(196) 19(514) 000
Sex(male)() 29(518) 23(622) 032
HTN() 23(411) 22(595) 008
ACEI use(Initial)() 36(643) 23(622) 083
Dichlozid use(fu)() 36(643) 23(622) 083
Furosemide use(Initial)() 25(446) 22(595) 016
- 24 -
SHF systolic heart failure DHF diastolic heart
failure BUN Biliary urea nitrogen LA left atrium fu
follow up
Exp(B)950 CI for EXP(B)
Lower Upper
SHF Age(year) 1047 1014 1081
Weight(day) 0963 0934 0993
Hemoglobin 0821 0702 0961
BUN 1036 1012 1060
Creatinine 1717 1114 2647
BNP(follow up) 1000 1000 1001
LA size(cm) 0416 0230 0751
Symptom(day) 0701 0505 0974
Initial ACEI use 0857 0409 1795
Initial ARB use 1085 0463 2541
dichlozid use(fu) 1199 0546 2635
Initial furosemide use 1479 0706 3098
DHF Age(year) 1080 1026 1137
Weight(kg) 0969 0922 1018
Hemoglobin 0892 0754 1055
BUN 1007 0971 1045
Creatinine 1358 0837 2203
BNP(follow up) 1001 1000 1002
LA size(cm) 0863 0502 1483
Symptom(day) 0958 0711 1292
Initial ACEI use 2970 1128 7825
Initial ARB use 0283 0104 0772
dichlozid use(fu) 3821 1245 11725
Initial furosemide use 0363 0137 0962
- 25 -
SHF systolic heart failure DHF diastolic heart failure
- 14 -
- 15 -
- 16 -
- 17 -
- 18 -
Department of Medicine
The Graduate School Yonsei University
( )
- 19 -
707 025
003
_____________________________________________________________
- 20 -
SHF systolic heart failure DHF diastolic heart failure BSA body
surface area BP blood pressure HD heart disease CMP
cardiomyopathy
Male () 56(538) 31(456) 029
Diabetes () 30(288) 21(309) 077
Smoking () 48(769) 23(338) 010
History of Hypertension () 50(481) 36(529) 039
()
()
()
()
()
- 21 -
LVIDD diastolic left ventricular internal dimension LVIDS systolic left
ventricular internal dimension SHF systolic heart failureDHF diastolic
heart failure
SHF( N= 104) DHF( N= 68) p
Ejection fraction () 286plusmn72 498plusmn104 000
LVIDD (cm) 65plusmn09 57plusmn09 000
LVIDS (cm) 55plusmn10 41plusmn08 000
Left atrium (cm) 50plusmn08 52plusmn09 004
Relaxation abnormality () 35(337) 25(368) 062
Pseudonormal pattern () 6(58) 12(176) 001
Restrictive physiology () 23(221) 4(59) 0005
E velocity (cms) 94plusmn36 99plusmn36 053
A velocity (cms) 82plusmn31 102plusmn44 001
EA ratio 14plusmn10 10plusmn05 004
EE 194plusmn118 169plusmn132 037
LV mass index (gm2) 1449plusmn434 1312plusmn466 008
Wall motion score index 198plusmn105 149plusmn068 000
Mitral regurgitation () 42(477) 27(429) 055
- 22 -
SHF systolic heart failure DHF diastolic heart failure Na serum
sodium K serum potassium BUN Blood urea nitrogen HDL high
density lipoprotein LDL low density lipoprotein BNP brain natriuretic
peptide
SHF( N= 104) DHF( N= 68) p
Lab test
- 23 -
SHF systolic heart failure DHF diastolic heart failure HTN Hypertension
Hb hemoglobin BUN Biliary urea nitrogen LA left atrium MACE major
adverse cardiac event WMSI wall motion score index fu follow up
Survival(N=48) Death(N=18) P value
DHF Age(years) 680plusmn116 771plusmn96 000
Hb 124plusmn28 116plusmn21 022
Weight(kg) 547plusmn121 529plusmn81 055
BUN 224plusmn119 246plusmn123 051
Creatinine 12plusmn07 15plusmn08 012
BNP(follow up) 5384plusmn5781 11743plusmn14322 015
LA size(cm) 53plusmn10 50plusmn07 029
Symptom(day) 29plusmn17 28plusmn15 085
WMSI 151plusmn061 149plusmn086 089
MACE() 9(188) 5(277) 042
Sex(male)() 23(479) 6(333) 028
HTN() 21(417) 14(778) 002
ACEI use(Initial)() 35(729) 7(389) 001
Dichlozid use(fu)() 30(625) 4(222) 000
Furosemide use(Initial)() 15(313) 11(611) 002
Survival(N=56) Death(N=37) P value
SHF Age(years) 641plusmn146 741plusmn90 000
Hb 130plusmn18 115plusmn21 000
Weight(kg) 592plusmn138 524plusmn110 000
BUN 199plusmn110 307plusmn135 000
Creatinine 12plusmn04 15plusmn09 002
BNP(follow up) 3989plusmn5006 15221plusmn16526 000
LA size(cm) 52plusmn08 46plusmn06 000
Symptom(day) 31plusmn14 25plusmn13 003
WMSI 174plusmn114 220plusmn095 003
MACE 11(196) 19(514) 000
Sex(male)() 29(518) 23(622) 032
HTN() 23(411) 22(595) 008
ACEI use(Initial)() 36(643) 23(622) 083
Dichlozid use(fu)() 36(643) 23(622) 083
Furosemide use(Initial)() 25(446) 22(595) 016
- 24 -
SHF systolic heart failure DHF diastolic heart
failure BUN Biliary urea nitrogen LA left atrium fu
follow up
Exp(B)950 CI for EXP(B)
Lower Upper
SHF Age(year) 1047 1014 1081
Weight(day) 0963 0934 0993
Hemoglobin 0821 0702 0961
BUN 1036 1012 1060
Creatinine 1717 1114 2647
BNP(follow up) 1000 1000 1001
LA size(cm) 0416 0230 0751
Symptom(day) 0701 0505 0974
Initial ACEI use 0857 0409 1795
Initial ARB use 1085 0463 2541
dichlozid use(fu) 1199 0546 2635
Initial furosemide use 1479 0706 3098
DHF Age(year) 1080 1026 1137
Weight(kg) 0969 0922 1018
Hemoglobin 0892 0754 1055
BUN 1007 0971 1045
Creatinine 1358 0837 2203
BNP(follow up) 1001 1000 1002
LA size(cm) 0863 0502 1483
Symptom(day) 0958 0711 1292
Initial ACEI use 2970 1128 7825
Initial ARB use 0283 0104 0772
dichlozid use(fu) 3821 1245 11725
Initial furosemide use 0363 0137 0962
- 25 -
SHF systolic heart failure DHF diastolic heart failure
- 15 -
- 16 -
- 17 -
- 18 -
Department of Medicine
The Graduate School Yonsei University
( )
- 19 -
707 025
003
_____________________________________________________________
- 20 -
SHF systolic heart failure DHF diastolic heart failure BSA body
surface area BP blood pressure HD heart disease CMP
cardiomyopathy
Male () 56(538) 31(456) 029
Diabetes () 30(288) 21(309) 077
Smoking () 48(769) 23(338) 010
History of Hypertension () 50(481) 36(529) 039
()
()
()
()
()
- 21 -
LVIDD diastolic left ventricular internal dimension LVIDS systolic left
ventricular internal dimension SHF systolic heart failureDHF diastolic
heart failure
SHF( N= 104) DHF( N= 68) p
Ejection fraction () 286plusmn72 498plusmn104 000
LVIDD (cm) 65plusmn09 57plusmn09 000
LVIDS (cm) 55plusmn10 41plusmn08 000
Left atrium (cm) 50plusmn08 52plusmn09 004
Relaxation abnormality () 35(337) 25(368) 062
Pseudonormal pattern () 6(58) 12(176) 001
Restrictive physiology () 23(221) 4(59) 0005
E velocity (cms) 94plusmn36 99plusmn36 053
A velocity (cms) 82plusmn31 102plusmn44 001
EA ratio 14plusmn10 10plusmn05 004
EE 194plusmn118 169plusmn132 037
LV mass index (gm2) 1449plusmn434 1312plusmn466 008
Wall motion score index 198plusmn105 149plusmn068 000
Mitral regurgitation () 42(477) 27(429) 055
- 22 -
SHF systolic heart failure DHF diastolic heart failure Na serum
sodium K serum potassium BUN Blood urea nitrogen HDL high
density lipoprotein LDL low density lipoprotein BNP brain natriuretic
peptide
SHF( N= 104) DHF( N= 68) p
Lab test
- 23 -
SHF systolic heart failure DHF diastolic heart failure HTN Hypertension
Hb hemoglobin BUN Biliary urea nitrogen LA left atrium MACE major
adverse cardiac event WMSI wall motion score index fu follow up
Survival(N=48) Death(N=18) P value
DHF Age(years) 680plusmn116 771plusmn96 000
Hb 124plusmn28 116plusmn21 022
Weight(kg) 547plusmn121 529plusmn81 055
BUN 224plusmn119 246plusmn123 051
Creatinine 12plusmn07 15plusmn08 012
BNP(follow up) 5384plusmn5781 11743plusmn14322 015
LA size(cm) 53plusmn10 50plusmn07 029
Symptom(day) 29plusmn17 28plusmn15 085
WMSI 151plusmn061 149plusmn086 089
MACE() 9(188) 5(277) 042
Sex(male)() 23(479) 6(333) 028
HTN() 21(417) 14(778) 002
ACEI use(Initial)() 35(729) 7(389) 001
Dichlozid use(fu)() 30(625) 4(222) 000
Furosemide use(Initial)() 15(313) 11(611) 002
Survival(N=56) Death(N=37) P value
SHF Age(years) 641plusmn146 741plusmn90 000
Hb 130plusmn18 115plusmn21 000
Weight(kg) 592plusmn138 524plusmn110 000
BUN 199plusmn110 307plusmn135 000
Creatinine 12plusmn04 15plusmn09 002
BNP(follow up) 3989plusmn5006 15221plusmn16526 000
LA size(cm) 52plusmn08 46plusmn06 000
Symptom(day) 31plusmn14 25plusmn13 003
WMSI 174plusmn114 220plusmn095 003
MACE 11(196) 19(514) 000
Sex(male)() 29(518) 23(622) 032
HTN() 23(411) 22(595) 008
ACEI use(Initial)() 36(643) 23(622) 083
Dichlozid use(fu)() 36(643) 23(622) 083
Furosemide use(Initial)() 25(446) 22(595) 016
- 24 -
SHF systolic heart failure DHF diastolic heart
failure BUN Biliary urea nitrogen LA left atrium fu
follow up
Exp(B)950 CI for EXP(B)
Lower Upper
SHF Age(year) 1047 1014 1081
Weight(day) 0963 0934 0993
Hemoglobin 0821 0702 0961
BUN 1036 1012 1060
Creatinine 1717 1114 2647
BNP(follow up) 1000 1000 1001
LA size(cm) 0416 0230 0751
Symptom(day) 0701 0505 0974
Initial ACEI use 0857 0409 1795
Initial ARB use 1085 0463 2541
dichlozid use(fu) 1199 0546 2635
Initial furosemide use 1479 0706 3098
DHF Age(year) 1080 1026 1137
Weight(kg) 0969 0922 1018
Hemoglobin 0892 0754 1055
BUN 1007 0971 1045
Creatinine 1358 0837 2203
BNP(follow up) 1001 1000 1002
LA size(cm) 0863 0502 1483
Symptom(day) 0958 0711 1292
Initial ACEI use 2970 1128 7825
Initial ARB use 0283 0104 0772
dichlozid use(fu) 3821 1245 11725
Initial furosemide use 0363 0137 0962
- 25 -
SHF systolic heart failure DHF diastolic heart failure
- 16 -
- 17 -
- 18 -
Department of Medicine
The Graduate School Yonsei University
( )
- 19 -
707 025
003
_____________________________________________________________
- 20 -
SHF systolic heart failure DHF diastolic heart failure BSA body
surface area BP blood pressure HD heart disease CMP
cardiomyopathy
Male () 56(538) 31(456) 029
Diabetes () 30(288) 21(309) 077
Smoking () 48(769) 23(338) 010
History of Hypertension () 50(481) 36(529) 039
()
()
()
()
()
- 21 -
LVIDD diastolic left ventricular internal dimension LVIDS systolic left
ventricular internal dimension SHF systolic heart failureDHF diastolic
heart failure
SHF( N= 104) DHF( N= 68) p
Ejection fraction () 286plusmn72 498plusmn104 000
LVIDD (cm) 65plusmn09 57plusmn09 000
LVIDS (cm) 55plusmn10 41plusmn08 000
Left atrium (cm) 50plusmn08 52plusmn09 004
Relaxation abnormality () 35(337) 25(368) 062
Pseudonormal pattern () 6(58) 12(176) 001
Restrictive physiology () 23(221) 4(59) 0005
E velocity (cms) 94plusmn36 99plusmn36 053
A velocity (cms) 82plusmn31 102plusmn44 001
EA ratio 14plusmn10 10plusmn05 004
EE 194plusmn118 169plusmn132 037
LV mass index (gm2) 1449plusmn434 1312plusmn466 008
Wall motion score index 198plusmn105 149plusmn068 000
Mitral regurgitation () 42(477) 27(429) 055
- 22 -
SHF systolic heart failure DHF diastolic heart failure Na serum
sodium K serum potassium BUN Blood urea nitrogen HDL high
density lipoprotein LDL low density lipoprotein BNP brain natriuretic
peptide
SHF( N= 104) DHF( N= 68) p
Lab test
- 23 -
SHF systolic heart failure DHF diastolic heart failure HTN Hypertension
Hb hemoglobin BUN Biliary urea nitrogen LA left atrium MACE major
adverse cardiac event WMSI wall motion score index fu follow up
Survival(N=48) Death(N=18) P value
DHF Age(years) 680plusmn116 771plusmn96 000
Hb 124plusmn28 116plusmn21 022
Weight(kg) 547plusmn121 529plusmn81 055
BUN 224plusmn119 246plusmn123 051
Creatinine 12plusmn07 15plusmn08 012
BNP(follow up) 5384plusmn5781 11743plusmn14322 015
LA size(cm) 53plusmn10 50plusmn07 029
Symptom(day) 29plusmn17 28plusmn15 085
WMSI 151plusmn061 149plusmn086 089
MACE() 9(188) 5(277) 042
Sex(male)() 23(479) 6(333) 028
HTN() 21(417) 14(778) 002
ACEI use(Initial)() 35(729) 7(389) 001
Dichlozid use(fu)() 30(625) 4(222) 000
Furosemide use(Initial)() 15(313) 11(611) 002
Survival(N=56) Death(N=37) P value
SHF Age(years) 641plusmn146 741plusmn90 000
Hb 130plusmn18 115plusmn21 000
Weight(kg) 592plusmn138 524plusmn110 000
BUN 199plusmn110 307plusmn135 000
Creatinine 12plusmn04 15plusmn09 002
BNP(follow up) 3989plusmn5006 15221plusmn16526 000
LA size(cm) 52plusmn08 46plusmn06 000
Symptom(day) 31plusmn14 25plusmn13 003
WMSI 174plusmn114 220plusmn095 003
MACE 11(196) 19(514) 000
Sex(male)() 29(518) 23(622) 032
HTN() 23(411) 22(595) 008
ACEI use(Initial)() 36(643) 23(622) 083
Dichlozid use(fu)() 36(643) 23(622) 083
Furosemide use(Initial)() 25(446) 22(595) 016
- 24 -
SHF systolic heart failure DHF diastolic heart
failure BUN Biliary urea nitrogen LA left atrium fu
follow up
Exp(B)950 CI for EXP(B)
Lower Upper
SHF Age(year) 1047 1014 1081
Weight(day) 0963 0934 0993
Hemoglobin 0821 0702 0961
BUN 1036 1012 1060
Creatinine 1717 1114 2647
BNP(follow up) 1000 1000 1001
LA size(cm) 0416 0230 0751
Symptom(day) 0701 0505 0974
Initial ACEI use 0857 0409 1795
Initial ARB use 1085 0463 2541
dichlozid use(fu) 1199 0546 2635
Initial furosemide use 1479 0706 3098
DHF Age(year) 1080 1026 1137
Weight(kg) 0969 0922 1018
Hemoglobin 0892 0754 1055
BUN 1007 0971 1045
Creatinine 1358 0837 2203
BNP(follow up) 1001 1000 1002
LA size(cm) 0863 0502 1483
Symptom(day) 0958 0711 1292
Initial ACEI use 2970 1128 7825
Initial ARB use 0283 0104 0772
dichlozid use(fu) 3821 1245 11725
Initial furosemide use 0363 0137 0962
- 25 -
SHF systolic heart failure DHF diastolic heart failure
- 17 -
- 18 -
Department of Medicine
The Graduate School Yonsei University
( )
- 19 -
707 025
003
_____________________________________________________________
- 20 -
SHF systolic heart failure DHF diastolic heart failure BSA body
surface area BP blood pressure HD heart disease CMP
cardiomyopathy
Male () 56(538) 31(456) 029
Diabetes () 30(288) 21(309) 077
Smoking () 48(769) 23(338) 010
History of Hypertension () 50(481) 36(529) 039
()
()
()
()
()
- 21 -
LVIDD diastolic left ventricular internal dimension LVIDS systolic left
ventricular internal dimension SHF systolic heart failureDHF diastolic
heart failure
SHF( N= 104) DHF( N= 68) p
Ejection fraction () 286plusmn72 498plusmn104 000
LVIDD (cm) 65plusmn09 57plusmn09 000
LVIDS (cm) 55plusmn10 41plusmn08 000
Left atrium (cm) 50plusmn08 52plusmn09 004
Relaxation abnormality () 35(337) 25(368) 062
Pseudonormal pattern () 6(58) 12(176) 001
Restrictive physiology () 23(221) 4(59) 0005
E velocity (cms) 94plusmn36 99plusmn36 053
A velocity (cms) 82plusmn31 102plusmn44 001
EA ratio 14plusmn10 10plusmn05 004
EE 194plusmn118 169plusmn132 037
LV mass index (gm2) 1449plusmn434 1312plusmn466 008
Wall motion score index 198plusmn105 149plusmn068 000
Mitral regurgitation () 42(477) 27(429) 055
- 22 -
SHF systolic heart failure DHF diastolic heart failure Na serum
sodium K serum potassium BUN Blood urea nitrogen HDL high
density lipoprotein LDL low density lipoprotein BNP brain natriuretic
peptide
SHF( N= 104) DHF( N= 68) p
Lab test
- 23 -
SHF systolic heart failure DHF diastolic heart failure HTN Hypertension
Hb hemoglobin BUN Biliary urea nitrogen LA left atrium MACE major
adverse cardiac event WMSI wall motion score index fu follow up
Survival(N=48) Death(N=18) P value
DHF Age(years) 680plusmn116 771plusmn96 000
Hb 124plusmn28 116plusmn21 022
Weight(kg) 547plusmn121 529plusmn81 055
BUN 224plusmn119 246plusmn123 051
Creatinine 12plusmn07 15plusmn08 012
BNP(follow up) 5384plusmn5781 11743plusmn14322 015
LA size(cm) 53plusmn10 50plusmn07 029
Symptom(day) 29plusmn17 28plusmn15 085
WMSI 151plusmn061 149plusmn086 089
MACE() 9(188) 5(277) 042
Sex(male)() 23(479) 6(333) 028
HTN() 21(417) 14(778) 002
ACEI use(Initial)() 35(729) 7(389) 001
Dichlozid use(fu)() 30(625) 4(222) 000
Furosemide use(Initial)() 15(313) 11(611) 002
Survival(N=56) Death(N=37) P value
SHF Age(years) 641plusmn146 741plusmn90 000
Hb 130plusmn18 115plusmn21 000
Weight(kg) 592plusmn138 524plusmn110 000
BUN 199plusmn110 307plusmn135 000
Creatinine 12plusmn04 15plusmn09 002
BNP(follow up) 3989plusmn5006 15221plusmn16526 000
LA size(cm) 52plusmn08 46plusmn06 000
Symptom(day) 31plusmn14 25plusmn13 003
WMSI 174plusmn114 220plusmn095 003
MACE 11(196) 19(514) 000
Sex(male)() 29(518) 23(622) 032
HTN() 23(411) 22(595) 008
ACEI use(Initial)() 36(643) 23(622) 083
Dichlozid use(fu)() 36(643) 23(622) 083
Furosemide use(Initial)() 25(446) 22(595) 016
- 24 -
SHF systolic heart failure DHF diastolic heart
failure BUN Biliary urea nitrogen LA left atrium fu
follow up
Exp(B)950 CI for EXP(B)
Lower Upper
SHF Age(year) 1047 1014 1081
Weight(day) 0963 0934 0993
Hemoglobin 0821 0702 0961
BUN 1036 1012 1060
Creatinine 1717 1114 2647
BNP(follow up) 1000 1000 1001
LA size(cm) 0416 0230 0751
Symptom(day) 0701 0505 0974
Initial ACEI use 0857 0409 1795
Initial ARB use 1085 0463 2541
dichlozid use(fu) 1199 0546 2635
Initial furosemide use 1479 0706 3098
DHF Age(year) 1080 1026 1137
Weight(kg) 0969 0922 1018
Hemoglobin 0892 0754 1055
BUN 1007 0971 1045
Creatinine 1358 0837 2203
BNP(follow up) 1001 1000 1002
LA size(cm) 0863 0502 1483
Symptom(day) 0958 0711 1292
Initial ACEI use 2970 1128 7825
Initial ARB use 0283 0104 0772
dichlozid use(fu) 3821 1245 11725
Initial furosemide use 0363 0137 0962
- 25 -
SHF systolic heart failure DHF diastolic heart failure
- 18 -
Department of Medicine
The Graduate School Yonsei University
( )
- 19 -
707 025
003
_____________________________________________________________
- 20 -
SHF systolic heart failure DHF diastolic heart failure BSA body
surface area BP blood pressure HD heart disease CMP
cardiomyopathy
Male () 56(538) 31(456) 029
Diabetes () 30(288) 21(309) 077
Smoking () 48(769) 23(338) 010
History of Hypertension () 50(481) 36(529) 039
()
()
()
()
()
- 21 -
LVIDD diastolic left ventricular internal dimension LVIDS systolic left
ventricular internal dimension SHF systolic heart failureDHF diastolic
heart failure
SHF( N= 104) DHF( N= 68) p
Ejection fraction () 286plusmn72 498plusmn104 000
LVIDD (cm) 65plusmn09 57plusmn09 000
LVIDS (cm) 55plusmn10 41plusmn08 000
Left atrium (cm) 50plusmn08 52plusmn09 004
Relaxation abnormality () 35(337) 25(368) 062
Pseudonormal pattern () 6(58) 12(176) 001
Restrictive physiology () 23(221) 4(59) 0005
E velocity (cms) 94plusmn36 99plusmn36 053
A velocity (cms) 82plusmn31 102plusmn44 001
EA ratio 14plusmn10 10plusmn05 004
EE 194plusmn118 169plusmn132 037
LV mass index (gm2) 1449plusmn434 1312plusmn466 008
Wall motion score index 198plusmn105 149plusmn068 000
Mitral regurgitation () 42(477) 27(429) 055
- 22 -
SHF systolic heart failure DHF diastolic heart failure Na serum
sodium K serum potassium BUN Blood urea nitrogen HDL high
density lipoprotein LDL low density lipoprotein BNP brain natriuretic
peptide
SHF( N= 104) DHF( N= 68) p
Lab test
- 23 -
SHF systolic heart failure DHF diastolic heart failure HTN Hypertension
Hb hemoglobin BUN Biliary urea nitrogen LA left atrium MACE major
adverse cardiac event WMSI wall motion score index fu follow up
Survival(N=48) Death(N=18) P value
DHF Age(years) 680plusmn116 771plusmn96 000
Hb 124plusmn28 116plusmn21 022
Weight(kg) 547plusmn121 529plusmn81 055
BUN 224plusmn119 246plusmn123 051
Creatinine 12plusmn07 15plusmn08 012
BNP(follow up) 5384plusmn5781 11743plusmn14322 015
LA size(cm) 53plusmn10 50plusmn07 029
Symptom(day) 29plusmn17 28plusmn15 085
WMSI 151plusmn061 149plusmn086 089
MACE() 9(188) 5(277) 042
Sex(male)() 23(479) 6(333) 028
HTN() 21(417) 14(778) 002
ACEI use(Initial)() 35(729) 7(389) 001
Dichlozid use(fu)() 30(625) 4(222) 000
Furosemide use(Initial)() 15(313) 11(611) 002
Survival(N=56) Death(N=37) P value
SHF Age(years) 641plusmn146 741plusmn90 000
Hb 130plusmn18 115plusmn21 000
Weight(kg) 592plusmn138 524plusmn110 000
BUN 199plusmn110 307plusmn135 000
Creatinine 12plusmn04 15plusmn09 002
BNP(follow up) 3989plusmn5006 15221plusmn16526 000
LA size(cm) 52plusmn08 46plusmn06 000
Symptom(day) 31plusmn14 25plusmn13 003
WMSI 174plusmn114 220plusmn095 003
MACE 11(196) 19(514) 000
Sex(male)() 29(518) 23(622) 032
HTN() 23(411) 22(595) 008
ACEI use(Initial)() 36(643) 23(622) 083
Dichlozid use(fu)() 36(643) 23(622) 083
Furosemide use(Initial)() 25(446) 22(595) 016
- 24 -
SHF systolic heart failure DHF diastolic heart
failure BUN Biliary urea nitrogen LA left atrium fu
follow up
Exp(B)950 CI for EXP(B)
Lower Upper
SHF Age(year) 1047 1014 1081
Weight(day) 0963 0934 0993
Hemoglobin 0821 0702 0961
BUN 1036 1012 1060
Creatinine 1717 1114 2647
BNP(follow up) 1000 1000 1001
LA size(cm) 0416 0230 0751
Symptom(day) 0701 0505 0974
Initial ACEI use 0857 0409 1795
Initial ARB use 1085 0463 2541
dichlozid use(fu) 1199 0546 2635
Initial furosemide use 1479 0706 3098
DHF Age(year) 1080 1026 1137
Weight(kg) 0969 0922 1018
Hemoglobin 0892 0754 1055
BUN 1007 0971 1045
Creatinine 1358 0837 2203
BNP(follow up) 1001 1000 1002
LA size(cm) 0863 0502 1483
Symptom(day) 0958 0711 1292
Initial ACEI use 2970 1128 7825
Initial ARB use 0283 0104 0772
dichlozid use(fu) 3821 1245 11725
Initial furosemide use 0363 0137 0962
- 25 -
SHF systolic heart failure DHF diastolic heart failure
- 19 -
707 025
003
_____________________________________________________________
- 20 -
SHF systolic heart failure DHF diastolic heart failure BSA body
surface area BP blood pressure HD heart disease CMP
cardiomyopathy
Male () 56(538) 31(456) 029
Diabetes () 30(288) 21(309) 077
Smoking () 48(769) 23(338) 010
History of Hypertension () 50(481) 36(529) 039
()
()
()
()
()
- 21 -
LVIDD diastolic left ventricular internal dimension LVIDS systolic left
ventricular internal dimension SHF systolic heart failureDHF diastolic
heart failure
SHF( N= 104) DHF( N= 68) p
Ejection fraction () 286plusmn72 498plusmn104 000
LVIDD (cm) 65plusmn09 57plusmn09 000
LVIDS (cm) 55plusmn10 41plusmn08 000
Left atrium (cm) 50plusmn08 52plusmn09 004
Relaxation abnormality () 35(337) 25(368) 062
Pseudonormal pattern () 6(58) 12(176) 001
Restrictive physiology () 23(221) 4(59) 0005
E velocity (cms) 94plusmn36 99plusmn36 053
A velocity (cms) 82plusmn31 102plusmn44 001
EA ratio 14plusmn10 10plusmn05 004
EE 194plusmn118 169plusmn132 037
LV mass index (gm2) 1449plusmn434 1312plusmn466 008
Wall motion score index 198plusmn105 149plusmn068 000
Mitral regurgitation () 42(477) 27(429) 055
- 22 -
SHF systolic heart failure DHF diastolic heart failure Na serum
sodium K serum potassium BUN Blood urea nitrogen HDL high
density lipoprotein LDL low density lipoprotein BNP brain natriuretic
peptide
SHF( N= 104) DHF( N= 68) p
Lab test
- 23 -
SHF systolic heart failure DHF diastolic heart failure HTN Hypertension
Hb hemoglobin BUN Biliary urea nitrogen LA left atrium MACE major
adverse cardiac event WMSI wall motion score index fu follow up
Survival(N=48) Death(N=18) P value
DHF Age(years) 680plusmn116 771plusmn96 000
Hb 124plusmn28 116plusmn21 022
Weight(kg) 547plusmn121 529plusmn81 055
BUN 224plusmn119 246plusmn123 051
Creatinine 12plusmn07 15plusmn08 012
BNP(follow up) 5384plusmn5781 11743plusmn14322 015
LA size(cm) 53plusmn10 50plusmn07 029
Symptom(day) 29plusmn17 28plusmn15 085
WMSI 151plusmn061 149plusmn086 089
MACE() 9(188) 5(277) 042
Sex(male)() 23(479) 6(333) 028
HTN() 21(417) 14(778) 002
ACEI use(Initial)() 35(729) 7(389) 001
Dichlozid use(fu)() 30(625) 4(222) 000
Furosemide use(Initial)() 15(313) 11(611) 002
Survival(N=56) Death(N=37) P value
SHF Age(years) 641plusmn146 741plusmn90 000
Hb 130plusmn18 115plusmn21 000
Weight(kg) 592plusmn138 524plusmn110 000
BUN 199plusmn110 307plusmn135 000
Creatinine 12plusmn04 15plusmn09 002
BNP(follow up) 3989plusmn5006 15221plusmn16526 000
LA size(cm) 52plusmn08 46plusmn06 000
Symptom(day) 31plusmn14 25plusmn13 003
WMSI 174plusmn114 220plusmn095 003
MACE 11(196) 19(514) 000
Sex(male)() 29(518) 23(622) 032
HTN() 23(411) 22(595) 008
ACEI use(Initial)() 36(643) 23(622) 083
Dichlozid use(fu)() 36(643) 23(622) 083
Furosemide use(Initial)() 25(446) 22(595) 016
- 24 -
SHF systolic heart failure DHF diastolic heart
failure BUN Biliary urea nitrogen LA left atrium fu
follow up
Exp(B)950 CI for EXP(B)
Lower Upper
SHF Age(year) 1047 1014 1081
Weight(day) 0963 0934 0993
Hemoglobin 0821 0702 0961
BUN 1036 1012 1060
Creatinine 1717 1114 2647
BNP(follow up) 1000 1000 1001
LA size(cm) 0416 0230 0751
Symptom(day) 0701 0505 0974
Initial ACEI use 0857 0409 1795
Initial ARB use 1085 0463 2541
dichlozid use(fu) 1199 0546 2635
Initial furosemide use 1479 0706 3098
DHF Age(year) 1080 1026 1137
Weight(kg) 0969 0922 1018
Hemoglobin 0892 0754 1055
BUN 1007 0971 1045
Creatinine 1358 0837 2203
BNP(follow up) 1001 1000 1002
LA size(cm) 0863 0502 1483
Symptom(day) 0958 0711 1292
Initial ACEI use 2970 1128 7825
Initial ARB use 0283 0104 0772
dichlozid use(fu) 3821 1245 11725
Initial furosemide use 0363 0137 0962
- 25 -
SHF systolic heart failure DHF diastolic heart failure
- 20 -
SHF systolic heart failure DHF diastolic heart failure BSA body
surface area BP blood pressure HD heart disease CMP
cardiomyopathy
Male () 56(538) 31(456) 029
Diabetes () 30(288) 21(309) 077
Smoking () 48(769) 23(338) 010
History of Hypertension () 50(481) 36(529) 039
()
()
()
()
()
- 21 -
LVIDD diastolic left ventricular internal dimension LVIDS systolic left
ventricular internal dimension SHF systolic heart failureDHF diastolic
heart failure
SHF( N= 104) DHF( N= 68) p
Ejection fraction () 286plusmn72 498plusmn104 000
LVIDD (cm) 65plusmn09 57plusmn09 000
LVIDS (cm) 55plusmn10 41plusmn08 000
Left atrium (cm) 50plusmn08 52plusmn09 004
Relaxation abnormality () 35(337) 25(368) 062
Pseudonormal pattern () 6(58) 12(176) 001
Restrictive physiology () 23(221) 4(59) 0005
E velocity (cms) 94plusmn36 99plusmn36 053
A velocity (cms) 82plusmn31 102plusmn44 001
EA ratio 14plusmn10 10plusmn05 004
EE 194plusmn118 169plusmn132 037
LV mass index (gm2) 1449plusmn434 1312plusmn466 008
Wall motion score index 198plusmn105 149plusmn068 000
Mitral regurgitation () 42(477) 27(429) 055
- 22 -
SHF systolic heart failure DHF diastolic heart failure Na serum
sodium K serum potassium BUN Blood urea nitrogen HDL high
density lipoprotein LDL low density lipoprotein BNP brain natriuretic
peptide
SHF( N= 104) DHF( N= 68) p
Lab test
- 23 -
SHF systolic heart failure DHF diastolic heart failure HTN Hypertension
Hb hemoglobin BUN Biliary urea nitrogen LA left atrium MACE major
adverse cardiac event WMSI wall motion score index fu follow up
Survival(N=48) Death(N=18) P value
DHF Age(years) 680plusmn116 771plusmn96 000
Hb 124plusmn28 116plusmn21 022
Weight(kg) 547plusmn121 529plusmn81 055
BUN 224plusmn119 246plusmn123 051
Creatinine 12plusmn07 15plusmn08 012
BNP(follow up) 5384plusmn5781 11743plusmn14322 015
LA size(cm) 53plusmn10 50plusmn07 029
Symptom(day) 29plusmn17 28plusmn15 085
WMSI 151plusmn061 149plusmn086 089
MACE() 9(188) 5(277) 042
Sex(male)() 23(479) 6(333) 028
HTN() 21(417) 14(778) 002
ACEI use(Initial)() 35(729) 7(389) 001
Dichlozid use(fu)() 30(625) 4(222) 000
Furosemide use(Initial)() 15(313) 11(611) 002
Survival(N=56) Death(N=37) P value
SHF Age(years) 641plusmn146 741plusmn90 000
Hb 130plusmn18 115plusmn21 000
Weight(kg) 592plusmn138 524plusmn110 000
BUN 199plusmn110 307plusmn135 000
Creatinine 12plusmn04 15plusmn09 002
BNP(follow up) 3989plusmn5006 15221plusmn16526 000
LA size(cm) 52plusmn08 46plusmn06 000
Symptom(day) 31plusmn14 25plusmn13 003
WMSI 174plusmn114 220plusmn095 003
MACE 11(196) 19(514) 000
Sex(male)() 29(518) 23(622) 032
HTN() 23(411) 22(595) 008
ACEI use(Initial)() 36(643) 23(622) 083
Dichlozid use(fu)() 36(643) 23(622) 083
Furosemide use(Initial)() 25(446) 22(595) 016
- 24 -
SHF systolic heart failure DHF diastolic heart
failure BUN Biliary urea nitrogen LA left atrium fu
follow up
Exp(B)950 CI for EXP(B)
Lower Upper
SHF Age(year) 1047 1014 1081
Weight(day) 0963 0934 0993
Hemoglobin 0821 0702 0961
BUN 1036 1012 1060
Creatinine 1717 1114 2647
BNP(follow up) 1000 1000 1001
LA size(cm) 0416 0230 0751
Symptom(day) 0701 0505 0974
Initial ACEI use 0857 0409 1795
Initial ARB use 1085 0463 2541
dichlozid use(fu) 1199 0546 2635
Initial furosemide use 1479 0706 3098
DHF Age(year) 1080 1026 1137
Weight(kg) 0969 0922 1018
Hemoglobin 0892 0754 1055
BUN 1007 0971 1045
Creatinine 1358 0837 2203
BNP(follow up) 1001 1000 1002
LA size(cm) 0863 0502 1483
Symptom(day) 0958 0711 1292
Initial ACEI use 2970 1128 7825
Initial ARB use 0283 0104 0772
dichlozid use(fu) 3821 1245 11725
Initial furosemide use 0363 0137 0962
- 25 -
SHF systolic heart failure DHF diastolic heart failure
- 21 -
LVIDD diastolic left ventricular internal dimension LVIDS systolic left
ventricular internal dimension SHF systolic heart failureDHF diastolic
heart failure
SHF( N= 104) DHF( N= 68) p
Ejection fraction () 286plusmn72 498plusmn104 000
LVIDD (cm) 65plusmn09 57plusmn09 000
LVIDS (cm) 55plusmn10 41plusmn08 000
Left atrium (cm) 50plusmn08 52plusmn09 004
Relaxation abnormality () 35(337) 25(368) 062
Pseudonormal pattern () 6(58) 12(176) 001
Restrictive physiology () 23(221) 4(59) 0005
E velocity (cms) 94plusmn36 99plusmn36 053
A velocity (cms) 82plusmn31 102plusmn44 001
EA ratio 14plusmn10 10plusmn05 004
EE 194plusmn118 169plusmn132 037
LV mass index (gm2) 1449plusmn434 1312plusmn466 008
Wall motion score index 198plusmn105 149plusmn068 000
Mitral regurgitation () 42(477) 27(429) 055
- 22 -
SHF systolic heart failure DHF diastolic heart failure Na serum
sodium K serum potassium BUN Blood urea nitrogen HDL high
density lipoprotein LDL low density lipoprotein BNP brain natriuretic
peptide
SHF( N= 104) DHF( N= 68) p
Lab test
- 23 -
SHF systolic heart failure DHF diastolic heart failure HTN Hypertension
Hb hemoglobin BUN Biliary urea nitrogen LA left atrium MACE major
adverse cardiac event WMSI wall motion score index fu follow up
Survival(N=48) Death(N=18) P value
DHF Age(years) 680plusmn116 771plusmn96 000
Hb 124plusmn28 116plusmn21 022
Weight(kg) 547plusmn121 529plusmn81 055
BUN 224plusmn119 246plusmn123 051
Creatinine 12plusmn07 15plusmn08 012
BNP(follow up) 5384plusmn5781 11743plusmn14322 015
LA size(cm) 53plusmn10 50plusmn07 029
Symptom(day) 29plusmn17 28plusmn15 085
WMSI 151plusmn061 149plusmn086 089
MACE() 9(188) 5(277) 042
Sex(male)() 23(479) 6(333) 028
HTN() 21(417) 14(778) 002
ACEI use(Initial)() 35(729) 7(389) 001
Dichlozid use(fu)() 30(625) 4(222) 000
Furosemide use(Initial)() 15(313) 11(611) 002
Survival(N=56) Death(N=37) P value
SHF Age(years) 641plusmn146 741plusmn90 000
Hb 130plusmn18 115plusmn21 000
Weight(kg) 592plusmn138 524plusmn110 000
BUN 199plusmn110 307plusmn135 000
Creatinine 12plusmn04 15plusmn09 002
BNP(follow up) 3989plusmn5006 15221plusmn16526 000
LA size(cm) 52plusmn08 46plusmn06 000
Symptom(day) 31plusmn14 25plusmn13 003
WMSI 174plusmn114 220plusmn095 003
MACE 11(196) 19(514) 000
Sex(male)() 29(518) 23(622) 032
HTN() 23(411) 22(595) 008
ACEI use(Initial)() 36(643) 23(622) 083
Dichlozid use(fu)() 36(643) 23(622) 083
Furosemide use(Initial)() 25(446) 22(595) 016
- 24 -
SHF systolic heart failure DHF diastolic heart
failure BUN Biliary urea nitrogen LA left atrium fu
follow up
Exp(B)950 CI for EXP(B)
Lower Upper
SHF Age(year) 1047 1014 1081
Weight(day) 0963 0934 0993
Hemoglobin 0821 0702 0961
BUN 1036 1012 1060
Creatinine 1717 1114 2647
BNP(follow up) 1000 1000 1001
LA size(cm) 0416 0230 0751
Symptom(day) 0701 0505 0974
Initial ACEI use 0857 0409 1795
Initial ARB use 1085 0463 2541
dichlozid use(fu) 1199 0546 2635
Initial furosemide use 1479 0706 3098
DHF Age(year) 1080 1026 1137
Weight(kg) 0969 0922 1018
Hemoglobin 0892 0754 1055
BUN 1007 0971 1045
Creatinine 1358 0837 2203
BNP(follow up) 1001 1000 1002
LA size(cm) 0863 0502 1483
Symptom(day) 0958 0711 1292
Initial ACEI use 2970 1128 7825
Initial ARB use 0283 0104 0772
dichlozid use(fu) 3821 1245 11725
Initial furosemide use 0363 0137 0962
- 25 -
SHF systolic heart failure DHF diastolic heart failure
- 22 -
SHF systolic heart failure DHF diastolic heart failure Na serum
sodium K serum potassium BUN Blood urea nitrogen HDL high
density lipoprotein LDL low density lipoprotein BNP brain natriuretic
peptide
SHF( N= 104) DHF( N= 68) p
Lab test
- 23 -
SHF systolic heart failure DHF diastolic heart failure HTN Hypertension
Hb hemoglobin BUN Biliary urea nitrogen LA left atrium MACE major
adverse cardiac event WMSI wall motion score index fu follow up
Survival(N=48) Death(N=18) P value
DHF Age(years) 680plusmn116 771plusmn96 000
Hb 124plusmn28 116plusmn21 022
Weight(kg) 547plusmn121 529plusmn81 055
BUN 224plusmn119 246plusmn123 051
Creatinine 12plusmn07 15plusmn08 012
BNP(follow up) 5384plusmn5781 11743plusmn14322 015
LA size(cm) 53plusmn10 50plusmn07 029
Symptom(day) 29plusmn17 28plusmn15 085
WMSI 151plusmn061 149plusmn086 089
MACE() 9(188) 5(277) 042
Sex(male)() 23(479) 6(333) 028
HTN() 21(417) 14(778) 002
ACEI use(Initial)() 35(729) 7(389) 001
Dichlozid use(fu)() 30(625) 4(222) 000
Furosemide use(Initial)() 15(313) 11(611) 002
Survival(N=56) Death(N=37) P value
SHF Age(years) 641plusmn146 741plusmn90 000
Hb 130plusmn18 115plusmn21 000
Weight(kg) 592plusmn138 524plusmn110 000
BUN 199plusmn110 307plusmn135 000
Creatinine 12plusmn04 15plusmn09 002
BNP(follow up) 3989plusmn5006 15221plusmn16526 000
LA size(cm) 52plusmn08 46plusmn06 000
Symptom(day) 31plusmn14 25plusmn13 003
WMSI 174plusmn114 220plusmn095 003
MACE 11(196) 19(514) 000
Sex(male)() 29(518) 23(622) 032
HTN() 23(411) 22(595) 008
ACEI use(Initial)() 36(643) 23(622) 083
Dichlozid use(fu)() 36(643) 23(622) 083
Furosemide use(Initial)() 25(446) 22(595) 016
- 24 -
SHF systolic heart failure DHF diastolic heart
failure BUN Biliary urea nitrogen LA left atrium fu
follow up
Exp(B)950 CI for EXP(B)
Lower Upper
SHF Age(year) 1047 1014 1081
Weight(day) 0963 0934 0993
Hemoglobin 0821 0702 0961
BUN 1036 1012 1060
Creatinine 1717 1114 2647
BNP(follow up) 1000 1000 1001
LA size(cm) 0416 0230 0751
Symptom(day) 0701 0505 0974
Initial ACEI use 0857 0409 1795
Initial ARB use 1085 0463 2541
dichlozid use(fu) 1199 0546 2635
Initial furosemide use 1479 0706 3098
DHF Age(year) 1080 1026 1137
Weight(kg) 0969 0922 1018
Hemoglobin 0892 0754 1055
BUN 1007 0971 1045
Creatinine 1358 0837 2203
BNP(follow up) 1001 1000 1002
LA size(cm) 0863 0502 1483
Symptom(day) 0958 0711 1292
Initial ACEI use 2970 1128 7825
Initial ARB use 0283 0104 0772
dichlozid use(fu) 3821 1245 11725
Initial furosemide use 0363 0137 0962
- 25 -
SHF systolic heart failure DHF diastolic heart failure
- 23 -
SHF systolic heart failure DHF diastolic heart failure HTN Hypertension
Hb hemoglobin BUN Biliary urea nitrogen LA left atrium MACE major
adverse cardiac event WMSI wall motion score index fu follow up
Survival(N=48) Death(N=18) P value
DHF Age(years) 680plusmn116 771plusmn96 000
Hb 124plusmn28 116plusmn21 022
Weight(kg) 547plusmn121 529plusmn81 055
BUN 224plusmn119 246plusmn123 051
Creatinine 12plusmn07 15plusmn08 012
BNP(follow up) 5384plusmn5781 11743plusmn14322 015
LA size(cm) 53plusmn10 50plusmn07 029
Symptom(day) 29plusmn17 28plusmn15 085
WMSI 151plusmn061 149plusmn086 089
MACE() 9(188) 5(277) 042
Sex(male)() 23(479) 6(333) 028
HTN() 21(417) 14(778) 002
ACEI use(Initial)() 35(729) 7(389) 001
Dichlozid use(fu)() 30(625) 4(222) 000
Furosemide use(Initial)() 15(313) 11(611) 002
Survival(N=56) Death(N=37) P value
SHF Age(years) 641plusmn146 741plusmn90 000
Hb 130plusmn18 115plusmn21 000
Weight(kg) 592plusmn138 524plusmn110 000
BUN 199plusmn110 307plusmn135 000
Creatinine 12plusmn04 15plusmn09 002
BNP(follow up) 3989plusmn5006 15221plusmn16526 000
LA size(cm) 52plusmn08 46plusmn06 000
Symptom(day) 31plusmn14 25plusmn13 003
WMSI 174plusmn114 220plusmn095 003
MACE 11(196) 19(514) 000
Sex(male)() 29(518) 23(622) 032
HTN() 23(411) 22(595) 008
ACEI use(Initial)() 36(643) 23(622) 083
Dichlozid use(fu)() 36(643) 23(622) 083
Furosemide use(Initial)() 25(446) 22(595) 016
- 24 -
SHF systolic heart failure DHF diastolic heart
failure BUN Biliary urea nitrogen LA left atrium fu
follow up
Exp(B)950 CI for EXP(B)
Lower Upper
SHF Age(year) 1047 1014 1081
Weight(day) 0963 0934 0993
Hemoglobin 0821 0702 0961
BUN 1036 1012 1060
Creatinine 1717 1114 2647
BNP(follow up) 1000 1000 1001
LA size(cm) 0416 0230 0751
Symptom(day) 0701 0505 0974
Initial ACEI use 0857 0409 1795
Initial ARB use 1085 0463 2541
dichlozid use(fu) 1199 0546 2635
Initial furosemide use 1479 0706 3098
DHF Age(year) 1080 1026 1137
Weight(kg) 0969 0922 1018
Hemoglobin 0892 0754 1055
BUN 1007 0971 1045
Creatinine 1358 0837 2203
BNP(follow up) 1001 1000 1002
LA size(cm) 0863 0502 1483
Symptom(day) 0958 0711 1292
Initial ACEI use 2970 1128 7825
Initial ARB use 0283 0104 0772
dichlozid use(fu) 3821 1245 11725
Initial furosemide use 0363 0137 0962
- 25 -
SHF systolic heart failure DHF diastolic heart failure
- 24 -
SHF systolic heart failure DHF diastolic heart
failure BUN Biliary urea nitrogen LA left atrium fu
follow up
Exp(B)950 CI for EXP(B)
Lower Upper
SHF Age(year) 1047 1014 1081
Weight(day) 0963 0934 0993
Hemoglobin 0821 0702 0961
BUN 1036 1012 1060
Creatinine 1717 1114 2647
BNP(follow up) 1000 1000 1001
LA size(cm) 0416 0230 0751
Symptom(day) 0701 0505 0974
Initial ACEI use 0857 0409 1795
Initial ARB use 1085 0463 2541
dichlozid use(fu) 1199 0546 2635
Initial furosemide use 1479 0706 3098
DHF Age(year) 1080 1026 1137
Weight(kg) 0969 0922 1018
Hemoglobin 0892 0754 1055
BUN 1007 0971 1045
Creatinine 1358 0837 2203
BNP(follow up) 1001 1000 1002
LA size(cm) 0863 0502 1483
Symptom(day) 0958 0711 1292
Initial ACEI use 2970 1128 7825
Initial ARB use 0283 0104 0772
dichlozid use(fu) 3821 1245 11725
Initial furosemide use 0363 0137 0962
- 25 -
SHF systolic heart failure DHF diastolic heart failure
- 25 -
SHF systolic heart failure DHF diastolic heart failure