{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,12]],"date-time":"2025-10-12T19:53:55Z","timestamp":1760298835198},"reference-count":28,"publisher":"Hindawi Limited","license":[{"start":{"date-parts":[[2013,1,1]],"date-time":"2013-01-01T00:00:00Z","timestamp":1356998400000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/3.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["BioMed Research International"],"published-print":{"date-parts":[[2013]]},"abstract":"<jats:p><jats:italic>Background.<\/jats:italic>Heart failure (HF) patients with higher systolic blood pressure (SBP) survive longer. Diabetes mellitus (DM) is a frequent comorbidity in HF. We evaluated the prognostic significance of low SBP according to DM in acute HF.<jats:italic>Methods.<\/jats:italic>We prospectively recruited 589 patients admitted with acute HF. DM was defined according to the 2011 American Diabetes Association recommendations. Patients were followed for 6 months and HF-death was the endpoint. A multivariate Cox-regression model was used to assess the prognostic impact of SBP. A stratified analysis according to DM was performed.<jats:italic>Results.<\/jats:italic>Median patients\u2019 age was 79 years and DM was present in 50.8%. Ischemic aetiology HF and hypertension history were more common in diabetics. Diabetic patients had worse renal function and lower total cholesterol and were more often discharged with antiplatelet therapy and statin. During followup, 89 patients died due to HF. The multivariate-adjusted HR for the 6-month HF death in non-diabetic patients with an admission SBP &lt; 115\u2009mmHg (1st quartile) was 2.94 (95% CI: 1.49\u20135.79), while lower admission SBP was not associated with HF mortality in diabetics.<jats:italic>Conclusions.<\/jats:italic>The blood pressure paradox in HF is only observed in non-diabetic HF patients. Diabetic patients seem to be a particular subgroup of HF patients.<\/jats:p>","DOI":"10.1155\/2013\/350289","type":"journal-article","created":{"date-parts":[[2013,11,25]],"date-time":"2013-11-25T23:58:43Z","timestamp":1385423923000},"page":"1-7","source":"Crossref","is-referenced-by-count":7,"title":["Is the Blood Pressure Paradox Observed in All Heart Failure Patients?"],"prefix":"10.1155","volume":"2013","author":[{"given":"F. M.","family":"Cunha","sequence":"first","affiliation":[{"name":"Servi\u00e7o de Medicina Interna, Centro Hospitalar de S\u00e3o Jo\u00e3o, Alameda Professor Hern\u00e2ni Monteiro, 4202-451 Porto, Portugal"}]},{"given":"P.","family":"Louren\u00e7o","sequence":"additional","affiliation":[{"name":"Servi\u00e7o de Medicina Interna, Centro Hospitalar de S\u00e3o Jo\u00e3o, Alameda Professor Hern\u00e2ni Monteiro, 4202-451 Porto, Portugal"},{"name":"Unidade I&D Cardiovascular do Porto, Faculdade de Medicina da Universidade do Porto, 4202-451 Porto, Portugal"}]},{"given":"M.","family":"Couto","sequence":"additional","affiliation":[{"name":"Servi\u00e7o de Medicina Interna, Centro Hospitalar de S\u00e3o Jo\u00e3o, Alameda Professor Hern\u00e2ni Monteiro, 4202-451 Porto, Portugal"}]},{"given":"P.","family":"Tavares","sequence":"additional","affiliation":[{"name":"Servi\u00e7o de Medicina Interna, Centro Hospitalar de S\u00e3o Jo\u00e3o, Alameda Professor Hern\u00e2ni Monteiro, 4202-451 Porto, Portugal"}]},{"given":"S.","family":"Silva","sequence":"additional","affiliation":[{"name":"Servi\u00e7o de Medicina Interna, Centro Hospitalar de S\u00e3o Jo\u00e3o, Alameda Professor Hern\u00e2ni Monteiro, 4202-451 Porto, Portugal"},{"name":"Unidade I&D Cardiovascular do Porto, Faculdade de Medicina da Universidade do Porto, 4202-451 Porto, Portugal"}]},{"given":"J. T.","family":"Guimar\u00e3es","sequence":"additional","affiliation":[{"name":"Servi\u00e7o de Patologia Cl\u00ednica, Centro Hospitalar S\u00e3o Jo\u00e3o, Departamento de Bioqu\u00edmica da Faculdade de Medicina da Universidade do Porto, 4202-451 Porto, Portugal"}]},{"given":"P.","family":"Bettencourt","sequence":"additional","affiliation":[{"name":"Servi\u00e7o de Medicina Interna, Centro Hospitalar de S\u00e3o Jo\u00e3o, Alameda Professor Hern\u00e2ni Monteiro, 4202-451 Porto, Portugal"},{"name":"Unidade I&D Cardiovascular do Porto, Faculdade de Medicina da Universidade do Porto, 4202-451 Porto, Portugal"}]}],"member":"98","reference":[{"issue":"1","key":"1","doi-asserted-by":"crossref","first-page":"46","DOI":"10.1016\/0002-9149(76)90061-8","volume":"38","year":"1976","journal-title":"American Journal of Cardiology"},{"key":"2","doi-asserted-by":"crossref","first-page":"S11","DOI":"10.2337\/dc11-S011","volume":"34","year":"2011","journal-title":"Diabetes Care"},{"key":"3","doi-asserted-by":"publisher","DOI":"10.2337\/diacare.27.8.1879"},{"key":"4","doi-asserted-by":"publisher","DOI":"10.1016\/S1875-2136(08)73697-0"},{"key":"5","doi-asserted-by":"publisher","DOI":"10.1001\/jama.293.5.572"},{"key":"6","doi-asserted-by":"publisher","DOI":"10.1093\/eurheartj\/ehl193"},{"key":"7","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijcard.2011.11.098"},{"key":"8","doi-asserted-by":"publisher","DOI":"10.1016\/j.ahj.2007.05.001"},{"key":"9","doi-asserted-by":"publisher","DOI":"10.1093\/eurheartj\/ehn153"},{"key":"10","doi-asserted-by":"publisher","DOI":"10.1016\/j.ehj.2004.01.010"},{"key":"11","doi-asserted-by":"publisher","DOI":"10.1093\/eurjhf\/hfs153"},{"key":"12","doi-asserted-by":"publisher","DOI":"10.1016\/S0735-1097(03)00856-8"},{"key":"13","doi-asserted-by":"publisher","DOI":"10.1001\/jama.275.20.1557"},{"key":"14","doi-asserted-by":"publisher","DOI":"10.1016\/j.ahj.2010.12.009"},{"key":"15","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjcard.2010.12.020"},{"key":"16","doi-asserted-by":"publisher","DOI":"10.1016\/j.ahj.2005.03.009"},{"key":"17","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjcard.2008.07.058"},{"key":"18","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacc.2008.04.028"},{"key":"19","doi-asserted-by":"publisher","DOI":"10.1001\/jama.296.18.2217"},{"key":"20","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCHEARTFAILURE.108.825059"},{"key":"21","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCHEARTFAILURE.109.869743"},{"key":"22","doi-asserted-by":"publisher","DOI":"10.1093\/eurheartj\/ehl407"},{"key":"23","doi-asserted-by":"publisher","DOI":"10.1093\/eurjhf\/hfp195"},{"key":"24","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacc.2003.11.039"},{"issue":"19","key":"25","doi-asserted-by":"crossref","first-page":"2388","DOI":"10.1093\/eurheartj\/ehn309","volume":"29","year":"2008","journal-title":"European Journal of Heart Failure"},{"key":"26","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacc.2008.09.011"},{"key":"27","doi-asserted-by":"publisher","DOI":"10.1093\/eurjhf\/hfq159"},{"key":"28","doi-asserted-by":"publisher","DOI":"10.2337\/diacare.26.5.1553"}],"container-title":["BioMed Research International"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/downloads.hindawi.com\/journals\/bmri\/2013\/350289.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/downloads.hindawi.com\/journals\/bmri\/2013\/350289.xml","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/downloads.hindawi.com\/journals\/bmri\/2013\/350289.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,5,20]],"date-time":"2024-05-20T10:28:25Z","timestamp":1716200905000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.hindawi.com\/journals\/bmri\/2013\/350289\/"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2013]]},"references-count":28,"alternative-id":["350289","350289"],"URL":"https:\/\/doi.org\/10.1155\/2013\/350289","relation":{},"ISSN":["2314-6133","2314-6141"],"issn-type":[{"value":"2314-6133","type":"print"},{"value":"2314-6141","type":"electronic"}],"subject":[],"published":{"date-parts":[[2013]]}}}