Yılmaz, Mehmet BirhanAksakal, EmrahAksu, UǧurAltay, HakanYıldırım, NesligülÇelik, AhmetAkıl, Mehmet AtaBekar, LütfüVural, Mustafa GökhanGüvenç, Rengin ÇetinÖzer, SavaşUral, Dilek2021-09-032021-09-032020Yılmaz, M. B., Aksakal, E., Aksu, U., Altay, H., Yıldırım, N., Çelik, A. ve diğerleri. (2020). Snapshot evaluation of acute and chronic heart failure in real-life in Turkey: A follow-up data for mortality. Anatolian Journal of Cardiology, 23(3), 160-168.2149-2263https://anatoljcardiol.com/jvi.aspx?pdir=anatoljcardiol&plng=eng&un=AJC-87894https://hdl.handle.net/11468/7425PMID:32120368WOS:000522763500008PMID: 32120368Objective: Heart failure (HF) is a progressive clinical syndrome. SELFIE-TR is a registry illustrating the overall HF patient profile of Turkey. Herein, all-cause mortality (ACM) data during follow-up were provided. Methods: This is a prospective outcome analysis of SELFIE-TR. Patients were classified as acute HF (AHF) versus chronic HF (CHF) and HF with reduced ejection fraction (HFrEF), HF with mid-range ejection fraction, and HF with preserved ejection fraction and were followed up for ACM. Results: There were 1054 patients with a mean age of 63.3±13.3 years and with a median follow-up period of 16 (7-17) months. Survival data within 1 year were available in 1022 patients. Crude ACM was 19.9% for 1 year in the whole group. ACM within 1 year was 13.7% versus 32.6% in patients with CHF and AHF, respectively (p<0.001). Angiotensin-converting enzyme inhibitor/angiotensin receptor blocker, beta blocker, and mineralocorticoid receptor antagonist were present in 70.6%, 88.2%, and 50.7%, respectively. In the whole cohort, survival curves were graded according to guideline-directed medical therapy (GDMT) scores ≤1 versus 2 versus 3 as 28% versus 20.2% versus 12.2%, respectively (p<0.001). Multivariate analysis of the whole cohort yielded age (p=0.009) and AHF (p=0.028) as independent predictors of mortality in 1 year. Conclusion: One-year mortality is high in Turkish patients with HF compared with contemporary cohorts with AHF and CHF. Of note, GDMT score is influential on 1-year mortality being the most striking one on chronic HFrEF. On the other hand, in the whole cohort, age and AHF were the only independent predictors of death in 1 year.eninfo:eu-repo/semantics/openAccessAll-cause mortalityHeart failurePrognosisArticle233160168WOS:0005227635000082-s2.0-850809414173479513212036810.14744/AnatolJCardiol.2019.87894Q3Q4