Objective:

To compare the differences between systolic and diastolic dysfunction in patients admitted to the Hospital Puerta de Hierro Majadahonda, Madrid, with a diagnosis on discharge of ''first episode of heart failure''. The results were compared with the Spanish National Heart Failure Registry (RICA).

Material and method:

A retrospective study that included 1,000 patients admitted from October 2008 to May 2010. The follow-up was carried out up to May 2015.

Results The majority of patients were admitted to Internal Medicine, with a majority of females (62%), and with a median age of 87 years.

The overall mortality was 69.8%, and was higher in patients with diastolic heart failure (OR: 1.03, 95% CI; 0.73 - 1.45).

More than half of the patients (59%) were admitted at least once, with the majority being males (61%) and with hypertension (89.3%).

Conclusions:

Patients with diastolic heart failure were mainly admitted to Internal Medicine (76.2%). The majority were women with hypertension, and of a more advanced age than the systolic heart failure group.

The results were similar to the RICA, except for the higher mortality and admissions, probably due to the more advanced age of the patients, and the longer follow-up time.

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