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The aim of this study was to know the problematic posed by a significant range of patients hospitalized for heart failure inprivate urban centers which do not receive patients referred with end-stage disease. Baseline characteristics and outcome of865 consecutive elderly patients hospitalized due to heart failure were analyzed in two of the above-mentioned centers. Meanage was 81 years and 48% were women. Heart failure was of coronary etiology in 25.5% of cases and chagasic in 0.4%, and 78%of patients were hypertensive. Average comorbidities were 3 per patient. Half of the patients had preserved systolic function.Systolic blood pressure on admission was 145 mmHg and ≥ 170 mmHg in 25% of cases. Average hospital stay was 6 days andin-hospital mortality 6.13%. The one-year evolution of these patients is a matter of great concern, with 70% of readmissionsand 40.12% mortality. It should be pointed out that half of the post discharge deaths were not due to heart failure.

Decompensated Heart Failure. What Are We Talking About?