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Predictive risk is calculated for any type of patient from any age category. 38,39 The risk for patients without prior heart failure or a history of MI is 0.3%. 7 Predicted 1-year survival rates in patients not on heart failure drugs, rate control, or ACEI/ARB, BB, or biventricular pacing, respectively, are 95%, 93%, 92%, 90%, 94%, 95%, 96%, 98%, and 87%. The Survival Model predicted that 0.2% of the population has at least a low-risk score. 38 Even among the low-risk group, age is a predictor of poor survival, and low-risk patients tend to have a shorter expected lifespan than the general population. In addition, low-risk patients without ischemic heart disease or HF history have a predicted survival of 96% after 5 years, whereas patients with HF have a predicted survival of 75% after 5 years, and patients with ischemic heart disease have a predicted survival of 92% after 5 years. 40
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Figure 3. Risk score for different age groups. 5 Low-risk was defined by a risk score of 0. The black line shows the survival of all patients without a prior history of HF, HF, MI, or hypertension ( = 0.3%). The gray-line survival is for patients not taking medication for HF. The figure shows that the expected survival probability is substantially greater than the actual survival among patients not taking medication for HF.
In assessing HF in the community, the findings of SHFM were validated in the RENAISSANCE trial, an open-label, randomized, 2×2 factorial trial conducted at 51 centers in the US and Canada. 29
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Figure 4. Validation of the SHFM in the RENAISSANCE trial. The lower right graph shows the expected survival rate. The upper right graph shows the observed survival. Survival is substantially higher for high-risk patients. 28
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Figure 5. Percentage of patients in high-risk groups based on the SHFM. 5 Low-risk patients had no prior HF, no prior MI, and a history of hypertension ( = 0.3%). 6 A total of 4,556 patients (17.7% of RENAISSANCE) were included in the low-risk group. 5
Download: Size, 268 KB See also: Molecular phylogeny and evolution of Perissodactyla. In L. Peters (Ed.), Early Miocene pliosaurs from Europe and the Near East (pp. 55–72). Kuman, N. 1970. Biology and Natural History of the Platypus. Singapore: Butterworths.Download: Size, 5.52 MB Conservation: IUCN Red List. Protecting and conserving world biodiversity—the IUCN Red List of Threatened Species. IUCN, 2001. Arnold, K., & S. Dorner (Eds.) . 1996. The Spotted Sand Lizard, Platynota crybda, of the Western United States and Northern Mexico. OMRF-IUCN, 1996. Download: Size, 13.78 KB See also: Arnold, K., & S. Dorner (Eds.) . 1996. The Eastern Spotted Sand Lizard, Platynota stangeri, of the West. OMRF-IUCN, 1996. Download: Size, 10.4 KB Species Profile. Avetta atrata. IUCN 2007.Download: Size, 12.1 KB Download: Size, 6.66 KB Conservation Status. Greenaway, C. M., L. E. Reynolds, and C. I. Deetz. Extinct and Protected Mice and Rats: Discovering Their Lives and Their Role in Evolution. 1986. Chichester: Ellis Horwood. Download: Size, 3.2 MB Unpublished data. Greenaway, C. M., L. E. Reynolds, and C. I. Deetz. Extinct and Protected Mice and Rats: Discovering Their Lives and Their Role in Evolution. 1986. Chichester: Ellis Horwood. Download: Size, 2.56 MB Download: Size, 2.56 MB Download: Size, 3.25 MB Download: Size, 3.25 MB Download: Size, 19.5 KB Download: Size, 2.38 MB Download: Size, 5.3 MB Download: Size, 1.73 MB Download: Size, 2.15 MB Download: Size, 5.37 MB Download: Size, 1.
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