Research Article

Metolazone Add-On Therapy in Heart Failure: A Cohort Study from Persian Registry of Cardiovascular Disease/Heart Failure (PROVE/HF)

Table 1

Characteristics of the study population across different categories of diuretic usages.

VariablesAll (n = 1438)Furosemide plus metolazone (n = 466)Furosemide (n = 972)P

Age (years)68.19 ± 12.9867.79 ± 13.3868.39 ± 12.790.411
Male (%)999 (69.5)294 (63.1)705 (72.5)< 0.001
BMI (kg/m2)26.26 ± 426.46 ± 4.726.17 ± 3.60.193
Hypertension (%)911 (63.4)303 (65)608 (62.6)0.363
Diabetes mellitus (%)675 (46.9)218 (46.8)457 (47)0.933
COPD (%)175 (12.2)46 (9.9)129 (13.3)0.065
Ischemic heart disease (%)1218 (84.7)389 (83.5)829 (85.3)0.372
Stroke (%)74 (5.1)22 (4.7)52 (5.3)0.613
Renal diseases(%)353 (24.5)117 (25.1)236 (24.3)0.733
Smoking (%)265 (18.4)81 (17.4)184 (18.9)0.479
Systolic blood pressure (mmHg)127.60 ± 26.3127.56 ± 26.9127.62 ± 25.90.965
Diastolic blood pressure (mmHg)80.67 ± 15.780.01 ± 15.680.98 ± 15.80.273
Heart rates (beats/min)89.22 ± 19.888.96 ± 19.689.35 ± 19.90.728
Hb (g/dl)13.37 ± 2.0613.09 ± 2.0913.50 ± 2.04< 0.001
BUN (mg/dl)27.88 ± 14.4028.62 ± 16.0427.52 ± 13.50.175
Cr (mg/dl)1.51 ± 0.81.52 ± 0.71.50 ± 0.80.653
Potassium (mEq/l)4.49 ± 0.64.43 ± 0.64.52 ± 0.60.015
Sodium (mEq/l)138.66 ± 5138.62 ± 5.1138.68 ± 4.90.819

Drug history
Pre-admissionACEIs/ARBs (%)1021 (71)418 (89.7)603 (62)< 0.001
Beta-blockers (%)1040 (72.3)437 (93.8)603 (62)< 0.001
Mineralocorticoid receptor antagonists (%)468 (32.5)159 (34.1)309 (31.8)0.377
Nitrates (%)665 (46.2)206 (44.2)459 (47.2)0.283
Digoxin (%)465 (32.3)156 (33.5)309 (31.8)0.522
Oral anticoagulants (%)287 (20)102 (21.9)185 (19)0.205

DischargeACEIs/ARBs (%)1211 (84.2)457 (98.1)754 (77.6)< 0.001
Beta-blockers (%)1097 (76.3)457 (98.1)640 (65.8)< 0.001
Mineralocorticoid receptor antagonists (%)770 (53.5)262 (56.2)508 (52.3)0.159
Nitrates (%)820 (57)265 (56.9)555 (57.1)0.934
Digoxin (%)735 (51.1)237 (50.9)498 (51.2)0.894
Oral anticoagulants (%)345 (24)126 (27)219 (22.5)0.061

BMI: body mass index, COPD: chronic obstructive pulmonary disease, Hb: hemoglobin, BUN: blood urea nitrogen, Cr: creatinine, ACEIs: angiotensin-converting enzyme inhibitors, and ARB: angiotensin receptor blockers.