In-hospital hypotension was associated with increased hazard of 30-day mortality ( hazard ratio , 2.03 ; 95 % CI , 1.57-2 .61 ; P < 0.001 ) , 30-day heart failure hospitalization or mortality ( hazard ratio , 1.58 ; 95 % CI , 1.34-1 .86 ; P < 0.001 ) , and 30-day all-cause hospitalization or mortality ( hazard ratio , 1.40 ; 95 % CI , 1.22-1 .61 ; P < 0.001 ) .