Clinical and Etiological Profile of Patients With Acute Heart Failure
Journal Title: IJAR-Indian Journal of Applied Research - Year 2016, Vol 6, Issue 6
Abstract
AIM:To study the clinical and etiological profile of patients with acute heart failure, with prospective evaluation of hospital course, mortality and response to treatment. MATERIALS AND METHODS: This prospective, observational study, was conducted on 50 consecutive patients attending the Casualty department, Medicine department, and Cardiology department.After a thorough history, clinical examination patients were diagnosed with Acute Heart Failure on the basis of Framingham’s Heart Failure criteria.Treatment strategy was done according to the final diagnosis. RESULTS: Acute HF patients were elderly with mean age 53.9 years and 34 patients (66 percent) were males and 16 patients (34 percent) percent were females. In our study Ischemic heart disease constituted 46 percent; dilated cardiomyopathy 10 percent; Valvular heart diseases 20 percent; Hypertension 16 percent; Myocarditis 06 percent and Pulmonary Arterial Hypertension (PAH) 2 percent among the etiologies. In our study Cardiogenic shock accounted to 45% of total mortality, denovo AHF 12% and pre-existing heart failure constituted to 10% of total mortality. CONCLUSIONS : Acute heart failure is a complex syndrome with multiple etiologies, varied presentation, high morbidity and mortality.
Authors and Affiliations
Dr. R. Phani kumar, Dr. Naga Karthik Vanukuri
Keywords
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