SHORT TERM MORBIDITY AND MORTALITY FOLLOW UP OF NEWLY DIAGNOSED SYSTOLIC HEART FAILURE PATIENTS AFTER THEIR FIRST ADMISSION

Authors

  • Basem Elsaid Enany
  • Mostafa Alshikha
  • Adel Gamal Hasaneen
  • Ahmed Ibrahim Nassar

DOI:

https://doi.org/10.47144/phj.v46i1.609

Keywords:

Heart failure, morbidity, mortality, first admission, follow up

Abstract

Objective: We aimed to follow up the clinical course of systolic heart failure
patients for three months after their first admission because of heart failure,
including morbidity and mortality.
Methodology: 49 patients were admitted to our police hospital in the period from
th th 7 October 2008 to 7 March 2009 with verified heart failure depending on
Framingham criteria and whose left ventricular ejection fraction < 45% evaluated
echocardiographically within 24 hours of admission. They were prospectively
followed up for 3 months.
Results: Coronary artery disease was the main cause of heart failure (75.6%).
Hypertension was present in (67.3%). Mean length of stay during the first
admission was 11.8 ± 5.5 days. Mitral regurge was highly prevalent and
frequent premature ventricular contactions were the most common complication
occurred. Atrial fibrillation was present in 24.5% of patients. The 1 and 3 months
mortality rates were 4.1 and 6.1%, respectively. Mortality rate was higher in
elderly patients > 70 years, low systolic blood pressure, low diastolic blood
pressure, and high blood urea patients. 30.4% of the 46 survivors experienced at
least one hospital readmission during follow-up. Readmission was associated
more with the following variables; low left ventricular ejection fraction, poor
compliance with diet and medication, and high RBS.
Conclusion: Despite the advances in treatment and diagnostic procedures, newly
diagnosed heart failure still carries a grave prognosis. Morbidiy and mortality
rates are still high.

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How to Cite

1.
Enany BE, Alshikha M, Hasaneen AG, Nassar AI. SHORT TERM MORBIDITY AND MORTALITY FOLLOW UP OF NEWLY DIAGNOSED SYSTOLIC HEART FAILURE PATIENTS AFTER THEIR FIRST ADMISSION. Pak Heart J [Internet]. 2013Jun.13 [cited 2024Nov.24];46(1). Available from: https://pakheartjournal1.pcs.org.pk/index.php/pk/article/view/609

Issue

Vol. 46 No. 1 (2013): Pakistan Heart Journal

Section

Original Article

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