Academic Journal
Heart Failure Etiologies, Management and Short-term Outcomes in Hospitalized and Clinic-Based Patients in India
| العنوان: | Heart Failure Etiologies, Management and Short-term Outcomes in Hospitalized and Clinic-Based Patients in India |
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| المؤلفون: | Rajeev Gupta, Vaibhav Grover, Krishna Kumar Sharma, Bhawani S Mishra, Sanjeeb Roy, Ajeet Bana |
| المصدر: | RUHS Journal of Health Sciences (2023) |
| بيانات النشر: | Sonali Sharma on behalf of Rajasthan University of Health Sciences, 2023. |
| سنة النشر: | 2023 |
| المجموعة: | LCC:Medicine |
| مصطلحات موضوعية: | Not available, Medicine |
| الوصف: | Introduction: Heart failure epidemiology has been very poorly studied in India. There are only limited studies that have evaluated etiologies and outcomes. The aim of this study was to determine etiologies and management of heart failure in hospital and clinic-based patients. Methodology: Successive patients presenting to a tertiary care hospital with acute decompensated heart failure (ADHF, n=102) and stable heart failure (SHF, n=179) were enrolled. Etiology of heart failure was diagnosed using clinical examination and echocardiography. Both the groups were followed for 90 days. Descriptive statistics are presented. Results: Etiologies of heart failure in ADHF vs SHF patients, respectively, was coronary heart disease 50.0 v/s 53.6%, hypertension 27.4 v/s 15.1%, dilated cardiomyopathy 16.7 v/s 7.3%, rheumatic heart disease 4.9 v/s 14.0%, and hypertrophic cardiomyopathy 1.0 v/s 7.3%. Heart failure with normal ejection fraction was in 23 ADHF (22.5%) and 2 SHF (1.1%) patients. In-hospital treatments included diuretics, nitrates, angiotensin converting enzyme inhibitors (ACEI), angiotensin receptor blockers (ARB), mineralocorticoid receptor antagonists (MRA), digoxin, anticoagulants, vasodilators and vasopressors. In-hospital mortality in ADHF was 10.3% (n=11). At discharge significantly greater numbers of patients with ADHF v/s SHF were on loop-diuretics (95.5 v/s 78.2%), antiplatelets (74.4 v/s 64.2%) and antiarrhythmics/ivabradine (23.3 v/s 6.1%) while lesser were on thiazides (1.5 v/s 9.5%), MRA (33.4 v/s 43.0%), ACEFARB (34.5 v/s 76.0%) and beta-blockers (33.4 v/s 45.8%) (p |
| نوع الوثيقة: | article |
| وصف الملف: | electronic resource |
| اللغة: | English |
| تدمد: | 2456-8309 2582-3590 |
| Relation: | https://ruhsjhs.in/articleDetails.php?artid=TVRrMg==; https://doaj.org/toc/2456-8309; https://doaj.org/toc/2582-3590 |
| DOI: | 10.37821/ruhsjhs.3.1.2018.5-10 |
| URL الوصول: | https://doaj.org/article/79a882cd990e430a84d3e7544e0847e4 |
| رقم الانضمام: | edsdoj.79a882cd990e430a84d3e7544e0847e4 |
| قاعدة البيانات: | Directory of Open Access Journals |
| تدمد: | 24568309 25823590 |
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| DOI: | 10.37821/ruhsjhs.3.1.2018.5-10 |