Characterestics of Chronic Heart Failure (CHF) among hypertensive patients - 18/05/21
Résumé |
Introduction |
Hypertension is the most common cause for developing chronic heart failure. However, few studies have investigated the consequences of hypertension among patients followed for chronic heart failure.
Objective |
The aim of our study is to investigate the epidemiological, clinical, paraclinical and therapeutic features of patients followed for Chronic Heart Failure and hypertension by comparing them to non-hypertensive patients.
Results |
Within the sample studied, 358 patients (17.9%) had a balanced hypertension, and 444 patients (22.2%) had an unbalanced hypertension. The mean age was higher in the hypertensive group 84±2 years vs. 53 years with a male predominance in both groups. The etiology of HF (Heart Failure) in the hypentensive and non-hypertensive groups was respectively: ischemic heart disease (51.1% vs. 65.8), valvular disease (29% vs. 19.8%), toxic (2.1% vs. 2.2), idiopathic (6.4% vs. 9.5%) and others (11,4% vs. 2.6%). Clinically, the study has shown that the hypertensive group was less supportive than non-hypertensive. The alteration in diastolic function in echocardiography was more frequent in the hypertension group (25.1%) vs. non- hypertension group (18.4%). The proportion of the AF in the hypertensive and non hypertensive groups was respectively 11.9% and 10%. Blood pressure did not influence the risk of re-hospitalization (16.5% in the hypertensive group vs. 18.2% in the non- hypertensive group).
Conclusion |
Hypertension is more associated with supraventricular rhythm disorders, renal failure and diastolic LV dysfunction but has no influence on the occurrence of cardiac decompensation and hospitalization in our contexte.
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Vol 13 - N° 2
P. 215 - mai 2021 Retour au numéroBienvenue sur EM-consulte, la référence des professionnels de santé.