Intra-hospital prognosis of acute heart failure: Preliminary results in an Algerian population - 25/12/18
Resumen |
Background |
acute heart failure (AHF) has become a health burden worldwide. With its complex pathophysiology and presentation, it is the crossroad of several pathologies. A better knowledge of patients profile and pronostic factors of this syndrome would optimize management and improve the survival.
Purpose |
We intend to study inhospital morbimortality in patients presenting AHF. Our primary judgment criterion is a combination of MACE, worsening hart failure and death.
Method |
We have performed a prospective study on patients of more than 18 years old after informed consent admitted for AHF in our service since December 2017 until April 2018.
Results |
Among 75 patients, admitted during this period, the average age was 65, sex-ratio of 3 men/1 woman; 58% were hypertensive, 30% diabetic, 29% obese, 21% tobacco consumers and 28% with dyslipidemias. 65% of AHF were de novo and 35% have chronical evolution. 42% were of ischemic cause followed by 19% of hypertensive forms and 10% valvular heart disease mostly from rheumatic cause. FE is reduced in 42% of cases, midrange in 34% and preserved in 24%. Infections are the main precipitating factor (25%). Morbimortality is about 30% involving mostly patients with coronary disease (54%). Hospital mortality is 14.6%.
Discussion |
Our population is younger compared with developed coutries (75 years in OFICA, 72–73% in ADHERE and OPTIMIZED HF) but is the same as in the registries of 1990s. Males are predominant (55% female in OFICA). HFPEF are fewer (35–50% in OFICA). Hospital mortality is higher (8 to 12% in litterature). Postrheumatic valvular heart disease in not a rare condition. Hypertension is the main risk factor, ischemic etiology is the most common, this result is the same as in most registries.
Conclusion |
A better understanding of AHF through specific population registries could help improving care pathways to reduce morbidimortality and developing a preventive strategy.
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Vol 11 - N° 1
P. 40 - janvier 2019 Regresar al númeroBienvenido a EM-consulte, la referencia de los profesionales de la salud.
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