Clinical and Therapeutic Profles of Heart Failure Patients admitted to a Tertiary Hospital, Aseer Region, Saudi Arabia
Journal Title: Sultan Qaboos University Medical Journal - Year 2011, Vol 11, Issue 2
Abstract
Objectives: Tis study aimed to investigate the clinical and therapeutic profles of heart failure (HF) cases admitted to Aseer Central Hospital (ACH), Saudi Arabia. Methods: A retrospective cohort of 300 consecutive patients admitted with the diagnosis of HF to ACH from 1 June 2007 to 31 May 2009 were included in the study. Data on demographic variables, aetiologic factors, risk factors, and therapeutic profles of patients with HF were collected and analysed. Results: Te patients’ mean age was 67.4 ± 13.7 years and 68.7% of them were male. Te commonest aetiologies for HF were ischaemic heart disease (IHD) and hypertension in 38.3% and 33.3% of patients, respectively. A total of 61.3% of patients were diabetics. Other risk factors for HF included renal failure in 9.7%, atrial fbrillation in 13%, and anaemia in 48.3% of patients. Echocardiography was performed in 98.7% of cases: the average ejection fraction (EF) was 33% ± 17. Angiotensin converting enzyme inhibitors (ACEI) or angiotensin 2 receptor blockers were used in 68.3% of cases, β-blockers in 51.6% of cases and digoxin in 28.3% of cases. Conclusion: Te major causes of HF in our study were IHD and hypertension. Diabetes and anaemia were common risk factors. Te cohort constituted an intermediate HF risk group (ejection fraction (EF) 33%). Important therapeutic agents like angiotensin converting enzyme inhibitor I, β-blockers and digoxin were underutilised. Fostering such therapy in practice will lead to a better outcome in the management of HF patients. Anaemia was a signifcant risk factor in our HF patients and should be managed properly.
Authors and Affiliations
Abdullah S Assiri| Department of Cardiology, College of Medicine, King Khaled University, Abha, Saudi Arabia
Keywords
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