Clinical profile of patients presented with cardiogenic shock in black lion specialized hospital adult emergency room.
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Date
2021-10
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Addis Abeba University
Abstract
Background: Cardiogenic shock is defined as a state of ineffective cardiac output caused by
primarily cardiac disorder resulting in inadequate tissue hypo perfusion. Cardiogenic shock is one
of the contemporary emergency room and cardiology challenges. The mortality rate is 39 % with
range of 27-50%.It is also the leading cause of mortality in patents with myocardial infarction.
Objective: The main objective of the study was to determine the clinical characteristics of
cardiogenic shock patients in Black line specialized hospital adult emergency room.
Methods: This study was conducted in Black lion specialized hospital located in Addis Ababa,
Ethiopia. A cross-sectional study was conducted retrospectively on patients who visited Black
Lion hospital adult emergency room from June 2019 to June 2021. All patients who were
diagnosed to have cardiogenic shock on the mentioned study period were included .Data was
collected from patients card by the researcher after structured questioner which was be adopted
and modified from previous researches . After checking for clarity and completeness the data was
entered in to SPSS version 26 for analysis.
RESULT; In this monocentric study which from 98 patients who were enrolled retrospectively 84
patients full fill the inclusion criteria. Out of them patients 39 (46 %) were male. The mean age of
the patients was 40.2 years with 19.1 standard deviation. Regarding the residency 67.9% were
from urban area. At admission the mean systolic blood pressure of the patients was 59.23 mmHg
with standard deviation of 34. The mean heart rate of the patients was 111 beats per minute with
37 standard deviation. Ejection fraction of the patients was depressed with mean EF of 39.9% with
14.4 standard deviation. . Valvular heart disease was the most common underlying etiology
accounting for 47.6% or 40 of the patients, followed by ischemic heart disease which accounts for
26.51 % of the cases .In hospital mortality was 38.1 %. Presence of deranged creatinine level was
associated with death with p-value of 0.031 and 3.256 adjusted odds ratio [1.116-9.505] 95%
confidence interval. Ischemic heart disease was also having association with death with p value of
0.004 and adjusted odds ratio of 7.184 with [1.874-27.543] 95 % confidence interval.
CONCLUSION: In this study the most common underlying etiology for cardiogenic shock was
chronic rheumatic valvular heart disease .The other finding was the etiology ischemic heart
disease and presence of deranged creatinine level were highly associated with in hospital
mortality.
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Keywords
Cardiogenic shock ,Patients