Risk stratification of Acute Heart Failureamong adult patients admitted to Black Lion Specialized Hospital.
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Date
2020-12
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Addis Abeba University
Abstract
INTRODUCTION
Heart failure (HF) is a complex clinical syndrome resulting from structural and functional
impairment of ventricular filling or ejection of blood. It is one of the major public health
problems worldwide.It is one of major public health problem worldwide. Acute Heart failure is
broadly defined as a rapid onset of new or worsening signs and symptoms of HF. Most of
registries done in the developed world showed it is more common in elderly male, 66-75% of the
patients has history of HF.
In Sub Saharan African countries, Unlike developed nations; the most prevailing causes of HF in
Africans remains largely non-ischemic, patients tend to be younger and most likely to present
with severe symptoms.
In Ethiopia, there are few hospital-based studies done. One retrospective chart review done at the
University of Gonder showed of 311 patients; HFpEF is more common (52.73%) and tends to
be women (76.22%). They predominantly had etiologies of valvular and hypertensive heart
diseases.Another prospective study done at TASH showed; among 128 patients, 75 (58.6%)female, CRVHD was the most common (52.3%).A recent prospective study done at showed:
median age of 34 years. The leading precipitating factor and underlying disease at the time of
admission were pneumonia (47.5%) and chronic rheumatic heart disease (48.5%), respectively.
In hospital, mortality was found to be 17.2%.
In this retrospective chart review 259 patients charts was revied of which 33 patients were died
and 226 were discharged improved. Mean age was 39 years and CRVHD was the commonest
cause of AHF. With regards to comorbidity Hypertension and DM was associated with it in
25.5% and 19.7% of the cases. AF and CAP was the commonest identified precipitating factors.
Low Hgb, lowsodium ,low potassium and increased creatine were predictors of mortality.
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Keywords
Heart Failure, adult patients