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International Journal of Cardiology Sciences

Vol. 6, Issue 2, Part A (2024)

Unmet needs in patients with acute HF med-delta acute HF registry

Author(s):

Mostafa Ahmed Shabak, Ehab Abd-Elwahab Hamdy, Suzan Biomy Elhefnawy and Mohamed khalfallah

Abstract:

Background: Several treatments have been tested in acute heart failure (HF) patients, hitting different central pathogenic mechanisms; however, for now none of such mechanisms have been proved to effectively ameliorate mortality and rehospitalization of HF. This registry aimed to determine patient characteristics, practice patterns and outcome of cases with acute HF with decreased EF in the Med-Delta region using registry design and find if there is a gap between the result found in the registry and the recent guidelines and implanting a medical program to improve patients’ wellbeing.
Methods: This prospective cohort study was conducted on 500 HF patients aged 30 or more presenting to the emergency department with manifestations of HF. The included had EF of 40% or less and NYHA classification ranging from II to IV. The patients were included regardless of any associating risk factors such as diabetes DM, hypertension, IHD, cerebrovascular accident, malignancy, AF, smoking, or COPD. 
Results: All the associations were statistically significant for increasing the risk of HF rehospitalization except for gender, residency, and smoking. Furthermore, diabetes, ischemic heart diseases, and AF were highly statistically significant (P-value ˂0.0001). A significant association was detected between the NYHA classification of the included sample of patients and rehospitalization (x2= 61.3; df= 2; P-value ˂0.0001).
Conclusions: There are statistically significant associations between the increased risk of HF rehospitalization and Hypertension, Cerebrovascular accident, COPD and Malignancy. Whereas there are highly significant associations with DM, Ischemic heart disease and AF and there were no statistically significant associations with gender, residency, and smoking. Our results strengthen the data in literature.
 

Pages: 24-29  |  141 Views  43 Downloads


International Journal of Cardiology Sciences
How to cite this article:
Mostafa Ahmed Shabak, Ehab Abd-Elwahab Hamdy, Suzan Biomy Elhefnawy and Mohamed khalfallah. Unmet needs in patients with acute HF med-delta acute HF registry. Int. J. Cardiol. Sci. 2024;6(2):24-29. DOI: 10.33545/26649020.2024.v6.i2a.60