Clinical Presentation of Heart Failure Patients Admitted in Colonel Maleque Medical College, Manikganj

Bangladesh Journal of Veterinary Medicine Pub Date : 2023-05-24 DOI:10.3329/bjm.v34i20.66180

Md. Toufiqur Rahman, RA Ahmed, Rumi Alam, M. A. Hossain, Md Sarowar Hossain, M. A. Hossain, Mohammad Nasimul Goni, Md Sajjadur Rahman, Mohammad Faridul Hoque, Manobendra Sarker

{"title":"Clinical Presentation of Heart Failure Patients Admitted in Colonel Maleque Medical College, Manikganj","authors":"Md. Toufiqur Rahman, RA Ahmed, Rumi Alam, M. A. Hossain, Md Sarowar Hossain, M. A. Hossain, Mohammad Nasimul Goni, Md Sajjadur Rahman, Mohammad Faridul Hoque, Manobendra Sarker","doi":"10.3329/bjm.v34i20.66180","DOIUrl":null,"url":null,"abstract":"Background: Heart failure is a complex syndrome that arises from abnormalities in the structure and/or function of the heart, whether inherited or acquired. This increase in prevalence and incidence is due to a variety of factors, including the aging of the population, improved survival rates from other cardiovascular diseases, and changes in lifestyle and risk factors such as obesity and diabetes. Heart failure patients have various presentations and different etiologies. This study aimed to see the different clinical presentations of hospitalized heart failure patients.\nMethods: This study was done to see Clinical Presentation of Heart Failure Patients admitted in Colonel Maleque Medical College, Manikganj and Maikganj Sadar Hospital. Total 3650 patients were enrolled for this study during the period of April 2018 to March 2023.\nResults: Most of the patients (60%) were of 51-70 years age group. 70 % (2555) patients were male. 99 % patients presented with SOB, 95 % patients had basal creps, 70% had orthopnoea, 49% had Paroxysmal Nocturnal Dyspoea (PND), 40% had leg edema and 25% had raised JVP. Average heart rate was 84 beats/min, average systolic B.P. was 128 mm Hg and average diastolic B.P. was 76 mm Hg. 49% population had hypertension, 39% patients had diabetes and 28% had concomitant respiratory illness. Average EF was 37 %. Ischemic Cardiomyopathy was the commonest (40%) cause of heart failure, acute coronary syndrome was the second leading (30%) cause, valvular heart disease and hypertension is the third common cause.\nConclusion: Most of the heart failure patients are elderly age group. Most of the patients presented with shortness of breath and bilateral basal creps. Most patients had co-morbid other illness that influences the natural course of heart failure patients. Most common causes are ischemic cardiomyopathy, a sequel of ischemic insult of the heart.\nJ Medicine 2023; Vol. 34, No. 2(1) Supplement: 219","PeriodicalId":8721,"journal":{"name":"Bangladesh Journal of Veterinary Medicine","volume":"9 1","pages":""},"PeriodicalIF":0.0000,"publicationDate":"2023-05-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Bangladesh Journal of Veterinary Medicine","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.3329/bjm.v34i20.66180","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}

引用次数: 0

Abstract

Background: Heart failure is a complex syndrome that arises from abnormalities in the structure and/or function of the heart, whether inherited or acquired. This increase in prevalence and incidence is due to a variety of factors, including the aging of the population, improved survival rates from other cardiovascular diseases, and changes in lifestyle and risk factors such as obesity and diabetes. Heart failure patients have various presentations and different etiologies. This study aimed to see the different clinical presentations of hospitalized heart failure patients. Methods: This study was done to see Clinical Presentation of Heart Failure Patients admitted in Colonel Maleque Medical College, Manikganj and Maikganj Sadar Hospital. Total 3650 patients were enrolled for this study during the period of April 2018 to March 2023. Results: Most of the patients (60%) were of 51-70 years age group. 70 % (2555) patients were male. 99 % patients presented with SOB, 95 % patients had basal creps, 70% had orthopnoea, 49% had Paroxysmal Nocturnal Dyspoea (PND), 40% had leg edema and 25% had raised JVP. Average heart rate was 84 beats/min, average systolic B.P. was 128 mm Hg and average diastolic B.P. was 76 mm Hg. 49% population had hypertension, 39% patients had diabetes and 28% had concomitant respiratory illness. Average EF was 37 %. Ischemic Cardiomyopathy was the commonest (40%) cause of heart failure, acute coronary syndrome was the second leading (30%) cause, valvular heart disease and hypertension is the third common cause. Conclusion: Most of the heart failure patients are elderly age group. Most of the patients presented with shortness of breath and bilateral basal creps. Most patients had co-morbid other illness that influences the natural course of heart failure patients. Most common causes are ischemic cardiomyopathy, a sequel of ischemic insult of the heart. J Medicine 2023; Vol. 34, No. 2(1) Supplement: 219

查看原文本刊更多论文

马勒克上校医学院住院心力衰竭患者的临床表现

背景:心力衰竭是由心脏结构和/或功能异常引起的复杂综合征，无论是遗传性的还是获得性的。患病率和发病率的增加是由于多种因素造成的，包括人口老龄化、其他心血管疾病的存活率提高、生活方式的改变以及肥胖和糖尿病等风险因素。心力衰竭患者有不同的表现和不同的病因。本研究旨在了解住院心力衰竭患者的不同临床表现。方法:对马勒克上校医学院、Manikganj和Maikganj Sadar医院住院的心力衰竭患者的临床表现进行研究。在2018年4月至2023年3月期间，共有3650名患者入组。结果:51 ~ 70岁年龄组患者居多(60%)。男性2555例，占70%。99%的患者表现为SOB, 95%的患者有基础皱纹，70%的患者有直鼻痛，49%的患者有阵发性夜间呼吸困难(PND)， 40%的患者有腿部水肿，25%的患者有JVP升高。平均心率84次/分，平均收缩压128毫米汞柱，平均舒张压76毫米汞柱。49%的患者患有高血压，39%的患者患有糖尿病，28%的患者伴有呼吸系统疾病。平均EF为37%。缺血性心肌病是心力衰竭最常见的原因(40%)，急性冠状动脉综合征是第二大原因(30%)，瓣膜性心脏病和高血压是第三常见的原因。结论:老年心力衰竭患者居多。多数患者表现为呼吸短促和双侧基底起皱。大多数患者合并其他疾病，影响心力衰竭患者的自然病程。最常见的原因是缺血性心肌病，这是心脏缺血性损伤的后遗症。中华医学杂志2023;第34卷，第2(1)号补编:219

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

来源期刊

Bangladesh Journal of Veterinary Medicine

自引率

0.00%

发文量