Al-Yarmook教学医院一年内患者心力衰竭原因分析(2015年)

Ahmed Adil Al-Saeedi, Emad kareem Luaibi, Malallah Akreem Amwer, A. Al-Qaseer
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引用次数: 0

摘要

心力衰竭(HF)是一种临床综合征,心功能异常导致心脏无法泵出足够的血液以满足代谢组织的需要。本研究旨在确定Al-Yarmook教学医院内科和冠状动脉监护病房收治的患者心力衰竭的可能原因。本研究于2015年(1月1日至12月31日)在Al-Yarmook教学医院内科病房和CCU进行。这是一项横断面描述性研究。随机选取心衰临床诊断符合Framingham心衰诊断标准的患者。然后在征得患者同意后,填写一份研究表格,填写患者的数据。研究表明,缺血性心脏病是导致心力衰竭最常见的原因,占56.58%。高血压心脏病和扩张型心肌病是第二常见的单一原因,各占9.21%。瓣膜性心脏病患病率较低,仅为5.26%,而贫血、糖尿病和缩窄性心包炎患病率最低,各仅为1.23%。多重原因占本研究心力衰竭总原因的15.79%。心脏衰竭是一个日益严重的健康问题。应采用初级和二级预防措施,并由卫生服务部门采取后续行动,以减少心力衰竭的发生率。生物标志物如BNP和Pro-BNP在医院心力衰竭的诊断和随访中是必不可少的。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Causes of Heart Failure in Patients Admitted to Al-Yarmook Teaching Hospital During One Year (2015)
Heart failure (HF) is a clinical syndrome in which abnormalities of cardiac function are responsible for the inability of the heart to pump blood at an output sufficient to meet the requirements of metabolizing tissues. This study aims to determine the possible causes of heart failure in patients admitted to medical and coronary care unit wards of Al-Yarmook Teaching Hospital. The study was conducted in the medical wards and CCU of Al-Yarmook Teaching Hospital during the year 2015 (from January 1st till December 31st). It is a cross-sectional descriptive study. The patients were randomly selected and taken into account after the clinical diagnosis of heart failure and meeting the Framingham’s Criteria for diagnosing heart failure. Then a study form was filled with the patients’ data after having the patient’s consent. The study shows that ischemic heart diseases were the most prevalent cause of heart failure with 56.58%. Hypertensive heart disease and dilated cardiomyopathy being the second most prevalent single cause with 9.21% for each. Valvular heart disease was less prevalent with only 5.26% while anemia, diabetes and constrictive pericarditis were the least prevalent causes with only 1.23% for each. Multiple causes accounts 15.79% of the total causes of heart failure in this study. As Heart Failure is a growing health problem. Primary and secondary preventive measures should be applied and followed up by the health services to reduce incidence of heart failure. Biomarkers such as BNP and Pro-BNP are essential in diagnosis and follow up of cases with heart failure in hospital.
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