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14. Risk Factors for Decompensation of Heart Failure in Patients with Established Left Ventricular Dysfunction

 

Jalal-ud-Din1, Imdad Ali Ansari2 and Jawed Akhtar Samo3

 

 

 

ABSTRACT

 

Objective: This study was aimed to identify the risk factors for decompensation of heart failure in patients with established left ventricular dysfunction.

Study Design: Observational / descriptive / cross-sectional study

Place and Duration of Study: This study was carried out at Sandeman provincial hospital, Quetta from 15th March till 14th September 2015.

 

Materials and Methods: One hundred fifty patients of decompensated HF with established left ventricular dysfunction (Ejection Fraction <40 %) were included in the study. Information about factors for decompensation of HF was collected from patients through a proforma during their hospital admission. The data was analyzed on statistical package for social sciences (SPSS) version 16.

 

Results: Out of 150 patients, 59 % had ischemic heart disease while 41 % had non-ischemic heart disease. Non-compliance with diet and/or drug therapy (56.7% and 37.3%, respectively), cardiac arrh thmias (34%), lack of follow-up (26.7%), and intake of medications precipitating heart failure (20%) were the most common risk factors for decompensation of heart failure. Among other significant risk fact rs were infections (11.3%), anemia (10.7%) and myocardial ischemia (10.7%). Pregnancy (2.7%) and thyroid disorders (2.7%) were less common risk factors.

 

Conclusion: Majority of the risk factors for decompensation of heart failure appear to be preventable, and should thus be avoided with a better and more comprehensive control of heart failure in these patients.

 

Key Words: Decompensated heart failure, Systolic dysfun tion, Precipitating factors, Ejection fraction, Non-compliance, Ischemic heart disease, Echocardiogram

 

Citation of article: Din J, Ansari IA, Samo JA. R sk Fa tors for Decompensation of Heart Failure in Patients with Established Left Ventricular Dysfunction. Med Forum 2016;27(4):51-56.