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24.Clinical Features and Incidence of Heart Failure among Patients with Preserved Ejection Fraction

Kashif Ali Hashmi, Khawar Abbas, Hafiz Muhammad Rizwan Amjad, Muhammad Zohaib Zahoor, Muhammad Amir Shahzad and Raheel Iqbal

ABSTRACT

Objective: To evaluate the clinical characteristics and incidence of HFpEF cohort in Pakistan as inadequate information is accessible regarding this enormously heterogeneous syndrome.

Study Design: A cross-sectional study

Place and Duration of Study: This study was conducted at the Cardiology Department of Chaudhary Pervaiz Elahi Institute of Cardiology, Multan, Pakistan for one-year duration from May 2020 to May 2021.

Materials and Methods: 108 patients with heart failure were registered in the analsyis to calculate the prevalence of HFpEF. Clinical presentation and Comorbidities among 25 patients for HFpEF were evaluated. Rendering to the guidelines of European Society of Cardiology (ESC) Guidelines: HFpEF was diagnosed among patients. There were 68 males and 40 females.

Results: Among 25 (23.1%) patients: HFpEF was analyzed (CI 95%, 15.3%-30.4%, respectively). 64.0 years was the mean age of the subjects. The patients of 60 to 79 years of age were the most common affected age group. Most of the individuals (63%) were men. Many individuals had a wide range of risk factors and comorbidities. The greatest communal risk factor was hypertension among 76% of the patients. There were 64% of dyslipidemia and 52% of diabetes cases. Coronary artery disease was among 32% of cases. 28% of cases had CKD. The atrial fibrillation was observed among 24% of patients, from which arrhythmia was most common. 64.3% have increased weight ratio with obesity. It was institute that 52% had anemia. NYHA IV in decompensated stage was noticed in 74.10% of patients. The most common complaint (100%) was dyspnea, and the most common sign was the bilateral lung base crepitations (92%).

Conclusion: The results of the studies revealed the description of HFPEF among the Pakistani population, but further epidemiologic trainings are required.

Key Words: clinical presentation, comorbidities, HFpEF

Citation of article: Hashmi KA, Abbas K, Amjad HMR, Zahoor MZ, Shahzad MA, Iqbal R. Clinical Features and Incidence of Heart Failure among Patients with Preserved Ejection Fraction. Med Forum 2021;32(8):103-107.