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Research Paper | Cardiology Science | India | Volume 11 Issue 6, June 2022
A Study of Precipitating Factors Leading to Hospitalization in Patients of Heart Failure with Reduced Ejection Fraction at a Tertiary Care Hospital
Pradeep P. Deshmukh [6] | Anish Kamble [4] | Swapnil Bhedodkar [3] | Tanu Namdeo [5] | Suresh Sarwale [5]
Abstract: Background: The incidence and prevalence of heart failure are rising in India; the aim of this study was to identify precipitating factors leading to decompensated heart failure and evaluate the outcome in patients with HFrEF. Methods: Our study was a prospective observational study which included 132 HFrEF patients hospitalized for acute decompensated heart failure. Result: Mean age of patients was 59?13.2 years; 59.85% were males, 40.15% were females. The most common etiologies of HFrEF were ischemic cardiomyopathy (38.6%), dilated cardiomyopathy (20.4%), valvular heart disease (17.4%). Most common precipitating factors were pneumonia (21.2%), myocardial ischemia (18.8%), dietary indiscretion/excessive oral fluid intake/IV fluids (15.1%), atrial fibrillation with fast ventricular rate (12.9%), non - compliance/inappropriate decrease in HF therapy (12.1%). Pneumonia, myocardial ischemia, worsening of renal function, valvular dysfunction and disease progression were associated with longer duration of hospital stay and high mortality. Conclusion: Pneumonia, myocardial ischemia and noncompliance to therapy and diet are common precipitating factors leading to acute decompensated heart failure in HFrEF patients. Patient education, regular follow - up and vaccination against respiratory infections can reduce hospitalization in HFrEF patients.
Keywords: HFrEF, Heart Failure, Precipitating Factors
Edition: Volume 11 Issue 6, June 2022,
Pages: 121 - 124