Volume 8, Issue 3, May 2020, Page: 30-35
Causes of Heart Failure in Patients Admitted to Al-Yarmook Teaching Hospital During One Year (2015)
Ahmed Adil Al-Saeedi, Department of Medicine, AL Mustansiriya University, Baghdad, Iraq
Emad Kareem Luaibi, Department of Medicine, AL Mustansiriya University, Baghdad, Iraq
Malallah Akreem Amwer, Department of Medicine, AL Mustansiriya University, Baghdad, Iraq
Abdulhameed Al-Qaseer, Department of Medicine, AL Mustansiriya University, Baghdad, Iraq
Received: Mar. 31, 2020;       Accepted: Apr. 14, 2020;       Published: May 12, 2020
DOI: 10.11648/j.ejpm.20200803.12      View  280      Downloads  104
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.
Heart Failure, Causes, IHD, Framingham Criteria
To cite this article
Ahmed Adil Al-Saeedi, Emad Kareem Luaibi, Malallah Akreem Amwer, Abdulhameed Al-Qaseer, Causes of Heart Failure in Patients Admitted to Al-Yarmook Teaching Hospital During One Year (2015), European Journal of Preventive Medicine. Vol. 8, No. 3, 2020, pp. 30-35. doi: 10.11648/j.ejpm.20200803.12
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Goldman, Schafer; Goldman’s Cecil medicine, 24th edition, Elsevier Saunders, 2012: Capter 58, Pages 295-302.
Fauci, Kasper, Hauser, Longo, Jameson, Loscalzo. HARRISON’S Principles of INTERNAL MEDICINE. 18th edition, McGraw Hill Medical, 2012: Chapter 234, P 1901-1916.
STEPHEN J., McPHEE I, MAXINE A., PAPADAKIS, MICHAEL W. RABOW. In CURRENT Medical Diagnosis and Treatment. 5th edition, McGraw Hill LANGE, 2011: P341-351
Nicki R Colledqe, Brian R. Walker, Stuart H. Ralston. Davidsons principles and practice of medicine. 21st edition, Churchill Livingstone, 2010. Chapter 18, P 543- 551.
Kannel WB, Hjortland M, Castelli WP: Role of diabetes in congestive heart failure: the Framingham Study. American Journal of Cardiology 34: 29-34, 1974.
Shindler DM, Kostis JB, Yusuf S, Quinones MA, Pitt B, Stewart D, Pinkett T, Ghali JK, Wilson AC: Diabetes mellitus, a predictor of morbidity and mortality in the Studies of Left Ventricular Dysfunction (SOLVD) Trials and Registry. American Journal of Cardiology 77: 1017 -1020, 1996.
Poirier P, Garneau C, Marois L, Bogaty P, Dumesnil J-G: Diastolic dysfunction in normotensive men with well-controlled type 2 diabetes: importance of maneuvers in echocardiographic screening for preclinical diabetic cardiomyopathy. Diabetes Care24: 5-10, 2001.
Hibbard, J, Lindheimer, M, Lang, RM. A modified definition for peripartum cardiomyopathy and prognosis based on echocardiography. Obstet Gynecol 1999; 94: 311.
American Heart Association. Heart disease and stroke statistics - 2007 update. Dallas, Texas: American Heart Association; 2007.
Bleumink, GS, Knetsch, AM, Sturkenboom, MC, et al. Quantifying the heart failure epidemic: prevalence, incidence rate, lifetime risk and prognosis of heart failure The Rotterdam Study. European Heart Journal 2004; 25: 1614.
Robert O. Bonow, Douglas L. Mann, Douglas P. Zipes, Peter Libby; Braunwald’s HEART DISEASE, 9th edition 2012, Elsevier Saunders. Chapter 24, P 517- 528.
Braunwald E: Biomarkers in heart failure. New England Journal of Medicine 358: 2148, 2008.
http://emedicine.medscape.com/article/163062-overview which is taken from: Framingham Classification: Ho KK, Pinsky JL, Kannel WB, Levy D. The epidemiology of heart failure: the Framingham Study. Journal of American College of Cardiology Oct. 1993; 22 (4 Suppl A): 6A-13A. [Medline].
Glynn, Drake; Hutchison’s Clinical Methods, 23rd edition, Saunders Elsevier 2012; Chapter 11: pages 165-179.
Hampton JR; The ECG made easy, seventh edition, Churchil Livingston Elsevier, 2008.
Kaddoura S.; Echo made easy, second edditon, Churchil Livingston Elsevier, 2009.
Solomon D.; Bulwer B.; Libby P.; Essential Echocardiography, A Practical Handbook With DVD. 2007 Humana Press Inc. Totowa, New Jersey: 448-451.
Oh JK, Seward JB, Tajik AJ: Cardiomyopathies. In The Echo Manual 3rd edition. Edited by: Oh JK, Seward JB, Tajik AJ. Lippincott Williams & Wilkins (a Wolters Kluwer business); 2006: 251-273.
James N. Kirkpatrick; Mani A. Vannan; Jagat Narula; Roberto M. Lang. Echocardiography in Heart Failure, Applications, Utility, and New Horizons. Journal of American College of Cardiology. 2007; 50 (5): 381-396. doi: 10.1016/j.jacc.2007. 03. 048.
Abd Al-Hussain; Maitham Fuad, Causes, risk factors and prognostic factors in patients with heart failure admitted to Kadhimeyah Teaching Hospital, 2011.
Amoah AG, Kallen C: Aetiology of heart failure as seen from a cardiac referral centre in Africa. Cardiology 2000, 93 (1–2): 11-18.
Howie-Esquivel J, Dracup K: Effect of gender, ethnicity, pulmonary disease and symptom stability on rehospitalization in patients with heart failure. American Journal of Cardiology 2007, 100: 1139-1144.
Lenzen MJ, Rosengren A, Scholte op Reimer W, Follath F, Boersma E, Simoons M, Cleland J, Komajda M: Management of patients with heart failure in clinical practice: differences between men and women. Heart in press. 2007 June 17.
Reddy KS: Cardiovascular diseases in the developing countries: dimensions, determinants, dynamics and directions for public health action. Public Health Nutr 2002, 5: 231-237.
He, J, Ogden, LG, Bazzano, LA, et al. Risk factors for congestive heart failure in US men and women: NHANES I epidemiologic follow-up study. Archives of Internal Medicine 2001; 161: 996.
Familoni OB, Olunuga TO, Olufemi BW: A clinical study of pattern and factors affecting outcome in Nigerian patients with advanced heart failure. Cardiovascular Journal of Africa 2007, 18: 308-311.
Karaye KM, Sani MU, Mijinyawa MS, Borodo MM: Aetiology and echocardiographic features of heart failure with preserved and reduced ejection fraction in Kano Nigeria. Nigerian Journal of Basic and Clinical Sciences 2007, 4 (1–2): 11-17.
Stewart S, Wilkinson D, Hansen C, Vaghela V, Mvungi R, McMurray J, Sliwa K; Predominance of heart failure in the Heart of Soweto Study cohort: emerging challenges for urban African communities. Soweto Cardiovascular Research Unit, Department of Cardiology, Chris Hani Baragwanath Hospital, Bertsham 2013, Johannesburg, South Africa. PMID- 19029467.
Kamilu M Karaye and Mahmoud U Sani, Factors associated with poor prognosis among patients admitted with heart failure in a Nigerian tertiary medical centre, BMC Cardiovascular Disorders 2008, 8: 16 doi: 10. 1186/1471-2261-8-16.
Fox KF, Cowie MR, Wood DA, Coats AJ, Gibbs JS, Underwood SR, et al. Coronary artery disease as the cause of incident heart failure in the population. European Heart Journal. 2001; 22: 228–36.
Cowie MR, Wood DA, Coats AJ, Thompson SG, Poole-Wilson PA, Suresh V, et al. Incidence and aetiology of heart failure; a population-based study. European Heart Journal. 1999; 20: 421–8.
Nichols, GA, Hillier, TA, Erbey, JR, Brown, JB. Congestive heart failure in type 2 diabetes: Prevalence, incidence, and risk factors. Diabetes Care 2001; 24: 1614.
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