Prevalence, Pattern Precipitating Factors and Presenting Features of Congestive Heart Failure

Murugesan, S (2006) Prevalence, Pattern Precipitating Factors and Presenting Features of Congestive Heart Failure. Masters thesis, Madurai Medical College, Madurai.


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Congestive heart failure (CHF) a commonly encountered clinical entity was studied among the patients admitted in the medical wards over 6 months period. It was carried out, a) to find out the prevalence of congestive heart failure among the patients admitted in the hospital, b) to analyse their presenting features & precipitating factors, c) to correlate the clinical findings with the underlying etiology and d) to study outcome of these cases during their hospital stay. Among 6072 admissions 196 patients with congestive heart failure satisfied the inclusion criteria. The prevalence rate was 32.28 / 1000 population, and observed more in males but not statistically significant. The case fatality rate among the congestive heart failure patients was 3.5% (7/196). The most common age group of affected individuals was 45 – 65 years. Etiological factors for the congestive heart failure were in the order of Coronary artery disease. (42%), Rheumatic heart disease (24%), Systemic hypertension (15%) and others (19%). Most common presenting symptom was breathlessness (99%) and the sign was pulmonary crackles.(98%). Other presenting features were pedal edema (94%), chest pain (82%), oliguria (77%) and tender hepatomegaly (40%). Most common precipitating factors noted were NSAIDs intake (44%) followed by infection (17%), anaemia (15%), salty diets (15%) and arrthymias (9%). With better understanding of the pathophysiology of CHF both non pharmacological means and the available newer group of drugs made available to patients through the 3Ps (patients, prescribers, public caregivers) the quality of life of the unfortunate patients could be improved.

Item Type: Thesis (Masters)
Uncontrolled Keywords: Congestive Heart Failure ; Prevalence ; Pattern Precipitating Factors.
Subjects: MEDICAL > General Medicine
Depositing User: Subramani R
Date Deposited: 15 Mar 2018 02:33
Last Modified: 15 Mar 2018 02:33

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