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Clinical characteristics and 30-day outcomes in patients with acute decompensated heart failure: Results from Indian College of Cardiology National Heart Failure Registry (ICCNHFR).
Jayagopal, P B; Sastry, Sridhar L; Nanjappa, Veena; Abdullakutty, Jabir; Joseph, Johny; Vaidyanathan, P R; Kabra, Nitin; Manokar, P; Ghanta, Soma Sekhar; Sharma, Vinod; Mishra, Trinath Kumar; Jathappa, Narendra; Singh, Vikas; Routray, S N; Mandal, Subroto; Bhalla, Neeraj; Dorairaj, Prabhakar; Mehta, Nihar; Kumbla, Dayanand; Rane, Abhijit Ramdas; Matia, Tapan Kumar; Jain, Dharmendra; Rege, Gautam; Modi, Sunil; Chopra, V K; Mohanan, P P; Geevar Zachariah, A; Ravindranath, K S; Chakraborty, Rabin; Srinivas, B C; Raghu, T R; Manjunath, C N.
Afiliación
  • Jayagopal PB; Lakshmi Hospital, Palakkad, Kerala, India. Electronic address: jaigopallakshmi@gmail.com.
  • Sastry SL; Sri Jayadeva Institute of Cardiovascular Sciences and Research, Bengaluru, Karnataka, India.
  • Nanjappa V; Jayadeva Institute of Social Science and Research, Mysuru, Karnataka, India.
  • Abdullakutty J; Lisie Hospital, Kochi, Kerala, India.
  • Joseph J; Caritas Hospital, Kottayam, Kerala, India.
  • Vaidyanathan PR; G.Kuppuswami Naidu Memorial Hospital, Coimbatore, Tamilnadu, India.
  • Kabra N; Gandhi Medical College Hospital, Secundrabad, Telengana, India.
  • Manokar P; Sri Ramachandra Medical Centre, Chennai, India.
  • Ghanta SS; Aayush Hospital, Vijayawada, Andhra Pradesh, India.
  • Sharma V; National Heart Institute, New Delhi, India.
  • Mishra TK; M.K.C.G Medical College, Berhampur, Odisha, India.
  • Jathappa N; Nanjappa Life Care Hospital, Shivamogga, Karnataka, India.
  • Singh V; Daksh Heart Care, Patna, Bihar, India.
  • Routray SN; SCB Medical College and Hospital, Cuttack, Odisha, India.
  • Mandal S; Ubuntu Heart Hospital, Bhopal, Madhya Pradesh, India.
  • Bhalla N; Cardiology Department, BLK Super Speciality Hospital, New Delhi, India.
  • Dorairaj P; Dr.Mehta's Hospitals, Chennai, Tamil Nadu, India.
  • Mehta N; Jaslok Hospital, Mumbai, Maharashtra, India.
  • Kumbla D; Jay-Anand Hospital and ICCU, Mumbai, Maharashtra, India.
  • Rane AR; Aditya Diagnostics Hospital, Assam, India.
  • Matia TK; IQ City Narayana Multispecialty Hospital, Durgapur, West Bengal, India.
  • Jain D; Institute of Medical Sciences, Varanasi, Uttar Pradesh, India.
  • Rege G; Jupiter Hospital, Thane, Maharashtra, India.
  • Modi S; Indraprastha Appollo Hospitals, New Delhi, India.
  • Chopra VK; Heart Failure Programme and Research, Max Super Speciality Hospital, New Delhi, India.
  • Mohanan PP; Westfort Hi-tech Hospital, Thrissur, Kerala, India.
  • Geevar Zachariah A; Mother Hospital, Thrissur, Kerala, India.
  • Ravindranath KS; Sri Jayadeva Institute of Cardiovascular Sciences and Research, Bengaluru, Karnataka, India.
  • Chakraborty R; MEDICA Superspecialty Hospital, Kolkata, West Bengal, India.
  • Srinivas BC; Sri Jayadeva Institute of Cardiovascular Sciences and Research, Bengaluru, Karnataka, India.
  • Raghu TR; Rajarajeshwari Medical College, Kambipura, Mysore Road, Bengaluru, India.
  • Manjunath CN; Sri Jayadeva Institute of Cardiovascular Sciences and Research, Bengaluru, Karnataka, India.
Int J Cardiol ; 356: 73-78, 2022 06 01.
Article en En | MEDLINE | ID: mdl-35296433
BACKGROUND: Acute decompensated heart failure (ADHF) is a challenging medical emergency with high mortality and its prevalence is increasing in India. There is paucity of data on ADHF in the country. METHODS: Indian College of Cardiology National Heart Failure Registry (ICCNHFR) is an on-going observational registry on ADHF contributed by 22 hospitals across India; and we present the in-hospital and 30-day outcomes of ADHF patients enrolled from August 2018 to July 2019. Major objective included capturing demographics, comorbid conditions, aetiology, prescription patterns and assessing clinical outcomes. RESULTS: Of 5269 patients (mean age: 61.90 ± 13.85 years) enrolled in this study, males were predominant (67.09%). Mean duration of hospitalization was 5.74 ± 4.74 days. Ischemic heart disease was the most common (75.44%) aetiology. Abnormal electrocardiogram readings were found in most patients (89.86%). LVEF of ˂40% was found in 68.29% of patients. In-hospital mortality rates were 6.98%. The 30-day cumulative mortality was 12.35% and 30-day rehospitalization rate was 7.98%. At discharge, all guideline-based medical therapy (GDMT) were prescribed only to 24.99% of patients and 23.72% adhered to the prescription until 30 days. Older age, high serum creatinine levels and poor LVEF contributed to high mortality and rehospitalization. CONCLUSION: Patients with ADHF were younger and predominantly males. Usage of GDMT in ADHF patients was low (24.99%) and the in-hospital mortality was high. Older age, high serum creatinine levels, poor LVEF contributed for 30-day mortality and rehospitalization. This data on ADHF, could help in developing strategies to improve outcomes for HF patients in India.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Cardiología / Insuficiencia Cardíaca Tipo de estudio: Diagnostic_studies / Guideline / Risk_factors_studies Límite: Aged / Female / Humans / Male / Middle aged Idioma: En Revista: Int J Cardiol Año: 2022 Tipo del documento: Article Pais de publicación: Países Bajos
Texto completo
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Cardiología / Insuficiencia Cardíaca Tipo de estudio: Diagnostic_studies / Guideline / Risk_factors_studies Límite: Aged / Female / Humans / Male / Middle aged Idioma: En Revista: Int J Cardiol Año: 2022 Tipo del documento: Article Pais de publicación: Países Bajos