1Senior Resident, Department of Internal Medicine, Indira Gandhi Medical College, Shimla, Himachal Pradesh, India
2Resident, Department of Internal Medicine, Indira Gandhi Medical College, Shimla, Himachal Pradesh, India
3Professor, Department of Internal Medicine, Indira Gandhi Medical College, Shimla, Himachal Pradesh, India
4Professor, Department of Cardiology, Indira Gandhi Medical College, Shimla, Himachal Pradesh, India
5Associate Professor, Department of Internal Medicine, Indira Gandhi Medical College, Shimla, Himachal Pradesh, India
Heart failure is the end stage of all diseases of the heart and is a major cause of morbidity and mortality. Causes of the heart failure may be ischemic or nonischemic and depends on the predisposing conditions. Nonischemic heart failure is one of the underrecognised, treatable entity as a cause of heart failure in developing nations like India and other Asian subcontinents. This study is conducted in a tertiary care centre situated in Northern India.
A total of 65 consecutive patients were included with non-ischemic systolic heart failure in accordance with Echo findings suggestive of LV ejection fraction <40%, global hypokinesia and clinical absence of documented coronary artery disease characteristics.
The mean age was 57.33±15.71 years, male patients were 60% and female patients were 40%. The patients enrolled were severely symptomatic & all were in NYHA class III & 1V. Mean LVEF was 26.0±5.7%.. 13.8% were in atrial fibrillation, 9.2% were having LBBB 4.6% RBBB (and CHB (3.1%). The most common etiological diagnosis was Idiopathic Dilated Cardiomyopathy(56.9%) followed by HHD (18.5%), Valvular heart disease (15.4%), Peripartum cardiomyopathy (4.6%), alcoholic cardiomyopathy (3.1%) and Thyrotoxic heart disease (1.5%).
Heart Failure, Systolic Dysfunction, Ischemic And Non-Ischemic Heart Failure, Dilated Cardiomyopathy
