M.B. Ch. B., C.A.B.M, D.M., Head of Internal Medicine Department, College of Medicine, Misan University, Misan, Iraq
Categorization of heart failure patients depending on left ventricular ejection fraction (by using echocardiography) is important because there are different causes, comorbid conditions, and response to management. In addition, identifying and treating these comorbidities are the main steps in managing patients with heart failure.
To determine the types and stages of heart failure in Misan. To determine its comorbidities, consequently, reaching better management and prognosis.
A cross-sectional study was conducted in Al-Sader Teaching Hospital from October 2017 to February 2018. A total number of 60 patients were diagnosed as HF cases according to the full workup (including history, thorough clinical examination, Chest x-ray, electrocardiography, and echocardiography).
A total of 60 patients were diagnosed as heart failure. The distribution of patients was equal in both genders with a predominance of patient aging more than 60 years. Approximately, half of the patients had heart failure with reduced left ventricular ejection fraction and stage D. As comorbidities; about three-quarters of patients had hypertension followed by diabetes mellitus and coronary artery disorders.
The incidence of heart failure and comorbid conditions are increasing with age. The presence of comorbidities is more with the progression of stages in heart failure. Therefore, a frequent medical follow up with 2-Dimensional Echocardiographic evaluations should be encouraged, especially, with older patients.
Heart failure, stages, Misan, Iraq
