TY - JOUR
T1 - Frequency of different factors precipitating cardiac failure
AU - Farooqui, Arafat Ali
AU - Tayyab, Haleema
AU - Akram, Abeera
AU - Zia, Haris
PY - 2017/7/1
Y1 - 2017/7/1
N2 - Background: Cardiac failure is a clinical state which is an inability of heart to pump out the required amount of blood to the body which can be fatal if un-addressed. Aim: To determine the frequency of different factors which may precipitate cardiac failure. Place & duration: Mayo hospital, Lahore during 8 weeks. Design: Cross-sectional study. Methods: A total of 100 patients were recruited in the study. Selection was made on laid down criteria from adult population in Lahore, Pakistan after taking due consent. Interviews were conducted through a pretested questionnaire. Data was collected, compiled and analyzed through SPSS version 23. Results: Uncontrolled blood pressure (p=0.007) was the leading cause that precipitated heart failure. This was followed by worsening of myocardial ischemia (p=0.009). Poor compliance was found to be the third leading cause (p=0.002). Other statistically significant factors that played their role in aggravating the heart failure are high metabolic states (i.e., anemia) (p=0.01), non-cardiac disorder (p=0.008), infection (p=0.004), excessive salt use (p=0.01), fluid overload (p=0.001) and arrhythmias (p=0.003). Fluid retaining drugs were found to be statistically non-significant (p>0.05). Conclusion: Most of the precipitating factors can be avoided and controlled. If blood pressure is properly controlled and strict compliance to medications is ensured then majority of these events can be avoided. In addition to this, patient education regarding aggravating factors is mandatory.
AB - Background: Cardiac failure is a clinical state which is an inability of heart to pump out the required amount of blood to the body which can be fatal if un-addressed. Aim: To determine the frequency of different factors which may precipitate cardiac failure. Place & duration: Mayo hospital, Lahore during 8 weeks. Design: Cross-sectional study. Methods: A total of 100 patients were recruited in the study. Selection was made on laid down criteria from adult population in Lahore, Pakistan after taking due consent. Interviews were conducted through a pretested questionnaire. Data was collected, compiled and analyzed through SPSS version 23. Results: Uncontrolled blood pressure (p=0.007) was the leading cause that precipitated heart failure. This was followed by worsening of myocardial ischemia (p=0.009). Poor compliance was found to be the third leading cause (p=0.002). Other statistically significant factors that played their role in aggravating the heart failure are high metabolic states (i.e., anemia) (p=0.01), non-cardiac disorder (p=0.008), infection (p=0.004), excessive salt use (p=0.01), fluid overload (p=0.001) and arrhythmias (p=0.003). Fluid retaining drugs were found to be statistically non-significant (p>0.05). Conclusion: Most of the precipitating factors can be avoided and controlled. If blood pressure is properly controlled and strict compliance to medications is ensured then majority of these events can be avoided. In addition to this, patient education regarding aggravating factors is mandatory.
KW - Cardiac failure
KW - Compliance
KW - Myocardial ischemia
UR - http://www.scopus.com/inward/record.url?scp=85032621332&partnerID=8YFLogxK
M3 - Article
AN - SCOPUS:85032621332
SN - 1996-7195
VL - 11
SP - 1075
EP - 1077
JO - Pakistan Journal of Medical and Health Sciences
JF - Pakistan Journal of Medical and Health Sciences
IS - 3
ER -