Key result
Unrecognized HFpEF accounts for ~46% of heart failure hospitalizations among geriatric patients.
Cross-Sectional (n=100)
No
A significant proportion of geriatric patients admitted with heart failure in Bangladesh have HFpEF (46%) and high rates of comorbidities like renal failure and iron deficiency anemia.
HFpEF may be underrecognized in geriatric HF admissions; leaves open the need for prospective studies on prevalence and outcomes.
This study included 100 geriatric patients admitted at National Institute of Cardiovascular Diseases (NICVD) in Bangladesh having clinical features of heart failure, possible other information (Framingham Criteria) and increase in natriuretic peptide or echocardiographic findings. It was a single center, cross sectional study. Regarding functional NYHA classification, 14 % presented with class I, 30 % with class II, 35 % presented with class III, 21 % presented with class IV heart failure. Regarding left ventricular ejection fraction (LVEF), heart failure (HF) was classified into the following categories: (1) HF with reduced EF (HFrEF) - 19 %; (2) HF with improved EF (HFmpEF) - 13 %; (3) HF with mildly reduced EF (HFmrEF) - 22 % and (4) HF with preserved EF (HFpEF) - 46 % . 23 % of the study population had iron deficiency anemia and about one-third-patient had associated renal failure (AKI/CKD). This study revealed that a significant geriatric population has unrecognized heart failure (HFpEF).
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Yesmin et al. (2025) conducted a cross-sectional in Heart failure (n=100). Among 100 geriatric patients hospitalized with heart failure, 46% presented with heart failure with preserved ejection fraction (HFpEF), highlighting a significant burden of unrecognized HFpEF.
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