A Study on Clinical and Aetiological Profile of Heart Failure at KBN Teaching and General Hospital

BACKGROUND heart failure is a worldwide health problem with ever increasing proportion and is a major health problem in elderly . It has many aetiological factors. It is one of the most frequently encountered illnesses in day-to-day practice and common cause of death in patients with cardiac disease. This study was done to determine the age and sex distribution to evaluate clinical features and aetiological factors in patients admitted with heart failure at Khaja Banda Nawaz Teaching General Hospital, Gulbarga, on the basis of clinical assessment, electrocardiography and echocardiography. AND METHODS prospective study was done in Department of General Medicine at Khaja Banda Nawaz Teaching and General Hospital, , from January 2015 to June 2016 on patients with heart failure to determine the clinical and aetiological profile. A of 100 cases above the age of 20 years were included in the study. The patients below the age of 20 years and known of congenital heart disease were excluded. of 100 patients, the heart failure was seen more commonly in men than in women between the age groups of 46-65 years age. Breathlessness was the most common presentation followed by pedal oedema, orthopnoea, etc. In our study, the aetiology for heart failure was found to be coronary artery disease (47%) followed by dilated cardiomyopathy (20%), (14%), rheumatic heart disease (7%), anaemia (6%), cor pulmonale (4%) and others (2%). Dyslipidaemia was common risk factor followed by obesity and smoking. heart failure commonly occurs in elderly people and the incidence was higher in men than in women. The commonest was breathlessness followed by pedal oedema. The commonest cause of heart failure was coronary artery disease by dilated cardiomyopathy and then hypertension combined with ischaemic heart disease.