Key result
Rheumatic heart disease accounts for ~25% of HF cases in a Nepalese ED.
Why the study?
Studies on the prevalence and etiology of heart disease in Nepal are sparse, necessitating description of heart failure causes in this population.
Observational (n=591)
No
Rheumatic heart disease remains the most common cause of heart failure among patients presenting to a tertiary emergency department in Nepal, highlighting a distinct regional etiology compared to Western populations.
RHD predominates as HF etiology in this Nepalese ED cohort; leaves open targeted prevention needs in similar low-resource settings.
Background and Aims: Heart failure is a major global health problem, but studies on prevalence of heart disease in Nepal are sparse. The aim of this study is to describe the etiology of heart failure patients in emergency department of Shahid Gangalal National Heart Centre.Methods: This was a single centre, prospective, observational study, conducted in the Emergency Department of National Heart Centre, from 1st May to 30th August 2016. All (n=591) consecutive patients with clinical diagnosis of heart failure were evaluated.Results: The mean age of the patients was 56.48 ±19.44 years, with 45.9% males. 31.3% had atrial fibrillation. The commonest cause of heart failure was rheumatic heart disease (25.1%), followed by dilated cardiomyopathy (22.8%), and coronary artery disease (18.1%). The commonest causes in the age group ≤44 years were rheumatic heart disease (61.9%), and congenital heart disease (11.0%). Commonest causes in the age groups 45 – 64 years and ≥ 65 years were dilated cardiomyopathy (29.0% and 26.4%, respectively) and coronary artery disease (22.3% and 24.3%, respectively). The commonest causes in male was dilated cardiomyopathy (26.9%) and in female it was rheumatic heart disease (31.6%).Conclusion: Rheumatic heart disease, dilated cardiomyopathy and coronary artery disease are the commonest cause of heart failure. Appropriate prevention strategies focused at these causes of heart failure are required to decrease the burden of heart failure in Nepal.Nepalese Heart Journal 2017; Vol 14(2), 1-4
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Shareef et al. (2017) conducted an observational in Heart failure (n=591). Heart failure etiology was evaluated on Etiology of heart failure. The most common causes of heart failure in a Nepalese emergency department were rheumatic heart disease (25.1%), dilated cardiomyopathy (22.8%), and coronary artery disease (18.1%).
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