Clinical presentation and 2-year mortality outcomes in acute heart failure in a tertiary care hospital in South India: A retrospective cohort study

Munusamy, Vengatesh; Goenka, Luxitaa; Sharma, Masum; Ramamoorthy, Thilagavathi; Jha, Durga; Solaipriya, S; Dhandapani, VE; George, Melvin

doi:10.4103/jcpc.jcpc_45_18

Cited by 4 publications

(2 citation statements)

References 2 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Old age was a significant factor in predicting poor outcomes in patients with heart failure during index hospitalization. A similar finding was seen in one of the recently published works by Venkatesh Munusamy et al 10 This strong association is not only because of aging alone but also due to the prolonged period of existence of untreated risk factors. There was no statistically significant difference in the outcome in male and female subgroups.…”

Section: Discussionsupporting

confidence: 86%

See 1 more Smart Citation

Relationship between high sensitivity troponin I and clinical outcomes in non–acute coronary syndrome (non-ACS) acute heart failure patients – a one-year follow-up study

Kumar,

Muneer,

Qureshi

2024

Indian Heart Journal

View full text Add to dashboard Cite

Section: Discussionsupporting

confidence: 86%

“…Mortality and rehospitalization rate in the present study is similar to other studies recently published in India but it seems to be higher when compared to international data probably due to poor compliance by the patient along with a late presentation for treatment. 10 , 12 …”

Section: Discussionmentioning

confidence: 99%

Relationship between high sensitivity troponin I and clinical outcomes in non–acute coronary syndrome (non-ACS) acute heart failure patients – a one-year follow-up study

Kumar,

Muneer,

Qureshi

2024

Indian Heart Journal

View full text Add to dashboard Cite

Predictors of in-hospital mortality in patients admitted with Congestive Heart failure (HF) in a general medical ward – A case-control study from a tertiary care centre in South India

John

Joy

Nellimala

et al. 2021

CHRISMED Journal of Health and Research

View full text Add to dashboard Cite

Background and Objectives: Studies around the world have shown that incidence of HF is increasing with the highest risk of mortality during their first admission and in the subsequent 1 year. Only a few Indian studies had looked at the predictors of in-hospital mortality in patients admitted with HF in patients admitted in medical wards. We have done a case control study to determine the risk factors for in-hospital mortality, in patients admitted with HF, in general medical ward, in a tertiary care centre in south India. Methods: We collected demographic data, clinical details and outcome data from case records. We performed a univariate analysis comparing those who died as compared to those who did not. Factors that were significant in the above, were entered into a logistic regression analysis to identify factors that independently predicted poor outcomes. Results: The in-hospital mortality rate in patients admitted with HF was 12.19%. On multivariate analysis, Systolic blood pressure < 115 mmHg {OR – 2.82, CI (1.29 – 6.19)}, serum lactate > 2 mmol/l {OR-2.61, CI (1.16 – 5.87)}, and GCS < 15 {OR 6.64, CI (2.26 – 19.51)} were statistically significant. Conclusion: Our study has shown that, in patients admitted with HF in general medical ward, at admission, low systolic blood pressure, high serum lactates, low GCS were predictors of in-hospital mortality.

show abstract

Prevalence and prognostic significance of iron deficiency anemia among heart failure patients: A prospective observational study

Qureshi,

Kumar,

Muneer

2024

Heart India

View full text Add to dashboard Cite

Background: Patients with chronic heart failure (CHF) frequently have associated iron deficiency, which may or may not be associated with anemia. Studies to ascertain the impact of repleting iron in patients with CHF and various other prognostic markers are lacking in Indian patients and the Indian context. Objectives: The objective is to study the prevalence of iron deficiency anemia in patients with CHF and its prognostic significance in predicting major adverse cardiovascular events (MACEs) during 6 months of follow-up along with the role of other clinical and demographic variables. Methodology: A prospective, observational, hospital-based study conducted in a government tertiary medical center in south India on patients admitted with the diagnosis of CHF. Full demographic and clinical characterization and all relevant laboratory investigations including iron profile were done per protocol. The incidence of a MACE (rehospitalization for heart failure or death) and its association with iron deficiency was studied at the end of a 6-month follow-up. Results: A total of 388 patients were followed for 6 months. Out of those, 211 patients (54%) developed composite outcomes. Old age, coronary artery disease, atrial fibrillation, previous heart failure history, chronic kidney disease, and reduced left ventricular ejection fraction were independent predictors of composite outcome. The prevalence of anemia in the study population was 71%, and iron deficiency was 63% (20% absolute and 43% relative). Iron deficiency without anemia was also an independent predictor of the composite outcome. Conclusions: This study highlights the underestimated and neglected burden of iron deficiency in CHF patients in India. It also suggests further large-scale studies to characterize this easily treatable condition better and consider routine testing of iron profiles in future Indian guidelines.

show abstract

Clinical presentation and 2-year mortality outcomes in acute heart failure in a tertiary care hospital in South India: A retrospective cohort study

Cited by 4 publications

References 2 publications

Relationship between high sensitivity troponin I and clinical outcomes in non–acute coronary syndrome (non-ACS) acute heart failure patients – a one-year follow-up study

Relationship between high sensitivity troponin I and clinical outcomes in non–acute coronary syndrome (non-ACS) acute heart failure patients – a one-year follow-up study

Predictors of in-hospital mortality in patients admitted with Congestive Heart failure (HF) in a general medical ward – A case-control study from a tertiary care centre in South India

Prevalence and prognostic significance of iron deficiency anemia among heart failure patients: A prospective observational study

Contact Info

Product

Resources

About