Document Detail

The frequency of systolic versus diastolic heart failure in an Egyptian cohort.
MedLine Citation:
PMID:  12559214     Owner:  NLM     Status:  MEDLINE    
BACKGROUND: All factors predisposing for congestive heart failure (CHF), such as coronary artery disease (CAD), hypertension and diabetes are increasing in prevalence in Egypt. Despite this, no data about CHF in our country are available.
AIMS: To study the relative contribution of systolic vs. diastolic heart failure in Egyptians and the prevalence of risk factors in this population, as well as their prognosis.
METHODS: This was a retrospective study of patients with a diagnosis of CHF over a 3.5-year period in a general cardiology clinic. Demographic, ECG and echocardiographic data for left ventricular systolic and diastolic function were collected. The differential effect of systolic versus diastolic CHF was analyzed regarding hospitalization and mortality.
RESULTS: After exclusion of valvular diseases, we found 155 patients diagnosed with heart failure, 102 patients (66%) had systolic heart failure, and 53 (34%) had diastolic heart failure. Mean age was 60+/-10 and 63+/-11 years, respectively (P=0.13). Systolic CHF patients had significantly more CAD, while those with diastolic failure were mostly hypertensives (P<0.01) for both. There was no significant difference in the incidence of diabetes mellitus, cerebrovascular accidents or atrial fibrillation between the two groups. Patients with systolic failure required more hospitalization, P<0.05, and had a mortality rate of 17.6% vs. 11.3% for patients with diastolic heart failure (P=0.3).
CONCLUSION: Diastolic heart failure is present in one-third of cases of CHF in Egyptians. Hypertension is very common in this group. These patients require less hospitalization but have a similar mortality rate.
Bassem S Ibrahim
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Publication Detail:
Type:  Comparative Study; Journal Article    
Journal Detail:
Title:  European journal of heart failure     Volume:  5     ISSN:  1388-9842     ISO Abbreviation:  Eur. J. Heart Fail.     Publication Date:  2003 Jan 
Date Detail:
Created Date:  2003-01-31     Completed Date:  2003-05-30     Revised Date:  2011-06-08    
Medline Journal Info:
Nlm Unique ID:  100887595     Medline TA:  Eur J Heart Fail     Country:  Netherlands    
Other Details:
Languages:  eng     Pagination:  41-5     Citation Subset:  IM    
National Heart Institute, Cairo, Egypt.
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MeSH Terms
Age Factors
Cohort Studies
Diastole / physiology
Egypt / epidemiology
Follow-Up Studies
Heart Failure / diagnosis,  epidemiology,  physiopathology*
Middle Aged
Patient Admission
Retrospective Studies
Risk Factors
Sex Factors
Stroke Volume / physiology
Systole / physiology
Ventricular Dysfunction, Left / diagnosis,  epidemiology,  physiopathology*

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