Precipitating factors of congestive heart failure in admitted patients of Fatemieh Hospital in Semnan, Iran

AUTHORS

Mojtaba Malek 1 , * , Rahimeh Eskandarian 1 , Shahrokh Mousavi 1 , Farhad Malek 1 , Mehdi Babaei 1 , Elahe Jandaghi 2 , Raheb GHorbani 3

AUTHORS INFORMATION

1 Departments of Internal Medicine, Semnan University of Medical Sciences, Semnan, Iran.

2 Community Medicine, Semnan University of Medical Sciences, Semnan, Iran.

3 General Physician.

ARTICLE INFORMATION

Hormozgan Medical Journal: 8 (1); e90591
Published Online: February 14, 2004
Article Type: Research Article
Received: October 04, 2003
Accepted: February 14, 2004

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Abstract

Introduction: Congestive Heart Failure (CHF) is a pathophysiologic state in
which an abnormality of cardiac function is responsible for the failure of the heart
to pump blood at a commensurate rate with the requirements of the metabolizing
tissues and/or allows it to do so only from an abnormally elevated diastolic
volume. In this study, the prevalence of precipitating factors of CHF in Semnan,
Iran is investigated.
Methods: This is a cross-sectional study on all CHF patients who were
hospitalized from April 2002 to May 2003, in Fatemieh University Hospital of
Semnan. A pre-designed questionnaire including demographic characteristics of
the patients, drug consumption method, clinical and para clinical findings, and
the final precipitating factor of their heart failure, was completed for all patients
and the results were presented using descriptive methods.
Results: A total of 248 patients containing 130 females (52.4%) and 118 males
(47.6%) were investigated. The most prevalent intensification cause of congestive
heart failure was lack of patients’ compliance in taking medicine and nutrition
regimen. Uncontrolled hypertension in 32.2% of the cases and acute coronary
syndrome in 23.4% of cases were the other most prevalent causes of CHF.
Conclusion: It seems that educating patients about their medicine and diet
regimen will reduce the exacerbation factors of heart failure.

Keywords

Heart Failure Congestive – Etiology – Semnan

© 2004, Hormozgan Medical Journal. This is an open-access article distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 International License (http://creativecommons.org/licenses/by-nc/4.0/) which permits copy and redistribute the material just in noncommercial usages, provided the original work is properly cited.
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