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

Heart failure has much aetiology and is frequently encountered illness which is worldwide health problem with ever increasing proportion & major problem in elderly persons and is one of the commonest problems encountered in our patients in day-to-day practice .and most common cause of death in patients with Cardiac Disease. About 100 patients above the age of 18 years admitted with heart failure meeting the inclusion criteria (according to Framingham criteria with right sided or left sided independently or in combination are included) are taken into the study. Patients below the age of 18 years and already diagnosed cases of congenital heart disease are excluded from this study. On the basis of Clinical assessment, Electrocardiography and Echocardiography aetiology was found for all these patients with heart failure. Out of 100 patients in the study, the incidence of heart failure is more common in the age groups of 46 – 65 years of age. Incidence is more common in men than women. Patients presented with breathlessness, pedal edema, orthopnea etc., The primary aetiologies being Coronary artery disease (50%), Dilated Cardiomyopathy (17%), Hypertension (14%), RHD (7%), Anemia (7%), Cor Pulmonlae (3%), others (2%). Within the general population, cases of heart failure largely occur in elderly people and the incidence is higher in men than in women. The commonest presentation was breathlessness, followed by pedal edema. The commonest cause of heart failure is coronary artery disease followed by dilated cardiomyopathy and then hypertension combined with ischemic heart disease.