Prevalence of Systolic and Diastolic Ventricular Dysfunction in Nangarhar University Teaching Hospital

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Saifullah Hadi

Abstract

Background: Heart failure occurs when the heart cannot efficiently circulate blood throughout the body. Due to the increasing use of echocardiography, a brand-new condition called heart failure has developed. CAD is the most common cause of heart failure. Patients with left heart failure may have dyspnea, even after rest, fatigue, weakness, cough, inability to sleep lying flat, reduced cardiac output, and increased pulmonary venous pressure. Heart failure affects around 6.2 million people in the US, and by 2030, it is expected to affect at least 8 million people. Ten percent of people over the age of 80 have heart failure. Our aim was to determine systolic and diastolic heart failure in Nangarhar University teaching hospital in the medical ward.
Methods and Materials: It is a cross-sectional hospital-based study carried out in the Nangarhar University Teaching Hospital of Internal Medicine ward in 2000 on heart failure from 2021 to 2022, which represents 323 patients.
Findings: We studied 2000 heart failure patients in Nangarhar University teaching hospital from 2021 to 2022, which represents 323 patients. In terms of gender, 153 (47.36%) patients were female and 170(52.63%) patients were male. In terms of age, 190(58.82%) patients were over 50 years old and 133(41.17%) patients were under 50 years old. The STDEV age was (57±11). 190(58.82%) patients had diastolic dysfunction, 133(41.17%) had systolic dysfunction, and 64(19.81%) had combined systolic and diastolic dysfunction. 198(61.10%) had a preserved ejection fraction and 125(38.69%) had a reduced ejection fraction. 160(49.53%) patients had shortness of breath, 163 (50.46%) patients had chest pain, and 38(11.74%) patients had combined shortness of breath and chest pain.
Conclusion: It is a cross-sectional study fulfilled in the internal medicine ward of Nangarhar University Teaching Hospital. The prevalence of heart failure is lower in females (153) (47.36%) than in men (170(52. 63%).According to the age group, heart failure is more common in over-50-year old patients 190 (58.82%).
The overall prevalence of diastolic heart failure is 9.5% and systolic heart failure overall prevalence is 6.65%. Diastolic dysfunction 190(58.82%) is more common than systolic dysfunction 133(41. 17%).Chest pain 163(50.46%) is more than shortness of breath of 160(49. 53%).The ejection fraction is preserved in 198(61.30%) patients and reduced in 125(38. 69%). Heart failure is diagnosed with clinic and echocardiography.

Keywords

Heart failure, Ejection Fraction, Systolic Dysfunction, Diastolic Dysfunction, Age

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How to Cite
Hadi, S. (2023). Prevalence of Systolic and Diastolic Ventricular Dysfunction in Nangarhar University Teaching Hospital. NUIJB, 2(01), 48–55. Retrieved from https://nuijb.nu.edu.af/index.php/nuijb/article/view/21

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