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Heart failure is a complex, clinical syndrome of signs and symptoms that are caused by defects in cardiac structure, function, or both, resulting in impairment of peripheral circulation and organ oxygenation. It is a staggering clinical and public health problem and the study of the epidemiology on heart failure demonstrated that heart failure is associated with significant mortality, morbidity, and health care expenditures. It is a disorder in which the heart pumps blood inadequately which lead to reduced blood flow, congestion of blood in the veins and lungs, and other changes that may further weaken the heart. The aim of this study is to assess the relative contribution of the various causes of heart failure and its prevalence over time which helps policy makers as a tool for decision making in allocating resources and to analysis the association of heart failure with related factors. To a chive this objective of the study a retrospective cohort study based on data from the heart failure patients at Felege Hiwot referral hospital from 2013 to 2017. The analysis revealed that the prevalence of heart failure was decreased over time when we compared patient who had taken treatment with patients who does not take any treatment. Hypertension, diabetes mellitus, anemia, and infection were highly correlated with heart failure and had significant effect on heart failure (p<0.05) and treatments are the basic way to manage heart failure and to recover from this disease. About 71% of patients who died from heart failure were died within four years of diagnosis.     Key words:  Assessment, heart failure, management and pharmacologic.

Assessment of major causes of heart failure and its pharmacologic management among patients at Felege Hiwot referral hospital in Bahir Dar, Ethiopia