Open AccessEpidemiology of acute decompensated heart failure in India : The AFAR study (Acute failure registry study)
Author(s) -
Sandeep Seth,
Suraj Khànal,
Sivasubramanian Ramakrishnan,
Namit Gupta,
Vinay K. Bahl
Publication year - 2015
Publication title -
journal of the practice of cardiovascular sciences
Language(s) - English
Resource type - Journals
eISSN - 2454-2830
pISSN - 2395-5414
DOI - 10.4103/2395-5414.157563
Subject(s) - medicine , acute decompensated heart failure , heart failure , epidemiology , ejection fraction , mortality rate , referral , emergency medicine , intensive care medicine , pediatrics , family medicine
Objectives: There is a paucity of data on acute decompensated heart failure (ADHF) in Indian patients. We herein report the in-hospital and 6-month outcome of Indian patients admitted with ADHF. Methods: We prospectively enrolled consecutive patients with ADHF due to systolic dysfunction in the acute failure registry and followed them up for at least 6 months. We analyzed the data on death and hospitalization of the first 90 patients on death and hospitalization over 6-months. Results: A total of 90 patients were enrolled with a mean age of 53.5 ± 17. 7 years and the majority were male (63%). The mean left ventricular ejection fraction was 29.2± 11.9%. The in hospital mortality was 30.8%. Postdischarge 6-month major adverse event (re-hospitalization/mortality combined) and mortality rates were 39.5% and 26.3%, respectively. Conclusions: These data from a single referral center provide insights into the current status of acute HF care in India. We report a higher in-hospital and follow-up mortality rates in ADHF patients who present at younger ages than reported in Western literature