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ssnimcj2025v10i1s2

Original Article

Clinical and Socio Demographic Aspects of Congestive Heart Failure Patients

 *Mia MR,1 Rahman M,2 Rahman MM,3 Uddin MJ,4 Azad MS,5 Ahmed N6 

  1. *Dr. Mohammed Razzak Mia, Associate Professor, Department of Medicine, Dhaka Medical College, Dhaka. mrazzakmia1974@gmail.com
  2. Dr. Mojibur Rahman, Associate Professor (CC), Department of Cardiology, Shaheed Syed Nazrul Islam Medical  College, Kishoreganj.
  3. Dr. ANM Mizanur Rahman, Superintendent & Senior Consultant Cardiology, 100 Bedded District Hospital, Narsingdi.
  4. Dr. Md. Jashim Uddin, Assistant Professor, Department of Pediatrics, Sheikh Hasina Medical College, Habiganj
  5. Dr. Mohammad Bhuiyan Abdus Samad Azad, Senior Consultant Cardiology Madaripur 250 Bed General Hospital
  6. Dr. Nadim Ahmed, Junior Consultant (CC) Medicine, Upazila Health Complex, Monohardi, Narsingdi

 *For Correspondence

Abstract

Background: Congestive heart failure (CHF) is a growing issue for healthcare systems throughout the developing world. Many factors have been linked to an increase in mortality in CHF patients. Despite heterogeneity in the research groups, several demographic and clinical variables appear to be consistently associated with a poor prognosis in congestive heart failure patients.

Objective: To investigate the clinical and sociodemographic aspects of congestive heart failure patients.

Methods:  This descriptive observational study was conducted by the Department of Medicine at 100- bed district hospital, Narsingdi from July 2021 to June 2022. Purposive sampling was used to select 120 women and men with congestive heart failure from the cardiac center of 100-bed district hospital, Narsingdi, Bangladesh. Daily consecutive admissions were screened to identify eligible patients who arrived in the cardiac emergency room, Department of Cardiology. Patients with an  admission diagnosis of congestive heart failure  were enrolled in this study on the basis of inclusion and exclusion criteria with a history of at least one well documented hospitalization for congestive heart failure.

Results: Rheumatic heart disease was identified in 38(31.7%), cardiomyopathy was found in 30(25.0%), hypertension was found in 21(17.5%) cases, pericardial disease was found in 16(13.3%), and ischaemic heart disease was found in 3(2.5%). Factors related with congestive heart failure were 25 (20.8%) inadequate therapy, 25 (20.8%) arrhythmia, 23 (19.2%) respiratory diseases, 17 (14.2%) anaemia, and 23 (19.2%) infective endocarditis. The majority of patients (75.5%) had NYHA class II, 38.7% had class III, and 5.8% had class IV. In conjunction with medical and demographic characteristics, major socio-environmental factors increased the likelihood of readmission due to congestive heart failure.

Conclusion: Socio-environmental factors may increase risk of hospital admission in heart failure patients.

[Shaheed Syed Nazrul Islam Med Col J 2025, Jan; 10 (1):3-10]

DOI: https://www.doi.org/10.69699/ssnimcj2025v10i1s2

Keywords: Congestive Heart Failure, Socio-demographi, Profile; Co-morbidity,  NYHA functional classification