A STUDY ON HEART FAILURE WITH PRESERVED EJECTION FRACTION WITH CLINICAL PROFILE AT MGM, MEDICAL COLLEGE, INDORE

Abstract

Background: A Study on Heart Failure with Preserved Ejection Fraction with Clinical Profile including 300 patients.

Method: This study was conducted at MGMG Medical College, Indore which was a prospective observational study in which patients presented with  clinical features of heart failure, with Left ventricular EF > 50%, from the period of Jan 2015 to 30th June 2016, were total 300 patients included in the study.

Result: All patients has ejection fraction >50% with diastolic dysfunction. 153 (51%) patients had grade 1 diastolic dysfunction, 126 (42%) patients had grade 2, and 21 (07) patients had grade 3 or grade 4 diastolic dysfunction. Out of 300 patients 213 (71 %) patients had concentric LVH. 142 (47%) patients had left atrial dimension (LAD) >4 cm. E/e’ ratio was > 15 in 57 (19%) patients and 189 (63%) patients had E/e’ > 12. Out of 300 patients 264 (88%) patients had e’wave < 11 cm/s. Estimated systolic ulmonary pressure (ESPP) was> 35 mmHg in 153 (51%) of the patients.

Conclusion: Hypertension was the most frequent risk with dyspnea was the most common presenting symptom. Heart failure with preserved ejection fraction was more in female. Baseline information on heart failure with preserved ejection fraction discovered from this study can be used as reference for further studies.

Keywords: Heart Failure, Preserved Ejection Fraction & Clinical Profile.