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The frequency of systolic versus diastolic heart failure in an Egyptian cohort

Bassem S Ibrahim1

  • 1National Heart Institute, Cairo, Egypt. bassemibrahim@hotmail.com

European Journal of Heart Failure
|February 1, 2003
PubMed

Insights

Diastolic heart failure accounts for one-third of congestive heart failure (CHF) cases in Egypt, predominantly affecting hypertensive patients. While requiring less hospitalization, its mortality mirrors that of systolic CHF.

Area of Science:

  • Cardiology
  • Epidemiology

Background:

  • Increasing prevalence of congestive heart failure (CHF) risk factors like coronary artery disease (CAD), hypertension, and diabetes in Egypt.
  • Lack of available data on CHF in the Egyptian population.

Purpose of the Study:

  • To determine the prevalence of systolic versus diastolic heart failure in Egyptians.
  • To identify risk factors and prognosis associated with different types of CHF in this population.

Main Methods:

  • Retrospective analysis of 155 patients diagnosed with CHF over 3.5 years.
  • Collection of demographic, ECG, and echocardiographic data.
  • Analysis of hospitalization and mortality rates for systolic versus diastolic CHF.

Main Results:

  • Systolic CHF (66%) was more prevalent than diastolic CHF (34%).
  • CAD was more common in systolic CHF, while hypertension was prevalent in diastolic CHF.
  • Systolic CHF patients had higher hospitalization rates, but mortality was similar between groups.

Conclusions:

  • Diastolic heart failure constitutes one-third of CHF cases in Egyptians.
  • Hypertension is a significant risk factor in Egyptian patients with diastolic heart failure.
  • Diastolic CHF patients experience less hospitalization but similar mortality rates compared to systolic CHF.
Abstract

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