Abstract

A STUDY ON TREATMENT REGIMEN FOR HOSPITALIZED CARDIAC FAILURE PATIENTS WITH COMORBID CONDITIONS IN A TERTIARY CARE TEACHING HOSPITAL

Blessy Mariam Shaji, Hasila M.M., Lakshmi C.*, Varun Babu, Dr. R.L.N. Murthy

.

Abstract

Background: Heart failure (HF) is major public health problem and is becoming an emerging epidemic. In western countries, heart failure is seen predominant in elderly patients, but in India it affects relatively in younger patients. The patients with HF become remarkably complex due to associated cardiac comorbidities like hypertension, atrial fibrillation, ischemic heart disease and non-cardiac comorbidities such as CKD and DM. The presence of comorbid conditions worsens the health condition and complicates treatment outcome leading to an increase in incidence of hospitalizations and readmissions. The main objective is to assess the prescription pattern for cardiac failure patients with comorbidities and to study treatment outcome. Materials and Methods: It is a prospective observational study conducted for a duration of 6 months from March 2022 – September 2022. Result and Discussion: Among 120 patients 66.7% were male and 33.3% were female and most of the patients were belonging to the age group of 50-70 years. Among HF patients under study the drugs prescribed were Antiplatelets 91.7%; Statins(89.2%); Loop diuretics(87.5%); Anticoagulant(37.5%); Inotrops(29.2%); Beta blockers(27.5%) and Aldosterone antagonist(22.5%). Conclusion: Heart failure is globally emerging disease with high mortality rate. The patients with HF and other comorbid conditions are more vulnerable to health complications and repeated hospatalizations. Hence, HF patients should be monitored regularly, due importance should be given to control the associated comorbid conditions and relevant parameters.

Keywords: Heart failure, Comorbidity, Hospitalizations, Prescription pattern, Treatment outcome.