Clinical profile of heart failure in geriatric patients in a tertiary cardiac hospital of Bangladesh

IF 2 Aging and health research Pub Date : 2025-06-01 Epub Date: 2025-03-24 DOI:10.1016/j.ahr.2025.100227

Mahbuba Yesmin , Lutfun Nahar Nizhu , Afroja Alam , Abdullah Al Mamun

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Abstract

This study included 100 geriatric patients admitted at National Institute of Cardiovascular Diseases (NICVD) in Bangladesh having clinical features of heart failure, possible other information (Framingham Criteria) and increase in natriuretic peptide or echocardiographic findings. It was a single center, cross sectional study. Regarding functional NYHA classification, 14 % presented with class I, 30 % with class II, 35 % presented with class III, 21 % presented with class IV heart failure.

Regarding left ventricular ejection fraction (LVEF), heart failure (HF) was classified into the following categories: (1) HF with reduced EF (HFrEF) - 19 %; (2) HF with improved EF (HFmpEF) - 13 %; (3) HF with mildly reduced EF (HFmrEF) - 22 % and (4) HF with preserved EF (HFpEF) - 46 % . 23 % of the study population had iron deficiency anemia and about one-third-patient had associated renal failure (AKI/CKD). This study revealed that a significant geriatric population has unrecognized heart failure (HFpEF).

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孟加拉国一家三级心脏医院老年患者心力衰竭的临床分析

这项研究纳入了孟加拉国国家心血管疾病研究所（NICVD）收治的 100 名老年患者，他们都具有心力衰竭的临床特征，可能还有其他信息（弗雷明汉标准）以及钠尿肽增加或超声心动图检查结果。这是一项单中心横断面研究。关于NYHA功能分级，14%为I级，30%为II级，35%为III级，21%为IV级。关于左心室射血分数（LVEF），心力衰竭（HF）分为以下几类：（1）EF降低的HF（HFrEF）--19%；（2）EF改善的HF（HFmpEF）--13%；（3）EF轻度降低的HF（HFmrEF）--22%；（4）EF保留的HF（HFpEF）--46%。23% 的研究对象患有缺铁性贫血，约三分之一的患者伴有肾功能衰竭（AKI/CKD）。这项研究表明，有相当一部分老年人群患有未被发现的心力衰竭（HFpEF）。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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