Clinical characteristics and management of hospitalized and ambulatory patients with heart failure–results from ESC heart failure long‐term registry–Egyptian cohort

Abstract

Aims Our aim is to describe the clinical characteristics and management of patients hospitalized with acute heart failure (HHF) and ambulatory patients with chronic heart failure (CHF) in Egypt and compare them with heart failure (HF) patients from other countries in the European Society of Cardiology-Heart Failure (ESC-HF) registry. Methods and resultsThe ESC-HF Long-term Registry is a prospective, multi-centre, observational study of patients presenting to cardiology centres in member countries of the ESC. From April 2011 to February 2014, a total of 2145 patients with HF were recruited from 20 centres all over Egypt. Of these patients, 1475 (68.8%) were hospitalized with HHF, while 670 (31.2%) had CHF. Less than one-third (32.1%) of all patients were females. HHF patients {median age of 61 years [interquartile range (IQR), 53-69]} were older than CHF patients [median age of 57 years (IQR,46-64)]; P < 0.0001. They had more diabetes mellitus (45.4% vs. 31.8%; P < 0.0001). Left ventricular ejection fraction > 45% was present in 22% of HHF vs. 25.6% of CHF (P = 0.17). Atrial fibrillation existed in about a quarter of all patients (24.5%). Ischaemic heart disease was the main cause of HF in Egyptian patients. All-cause in-hospital mortality was 5%. Egyptian patients presented at a much earlier age than in other regions in the registry. They had more diabetes mellitus. Atrial fibrillation prevalence was remarkably lower. Other co-morbidities (renal dysfunction, stroke, and peripheral arterial disease) occurred less frequently.Conclusion Patients in the Egyptian cohort exhibited distinct features from HF patients in other countries in the ESC-HF Long-term Registry.

Prevalence of P wave dispersion and interatrial block in patients with systolic heart failure and their relationship with functional status, hospitalization and one year mortality

“…Two Egyptian studies reported that less than one quarter of their recruited HF patients had LVEF >45% 15, 19. We also reported in a recent study of hospitalized HF patients significantly dilated LV& LA dimensions, and impaired LVEF 2 .…”

Gender differences in Egyptian patients hospitalized with heart failure: insights from the European Society of Cardiology Heart Failure Long‐Term Registry

“…5,6 Briefly, this is a prospective, multi-centre, observational study of patients presenting to 211 cardiology centres of 21 European and Mediterranean countries, which are members of the ESC. 5,6 Briefly, this is a prospective, multi-centre, observational study of patients presenting to 211 cardiology centres of 21 European and Mediterranean countries, which are members of the ESC.…”

“…The present study uses data from the European Society of Cardiology Heart Failure Long-term Registry 'ESC-HF Longterm Registry', which has been reported in detail elsewhere. 5,6 Briefly, this is a prospective, multi-centre, observational study of patients presenting to 211 cardiology centres of 21 European and Mediterranean countries, which are members of the ESC. The ESC Heart Failure Association endorsed the study, which was conducted by an ad hoc Executive Committee.…”

National trends in heart failure hospitalization rates in Slovenia 2004–2012

“…Moreover, a recent analysis of a French nationwide database challenges such a standpoint, as no decline in standardized HF hospitalization rates was identified. It should be emphasized that, globally, national studies are few; most studies are either limited to a particular geographical region within a country, are part of or derived from a multicentre registry, or do not represent a nationwide sample …”