Mohammad Risandi Priatama
Faculty of Medicine Universitas, Indonesia
Title: Clinical presentation and prognosis in heart failure patients with reduced ejection fraction: A prospective one-year follow-up study in National Cardiovascular Center Harapan Kita, Indonesia
Biography
Biography: Mohammad Risandi Priatama
Abstract
Statement of the Problem: Systolic Heart Failure (HFrEF) is characterized by ejection fraction of <40% and causes significant mortality and morbidity rate. We seek to characterize Indonesian patients’ clinical presentation (low to middle income country), one-year outcome and prognostic factors of HFrEF patients.
Method: Prospective cohort with consecutive sampling method was done in National Cardiovascular Center Harapan Kita (NCCHK), Jakarta from October 2013 to March 2014. NCCHK is a national heart referral center for 34 provinces in Indonesia. Data was obtained from medical records of HFrEF patients enrolled in ASIAN-HF study. One-year follow up was done via medical record or phone interview. Data was analyzed using SPSS version 23.
Findings: 90 HFrEF subjects (57.3±1.17 years) were obtained. Angina was more commonly seen in higher EF group (21-40%; p=0.016). At one-year, 22.2% died. Lower EF group had higher rate of death (p>0.05). Age, rales and elevated JVP were predictive of death regardless of EF (p<0.05).
Conclusion: Angina was more commonly seen in higher EF group. Signs of congestion are associated with poorer prognosis. Low EF (<20% vs. 21-40%) had clinically high rate of death (26.7% vs. 13.3%, p>0.05).