Abstract
There are limited studies on heart failure in Indian population OBJECTIVE: Present study aimed to assess the in-hospital 90-day and two year outcomes in patients with ischemic (IHD-HF) and non ischemic heart failure (NIHD-HF). METHODS: Patients with NYHA Class III & IV, who were admitted to our intensive care unit with heart failure (HF), were evaluated and followed up for 2years. RESULTS: In our cohort of 287 patients, there were 192 (66.9%) males and 95 (33.1%) females. Patients were divided into IHD-HF of 180 (62.7%) patients and NIHD-HF of 107 (37.3%) patients. Mean age of IHD-HF group was 66 (+/-10) and in the NIHD-HF group was 61 (+/-11). Prevalence of HF increased with age in the IHD-HF population and there was no relation with age in the NIHD-HF population .Patients readmitted within 90days in the IHD-HF were 56% (n-101) and in the NIHD-HF were 32.7% (n-35) [p- 0.001]. Two- year recurrent admissions were 69.4% (n-125) in the IHD-HF patients and 52.3% (n-56) in the NIHD-HF patients, respectively (p-0.004). Mortality at 90days in the IHD-HF patients was 26.6% (n-48) and in NIHD-HF patients were 14.9% (n-16) [p- 0.021]. Two-year mortality was 42.3% (n-76) in the IHD-HF patients and 29.9%(n-32) in the NIHD-HF patients, respectively (p-0.037). CONCLUSIONS: HF in IHD-HF heralds a bad prognosis with recurrent hospitalizations and high mortality when compared to patients with NIHD-HF.