PATIENT PROFILING IN ACUTE DECOMPENSATED HEART FAILURE

Abstract

To evaluate the frequency of various profiles in patients, ospitalised with acute decompensated heart failure.351 patients (72% males, mean age 66 (58; 76) years old) with ADHF were included. Coronary artery disease had 60%, arterial hypertension 94%, diabetes mellitus 40%, obesity-61%, cardiomyopathy-5%, rheumatic heart disease-4%. HFpEF was found in 31% of patients, HFmrEF - in 25%, HFrEF - in 44%. All patients were distributed according to the following phenotypes: 1 - low blood pressure (<90 mm Hg) and high heart rate (>90 bpm); 2 - low blood pressure (<90 mm Hg) and low heart rate (<60 bpm); 3 - paients with low blood pressure (<90 mm Hg) and normal heart rate (60-90 bpm); 4 - normal blood pressure (>90 mm Hg) and high heart rate (>90 bpm); 5 - normal blood pressure (>90 mm Hg) and low heart rate (<60 bpm); 6 - normal blood pressure (>90 mm Hg) and normal heart rate (60-90 bpm); 7 - atrial fibrillation and normal blood pressure (>90 mm Hg), 8- atrial fibrillation and low blood pressure (<90 mm Hg), 9 - high blood pressure (>140/90 mm Hg); 10 - chronic kidney disease (eGFR <60 ml/min/1,72).The frequency of profile in patients, ospitalised with acute decompensated heart failure were the following: patients with low blood pressure and high heart rate - 0,85%; low blood pressure and low heart rate - 0,56%; patients with low blood pressure and normal heart rate - 1,13%; patients with normal blood pressure and high heart rate - 24,78%; normal blood pressure and low heart rate - 3,13%; patients with normal blood pressure and normal heart rate - 37,03%; patients with atrial fibrillation and normal blood pressure - 42,16%; atrial fibrillation and low blood pressure - 0,85%; high blood pressure - 22,22%; patients with chronic kidney disease - 65,81%.The most common profile in patients ospitalised with acute decompensated heart failure were patients with chronic kidney disease (65,81%), normal blood pressure (64,94%), atrial fibrillation (59,24%), normal blood pressure and normal heart rate (37,03%), high blood pressure (22,22%).