Hemodynamic parameters in patients admitted for decompensated chronic heart failure

Hemodynamic parameters in patients admitted for decompensated chronic heart failure

N.V. Pyrikova¹, I.V. Osipova¹, N.A. Mozgunov²

¹Altai State Medical University, Barnaul

²City Clinical Hospital No. 11, Barnaul

Aim: to assess hemodynamic parameters with respect to gender in patients with decompensated congestive heart failure (CHF).

Patients and Methods: this point-prevalence retrospective study included 297 case records of patients who were consistently admitted for decompensated CHF from July 2018 to July 2019.

Results: 92.3% of patients were diagnosed with hypertension, 58.6% with atrial fibrillation (AF), 33.7% with prior myocardial infarction, 31.6% with type 2 diabetes, 21.5% with angina pectoris, and 64.6% with kidney diseases (stage 3 or more advanced). More women than men (by 17.2%) were admitted, women were older than men by 5.3 years. 9.4% of patients were diagnosed with CHF class II, 70.4% with CHF class III, and 20.2% with CHF class IV. At admission, more than half of patients (52.8%) were diagnosed with hypertension stage I or more advanced (30.2% were diagnosed with hypertension stage III). In 81.6% patients with AF, heart rate was 110 rpm or more. Among patients with sinus rhythm, 29.3% have tachycardia. Left ventricular hypertrophy was diagnosed in 57.9%, preserved ejection fraction (EF) in 46.1%, mid-range EF in 33.3%, and reduced EF in 20.6%. At admission, optimal-to-high normal blood pressure (BP) was observed more commonly in men than in women (by 1 2.0%). Meanwhile, more women than men (by 11.5%) achieved target BP. At admission, more men with AF than women (by 14.5%) had tachycardia, while more women with AF than men (by 10.5%) had normal
heart rate.

Conclusions: our findings can be applied for planning of medical care for decompensated CHF to optimize the treatment for this condition.

Keywords: congestive heart failure, left ventricular ejection fraction, hemodynamics, blood pressure, atherosclerosis, atrial fibrillation.

For citation: Pyrikova N.V., Osipova I.V., Mozgunov N.A. Hemodynamic parameters in patients admitted for decompensated chronic heart failure. RMJ. 2021;1:5–9.