Volume :
4
Issue :
3
Abstract :
Objective
The current research was conducted to evaluate episodes of Congestive Heart Failure (CHF) among dialysis
patients; it`s frequency and prognosis in patients attending public healthcare institutes of Quetta city, Pakistan.
Methods
This is a multicenter cohort study conducted at two public healthcare institutes of Quetta city, Pakistan. Data of 117
patients for one year was screened from the official records and evaluated retrospectively to identify variables of
interest. Data was collected through a validated information sheet. SPSS v.20 was used for data analysis and data
was described descriptively.
Results
All patients had End-Stage Renal Disease (ESRD) and were on regular maintenance hemodialysis therapy. Out of
all selected patients, 7.7 % patients had Non-Insulin Dependent Diabetes Mellitus, 4.3% patients had Ischemic
Heart Disease, 78.6% had Left Ventricular Hypertrophy and 80.34% had Cardiomyopathy. Forty five patients
(38.46%) were confirmed with CHF. Thirty seven (31.6%) of those had systolic dysfunction, 8 (6.8%) had diastolic
dysfunction and 4 (3.4%) had both systolic and diastolic dysfunction. Additionally, 13 (28.9%) patients developed de
novo CHF. Recurrence of CHF was observed in 26 patients (57.7%) whereas among the CHF group, eleven
patients died during the study period presenting a mortality rate of 24% in CHF group (Table 5).
Conclusion
The incidence of CHF was relatively high in our study population of ESRD. Frequent recurrence of the disease, rehospitalization
and enhanced mortality in our study population is evident of adverse prognosis of CHF in ESRD
population.