An Autopsy Study of Hypertensive Heart Disease-Retrospective Study

2017 ◽  
Vol 17 (2) ◽  
pp. 187
Author(s):  
N S Kamakeri ◽  
Sunilkumar S Biradar ◽  
M Smitha ◽  
Mallikarjun K Biradar ◽  
Lohit Kumar
Keyword(s):  
Heart Disease ◽  
Retrospective Study ◽  
Hypertensive Heart Disease ◽  
Autopsy Study

scholarly journals Readmission Reasons of Senile Patients Hospitalized with Acute Decompensated Heart Failure in Different Department: A Retrospective Study

2019 ◽  
Author(s):  
zhiying zhao ◽  
Jing Jin ◽  
Yong Sheng ◽  
Rong Yu ◽  
Biao Cheng
Keyword(s):  
Heart Failure ◽  
Coronary Artery Disease ◽  
Heart Disease ◽  
Retrospective Study ◽  
Coronary Artery ◽  
Valvular Heart Disease ◽  
Acute Decompensated Heart Failure ◽  
Hypertensive Heart Disease ◽  
Decompensated Heart Failure ◽  
Artery Disease

Abstract Background -The readmission reasons for senile patients hospitalized in different wards with acute decompensated heart failure are not well known. Method -We conducted a retrospective study of senile patients admitted to the People’s Hospital of Sichuan Province in a one-year period. Patients suffered with heart failure were identified from the hospital administrative database. Chart reviews were carried out to explore 30-day readmission reasons. Descriptive statistics were utilized to compare the patients and hospital characteristics among different wards. Student’s t-test was used for normally distributed continuous variables, chi-square for categorical variables. Results -Of all the hospitalization cases (3922), 1316 patients with heart failure were rehospitalized, among which 893 were admitted to geriatric department. The readmission rate was 33.55%. The top 10 reasons for rehospitalization in geriatric department were AECOPD (18.5%), hypertension (15.5%), hypertensive heart disease (13.3%),pneumonia (10.5%), coronary artery disease(7.0%), acute coronary syndrome(11.3%),
dementia (6.8%), PAD (3.25%), stroke (2.2%), cancer/valvular heart disease (1.4%).The top 10 reasons in other departments were stroke (32.5%), AECOPD (10.7%), pneumonia (10.0%), coronary artery disease(6.8%),CKD (5.9%), cancer(5.7%), hypertensive heart disease (4.8%), dementia (4.6%), valvular heart disease (3.3%), DCM (2.6%). Geriatric department tended to receive more senile patients than other wards, and had longer days of hospitalization(24.38±5.228 vs15.65±5.907), however, the cost among different wards was of no difference (31345.53±1343.354 vs 30868.49±2241.292). In terms of discharge disposition, 98.95% patients in geriatric department were discharged straight to home, ‘which was statistically higher than that of other wards (86.68%). Conclusion -This study shows the prevailing reasons for readmission of senile patients hospitalized with acute decompensated heart failure. Long term or short term care is summoned in China.

scholarly journals Pathology of heart, coronaries and aorta in autopsy cases with history of sudden death: an original article

2017 ◽  
Vol 5 (8) ◽  
pp. 3287 ◽  
Author(s):  
Sushil Y. Sonawane ◽  
Pushkar P. Matkari ◽  
Gopal A. Pandit
Keyword(s):  
Risk Factors ◽  
Heart Disease ◽  
Sudden Cardiac Death ◽  
Sudden Death ◽  
Cardiac Death ◽  
Tertiary Care ◽  
Hypertensive Heart Disease ◽  
Autopsy Study ◽  
Formidable Challenge ◽  
History Of

Background: Natural deaths represent a large proportion of sudden (unexpected and unattended) deaths. The term “sudden cardiac death” (SCD) refers to death from the abrupt cessation of cardiac function due to cardiac arrest. The objective of this study was to identify various causes, risk factors, age and sex distribution associated with sudden cardiac death in an Indian setting.Methods: Detail review of medical records and an autopsy study of all cases of sudden cardiac death that occurred instantaneously or within 24 hours of onset of symptoms in a tertiary care institution, between December 2010 and December 2015 was carried out.Results: In total, 124 cases of sudden death were studied during this period. Out of 124 cases, 109 cases (87.90%) showed pathology in heart and aorta. Atherosclerotic coronary heart disease was the most common cause of death (72.58%) followed by Hypertensive heart disease (4.83%), Hypertrophic cardiomyopathy (3.22%), Myocarditis (3.22%), Infective endocarditis (1.61%), Rheumatic heart disease (0.8%), Aortic dissection (0.8%), and syphilitic aortitis (0.8%).Conclusions: Sudden death is a source of concern and a detailed postmortem examination is mandatory to ascertain its cause. Presence of co-existing conditions like diabetes and hypertension contribute immensely to the risk of sudden death. Occurrence of sudden death at a younger age presents a formidable challenge. Prevention of development of risk factors of atherosclerosis at an early age can be an effective strategy to counter this ailment at all levels.

scholarly journals Estimation and determinants of direct medical costs of ischaemic heart disease, stroke and hypertensive heart disease: evidence from two major hospitals in Cameroon

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Leopold Ndemnge Aminde ◽  
Anastase Dzudie ◽  
Yacouba N. Mapoure ◽  
Jacques Cabral Tantchou ◽  
J. Lennert Veerman
Keyword(s):  
Diabetes Mellitus ◽  
Heart Disease ◽  
Ischaemic Stroke ◽  
Ischaemic Heart Disease ◽  
Economic Burden ◽  
Hypertensive Heart Disease ◽  
Haemorrhagic Stroke ◽  
Medical Costs ◽  
Communicable Diseases ◽  
Direct Medical Costs

Abstract Background Cardiovascular disease (CVD) is the largest contributor to the non-communicable diseases (NCD) burden in Cameroon, but data on its economic burden is lacking. Methods A prevalence-based cost-of-illness study was conducted from a healthcare provider perspective and enrolled patients with ischaemic heart disease (IHD), ischaemic stroke, haemorrhagic stroke and hypertensive heart disease (HHD) from two major hospitals between 2013 and 2017. Determinants of cost were explored using multivariate generalized linear models. Results Overall, data from 850 patients: IHD (n = 92, 10.8%), ischaemic stroke (n = 317, 37.3%), haemorrhagic stroke (n = 193, 22.7%) and HHD (n = 248, 29.2%) were analysed. The total cost for these CVDs was XAF 676,694,000 (~US$ 1,224,918). The average annual direct medical costs of care per patient were XAF 1,395,200 (US$ 2400) for IHD, XAF 932,700 (US$ 1600) for ischaemic stroke, XAF 815,400 (US$ 1400) for haemorrhagic stroke, and XAF 384,300 (US$ 700) for HHD. In the fully adjusted models, apart from history of CVD event (β = − 0.429; 95% confidence interval − 0.705, − 0.153) that predicted lower costs in patients with IHD, having of diabetes mellitus predicted higher costs in patients with IHD (β = 0.435; 0.098, 0.772), ischaemic stroke (β = 0.188; 0.052, 0.324) and HHD (β = 0.229; 0.080, 0.378). Conclusions This study reveals substantial economic burden due to CVD in Cameroon. Diabetes mellitus was a consistent driver of elevated costs across the CVDs. There is urgent need to invest in cost-effective primary prevention strategies in order to reduce the incidence of CVD and consequent economic burden on a health system already laden with the impact of communicable diseases.

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