Abstract

Introduction: The association between depression and cardiovascular disease is well established and is suggested to be bidirectional. Depression in cardiac disease is common, persistent, under recognized, and deadly. The impacts of non-communicable diseases (NCDs) are particularly devastating in poor and vulnerable populations. Over the past 20 years, research has found that not only is depression more common in cardiac patients than in the general population, but depression is also a risk factor for cardiac morbidity and mortality, independent of traditional risk factors.

Objective: To assess the Assessment of magnitude and spectrum of cardiovascular disease admissions and Outcomes.

Materials and Methods: A hospital-based retrospective, cross-sectional study was conducted at Cardiology Department, Sadar Hospital, Rajbari, Dhaka, Bangladesh from January to December 2022. A total of 88 patients with cardiovascular diagnosis among all the annual medical admissions of 291 patients were evaluated during the specified study period. The exclusion criteria were patients whose medical records were incomplete or patients who were died before adequate diagnosis was made.

Results: Out of 291 annual medical admissions, the prevalence of cardiovascular diseases (CVD) was 30.8%. About 60% (53) of patients had advanced congestive heart failure of diverse causes. Hypertensive heart disease (HHD) was the next predominant diagnosis (40.9% (36)), and also the leading cause of cardiac diseases followed by rheumatic valvular heart disease (RVHD) (18.2% (16)) and Ischemic heart disease (IHD) (12.5% (11)), respectively. Yong age, rural residence and female sex were associated with RVHD (p = 0.001). Stroke also accounted for 20% of CVD admission (hemorrhagic stroke-17% Vs Ischemic stroke-83%). Hypertension was the predominate risk factor for CVD and present in 46.4% (138) of patients. The mean hospital stay was 12days and in-hospital mortality rate was 24.3% with septic shock being the commonest immediate cause of death followed by fatal arrhythmia, brain herniation, and massive PTE.

Conclusion: Cardiovascular diseases were common in the study area causing significant morbidity and mortality. Therefore, comprehensive approach is imperative to timely screen for cardiovascular risk reduction, disease control and complication prevention. Strategies should also be designed to increase public awareness regarding the cardiovascular risk reduction, drug adherence, and possible complications. The traditional nonischemic and the emerging ischemic CVD risk factors within the subregion, are required to stem the scourge of these largely preventable cardiac diseases.

 Keywords: Outcome; Magnitude; Complications; Spectrum of Cardiovascular Disease

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Citation

Citation: Mohammad Moyazzam Hossain., et al. “Outcome of Magnitude and Spectrum of Cardiovascular Disease - A Hospital- Based Retrospective, Cross-Sectional Study". Acta Scientific Cardiovascular System 2.4 (2023): 01-09.

Copyright

Copyright: © 2023 Mohammad Moyazzam Hossain., et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.