Acta Scientific Medical Sciences (ASMS)(ISSN: 2582-0931)

Research ArticleVolume 7 Issue 3

Prevalence of Heart Failure and Frequency of its Risk Factors Among Heart Failure Patients: A Study in the Internal Medicine Ward of Mirwais Regional Hospital

Asadullah Zerak1, Mohammad Sami Hayat 2, Ihsanullah Darmal3 and Ahmad Khan*1

1Kandahar University, Afghanistan
2Associate Professor Kandahar University, Afghanistan
3Cardiologist, Kandahar University, Afghanistan

*Corresponding Author: Ahmad Khan, Kandahar University, Afghanistan.

Received: January 30, 2023; Published: February 13, 2023


Heart failure is a global problem that is associated with significant morbidity, mortality, and healthcare expenditures worldwide. This study aimed to identify the prevalence of heart failure and the frequency of its different risk factors among heart failure patients in Mirwais Regional Hospital in Kandahar, Afghanistan. This study is a hospital-based cross-sectional study, and data is collected from heart failure patient populations by a standard questionnaire. A total of  1623 patients were admitted to the internal medicine ward of Mirwais Regional Hospital during the study period, and 114 patients had heart failure. Hence, its prevalence is 7%. Of these 114 patients, 50.1% were male, the remaining 49.9% were female. Research is limited on the incidence of heart failure in Afghanistan. It is essential to conduct region-centric research on the prevalence of heart failure to make evidence-based strategies to decrease the burden of heart failure in the country.

Keywords: Heart failure; Low Income Countries; Heart Failure Risk Factors


  1. Callender Thomas., et al. "Heart failure care in low-and middle-income countries: a systematic review and meta-analysis”. PLoS Medicine8 (2014): e1001699.
  2. Roth Gregory A., et al. "Global, regional, and national age-sex-specific mortality for 282 causes of death in 195 countries and territories, 1980–2017: a systematic analysis for the Global Burden of Disease Study 2017”. The Lancet10159 (2018): 1736-1788.
  3. Agbor Valirie N., et al. "Heart failure in sub-Saharan Africa: a contemporaneous systematic review and meta-analysis”. International Journal of Cardiology257 (2018): 207-215.
  4. Khan A and DMM Tidman. “Non-Communicable Diseases in Afghanistan and Ghana”. International Journal of Medical Science and Clinical Invention11 (2021): 5736-5745.
  5. Tsutsui Hiroyuki., et al. "JCS 2017/JHFS 2017 guideline on diagnosis and treatment of acute and chronic heart failure―digest version―”. Circulation Journal10 (2019): 2084-2184.
  6. Denolin Henri., et al. "The definition of heart failure”. European Heart Journal7 (1983): 445-448.
  7. Hajouli Said and Dipesh Ludhwani. "Heart failure and ejection fraction”.StatPearls. StatPearls Publishing, (2022).
  8. Zhang S., et al. "Cardiovascular Risk and Events in 17 Low-, Middle-, and High-Income Countries”. (2014).
  9. Savarese Gianluigi and Lars H Lund. "Global public health burden of heart failure”. Cardiac Failure Review1 (2017): 7.
  10. Bragazzi Nicola Luigi., et al. "Burden of heart failure and underlying causes in 195 countries and territories from 1990 to 2017”. European Journal of Preventive Cardiology15 (2021): 1682-1690.
  11. Pfeffer Marc A., et al. "Heart failure with preserved ejection fraction in perspective”. Circulation Research11 (2019): 1598-1617.
  12. Shimokawa Hiroaki., et al. "Heart failure as a general pandemic in Asia”. European Journal of Heart Failure9 (2015): 884-892.
  13. Hwang Seok-Jae., et al. "Implications of coronary artery disease in heart failure with preserved ejection fraction”. Journal of the American college of cardiology25 Part A (2014): 2817-2827.
  14. Ponikowski Piotr., et al. "Authors/Task Force Members. 2016 ESC Guidelines for the diagnosis and treatment of acute and chronic heart failure: The Task Force for the diagnosis and treatment of acute and chronic heart failure of the European Society of Cardiology (ESC) Developed with the special contribution of the Heart Failure Association (HFA) of the ESC”. European Heart Journal27 (2016): 2129-200.
  15. Prabhakaran Dorairaj., et al. "Cardiovascular diseases in India compared with the United States”. Journal of the American College of Cardiology1 (2018): 79-95.
  16. Roth Gregory A., et al. "Global, regional, and national burden of cardiovascular diseases for 10 causes, 1990 to 2015”. Journal of the American College of Cardiology1 (2017): 1-25.
  17. Volgman Annabelle Santos., et al. "Atherosclerotic cardiovascular disease in South Asians in the United States: epidemiology, risk factors, and treatments: a scientific statement from the American Heart Association”. Circulation1 (2018): e1-e34.
  18. Anchala Raghupathy., et al. "Hypertension in India: a systematic review and meta-analysis of prevalence, awareness, and control of hypertension”. Journal of Hypertension6 (2014): 1170.
  19. Messerli Franz H., et al. "The transition from hypertension to heart failure: contemporary update”. JACC: Heart Failure8 (2017): 543-551.
  20. Tan Yi., et al. "Mechanisms of diabetic cardiomyopathy and potential therapeutic strategies: preclinical and clinical evidence”. Nature Reviews Cardiology9 (2020): 585-607.
  21. Iyer Divya G., et al. "Years of potential life lost because of cardiovascular disease in Asian‐American subgroups, 2003–2012”. Journal of the American Heart Association7 (2019): e010744.
  22. Jia Guanghong., et al. "Diabetic cardiomyopathy: an update of mechanisms contributing to this clinical entity”. Circulation Research4 (2018): 624-638.
  23. Kamimura Daisuke., et al. "Cigarette smoking and incident heart failure: insights from the Jackson Heart Study”. Circulation24 (2018): 2572-2582.
  24. World Health Organization.WHO global report on trends in prevalence of tobacco smoking 2000-2025. World Health Organization, (2018).
  25. Powell-Wiley Tiffany M., et al. "Obesity and cardiovascular disease: a scientific statement from the American Heart Association”. Circulation21 (2021): e984-e1010.
  26. Bozkurt Biykem., et al. "Contributory risk and management of comorbidities of hypertension, obesity, diabetes mellitus, hyperlipidemia, and metabolic syndrome in chronic heart failure: a scientific statement from the American Heart Association”. Circulation23 (2016): e535-e578.
  27. Ahirwar Rajeev and Prakash Ranjan Mondal. "Prevalence of obesity in India: A systematic review”. Diabetes and Metabolic Syndrome: Clinical Research and Reviews1 (2019): 318-321.
  28. Martinez-Amezcua Pablo, et al. "The upcoming epidemic of heart failure in South Asia”. Circulation: Heart Failure10 (2020): e007218.

Citation: Ahmad Khan., et al. “Prevalence of Heart Failure and Frequency of its Risk Factors Among Heart Failure Patients: A Study in the Internal Medicine Ward of Mirwais Regional Hospital". Acta Scientific Medical Sciences 7.3 (2023): 17-22.

Copyright: © 2022 Ahmad Khan., 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.

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