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Acute decompensated heart failure (ADHF) during COVID-19 pandemic-insights from South India

AIM: This retrospective study compares admissions and outcomes due to acute decompensated heart failure (ADHF) during the COVID-19 pandemic from 25 March to 25 July 2020 with the historical patient control who were admitted during the same period in 2019. METHODS AND RESULTS: Data of the participati...

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Autores principales: Jayagopal, P.B., Abdullakutty, Jabir, Sridhar, L., Nanjappa, Veena, Joseph, Johny, Vaidyanathan, P.R., Somasekhar, G., Raghu, T.R., Srinivas, B.C., Chopra, V.K., Manjunath, C.N.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8256338/
https://www.ncbi.nlm.nih.gov/pubmed/34474759
http://dx.doi.org/10.1016/j.ihj.2021.06.014
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author Jayagopal, P.B.
Abdullakutty, Jabir
Sridhar, L.
Nanjappa, Veena
Joseph, Johny
Vaidyanathan, P.R.
Somasekhar, G.
Raghu, T.R.
Srinivas, B.C.
Chopra, V.K.
Manjunath, C.N.
author_facet Jayagopal, P.B.
Abdullakutty, Jabir
Sridhar, L.
Nanjappa, Veena
Joseph, Johny
Vaidyanathan, P.R.
Somasekhar, G.
Raghu, T.R.
Srinivas, B.C.
Chopra, V.K.
Manjunath, C.N.
author_sort Jayagopal, P.B.
collection PubMed
description AIM: This retrospective study compares admissions and outcomes due to acute decompensated heart failure (ADHF) during the COVID-19 pandemic from 25 March to 25 July 2020 with the historical patient control who were admitted during the same period in 2019. METHODS AND RESULTS: Data of the participating hospitals was collected and analysed from the ICC NHFR (Indian College of Cardiology National Heart Failure Registry) for 2019 and 2020. Total number of ADHF admissions, demographics, aetiology, co-morbid conditions and in-hospital mortality was compared and analysed. A significant decrease in the number of hospital admissions due to ADHF from 2019 to 2020 (1056 vs. 526 respectively) was noted. Incidence of admissions with <40% ejection fraction (EF) reduced in 2020 (72.4% and 80.2% in2020 and 2019)and >40% (EF) increased (27.6% and 19.8% in 2019 and 2020 respectively, p = 0.0005). Ischemic heart disease (IHD) was the most common aetiology (78.59% in 2019 and 80.98% in 2020, p = 0.268). The in-hospital mortality was numerically higher in 2020 (10%) than in 2019 (8%), but not statistically significant (p = 0.161). CONCLUSION: This study from the registry shows that the incidence of ADHF admissions during COVID-19 lockdown significantly reduced compared to the previous year. Demographic patterns remained similar but patients presenting with de-novo HF increased; IHD was the most common cause. The in-hospital mortality was numerically higher during the lockdown. The impact of lockdown perhaps led to fewer hospitalisations and this is to be factored in future strategies to address health care delivery during such crises.
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spelling pubmed-82563382021-07-06 Acute decompensated heart failure (ADHF) during COVID-19 pandemic-insights from South India Jayagopal, P.B. Abdullakutty, Jabir Sridhar, L. Nanjappa, Veena Joseph, Johny Vaidyanathan, P.R. Somasekhar, G. Raghu, T.R. Srinivas, B.C. Chopra, V.K. Manjunath, C.N. Indian Heart J Original Article AIM: This retrospective study compares admissions and outcomes due to acute decompensated heart failure (ADHF) during the COVID-19 pandemic from 25 March to 25 July 2020 with the historical patient control who were admitted during the same period in 2019. METHODS AND RESULTS: Data of the participating hospitals was collected and analysed from the ICC NHFR (Indian College of Cardiology National Heart Failure Registry) for 2019 and 2020. Total number of ADHF admissions, demographics, aetiology, co-morbid conditions and in-hospital mortality was compared and analysed. A significant decrease in the number of hospital admissions due to ADHF from 2019 to 2020 (1056 vs. 526 respectively) was noted. Incidence of admissions with <40% ejection fraction (EF) reduced in 2020 (72.4% and 80.2% in2020 and 2019)and >40% (EF) increased (27.6% and 19.8% in 2019 and 2020 respectively, p = 0.0005). Ischemic heart disease (IHD) was the most common aetiology (78.59% in 2019 and 80.98% in 2020, p = 0.268). The in-hospital mortality was numerically higher in 2020 (10%) than in 2019 (8%), but not statistically significant (p = 0.161). CONCLUSION: This study from the registry shows that the incidence of ADHF admissions during COVID-19 lockdown significantly reduced compared to the previous year. Demographic patterns remained similar but patients presenting with de-novo HF increased; IHD was the most common cause. The in-hospital mortality was numerically higher during the lockdown. The impact of lockdown perhaps led to fewer hospitalisations and this is to be factored in future strategies to address health care delivery during such crises. Elsevier 2021 2021-07-02 /pmc/articles/PMC8256338/ /pubmed/34474759 http://dx.doi.org/10.1016/j.ihj.2021.06.014 Text en © 2021 Cardiological Society of India. Published by Elsevier B.V. https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Original Article
Jayagopal, P.B.
Abdullakutty, Jabir
Sridhar, L.
Nanjappa, Veena
Joseph, Johny
Vaidyanathan, P.R.
Somasekhar, G.
Raghu, T.R.
Srinivas, B.C.
Chopra, V.K.
Manjunath, C.N.
Acute decompensated heart failure (ADHF) during COVID-19 pandemic-insights from South India
title Acute decompensated heart failure (ADHF) during COVID-19 pandemic-insights from South India
title_full Acute decompensated heart failure (ADHF) during COVID-19 pandemic-insights from South India
title_fullStr Acute decompensated heart failure (ADHF) during COVID-19 pandemic-insights from South India
title_full_unstemmed Acute decompensated heart failure (ADHF) during COVID-19 pandemic-insights from South India
title_short Acute decompensated heart failure (ADHF) during COVID-19 pandemic-insights from South India
title_sort acute decompensated heart failure (adhf) during covid-19 pandemic-insights from south india
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8256338/
https://www.ncbi.nlm.nih.gov/pubmed/34474759
http://dx.doi.org/10.1016/j.ihj.2021.06.014
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