A Descriptive Cross Sectional Study on Clinical Profile of Patients With Cardiovascular Disease Admitted At Tertiary Care Center of Nepal
DOI:
https://doi.org/10.3126/jucms.v13i03.88827Keywords:
Cardiology, Cardiomyopathies,, Coronary Artery Disease, Developing countriesAbstract
INTRODUCTION
Cardiovascular diseases are major causes of morbidity and mortality in many parts of the world. This cross-sectional study was conducted to study the profile and pattern of cardiac diseases in Madhesh Pradesh.
MATERIAL AND METHODS
It was a descriptive, cross-sectional study conducted in 349 patients in the cardiology department of National Medical College, Birgunj. Demographic data from each patient was entered in a preformed sheet. The pattern of cardiac diseases was recorded at the time of discharge from the hospital as classified according to ICD 10. Patients’ outcome were recorded in terms of mortality, discharge to ward, and leave against medical advice. The descriptive data are presented as the number and percentage for categorical data and mean ± standard deviation for continuous data according to their distribution. The Chi-square test and Fisher’s exact probability test were used to detect the difference between groups as appropriate.
RESULTS
Three hundred forty-nine patients were included in this study. Two hundred fourteen (61.3%) were males and 135 (38.7%) were females. Most of the patients (49%) were from older age group >60 years and most common comorbidity was hypertension (25.5%). Forty three percent, 19.5%, 12%, 12.8%, 8.6%, 5.15%, 3.4% and 2.5% had Ischemic heart disease, cardiomyopathy, arrhythmias, hypertension, heart failure, valvular heart disease, congenital heart disease, rheumatic heart disease respectively. The association between different pattern of cardiovascular disease with age and gender was statistically significant (p < 0.001) except for heart failure (p = 0.05) with age, arrythmia and RHD (p = 0.504 and 0.085 respectively) for gender. Outcome in all diseases were statistically significant (p< 0.001).
CONCLUSION
This study shows that ischemic heart disease, cardiomyopathy, arrhythmia, and hypertension were the most common heart diseases in this study.
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