Risk factors for heart failure in adult Nigerians.

Abstract:

OBJECTIVES:Heart failure (HF) is a lethal disorder most common in blacks. Available treatment options have little impact on prognosis, making primary prevention a priority. We aimed to describe the spectrum of established HF risk factors and clinical features in Nigerian adults. METHODS:We recruited consecutive adults with HF diagnosed using the Framingham criteria in a Teaching Hospital, and recorded clinical findings with a structured form. Blood was drawn for haematocrit, erythrocyte sedimentation rate (ESR) and serum cholesterol. RESULTS:102 subjects were studied. Common HF risk factors were hypertension 45 (44%), obesity 26 (25%), alcohol intake 25 (24%) and hypercholesterolaemia 22 (21%). Both tachycardia (OR 5.5, 95%CI 1.7-14.9) and S3 gallop (OR 4.05, 95%CI 1.53-10.76) were significantly related with NYHA class IV HF. BMI was strongly related with total serum cholesterol (r = 0.70, P < 0.001). Low ESR (< 5 mm/h) was protective of NYHA class IV HF (OR 0.40, 95%CI 0.16-0.88). CONCLUSION:Hypertension, obesity, alcohol intake and hypercholesterolaemia were common in blacks with HF. Both S3 gallop and high ESR indicated more severe HF.

journal_name

Acta Cardiol

journal_title

Acta cardiologica

authors

Laabes EP,Thacher TD,Okeahialam BN

doi

10.2143/AC.63.4.2033041

subject

Has Abstract

pub_date

2008-08-01 00:00:00

pages

437-43

issue

4

eissn

0001-5385

issn

1784-973X

journal_volume

63

pub_type

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