PMID- 10442143
OWN - NLM
STAT- MEDLINE
DCOM- 19990922
LR  - 20220409
IS  - 0012-835X (Print)
IS  - 0012-835X (Linking)
VI  - 76
IP  - 1
DP  - 1999 Jan
TI  - Clinical and socio demographic aspects of congestive heart failure patients at 
      Kenyatta National Hospital, Nairobi.
PG  - 23-7
AB  - OBJECTIVE: To analyse the underlying aetiology, precipitating factors and certain 
      socio-demographic determinants in patients admitted to Kenyatta National 
      Hospital, Nairobi in congestive heart failure. DESIGN: Cross sectional 
      descriptive study. SUBJECT: All patients aged thirteen years and above of either 
      sex consecutively admitted with clinical diagnosis of congestive heart failure. 
      SETTING: Kenyatta National Hospital (KNH), a national referral hospital. PATIENT 
      EVALUATION: Detailed history including socio-demographic characteristics and 
      physical examination was done. Patients underwent haematological and biochemistry 
      tests followed by a chest x-ray, ECG and 2D Echo-doppler examination. Blood 
      culture sensitivity was done when clinically indicated. RESULTS: Ninety one 
      patients were studied, 44 males and 47 females. Almost 32% had rheumatic heart 
      disease, 25.2% had cardiomyopathy, 17.6% hypertensive heart disease, 13.2% had 
      pericardial disease while 2.2% had ischaemic heart disease. Three quarters of 
      patients with hypertensive heart disease were above the age of 50 years, while 
      79% of patients with rheumatic heart disease were below the age of 30 years. 
      Factors associated with patient deterioration leading to admission with 
      congestive heart failure (CHF) included inadequate therapy (27.4%), arrhythmia 
      (20.9%), respiratory infections (17.6%), anaemia (13.2%) and infective 
      endocardiatis. Sixty two per cent of patients investigated were in New York Heart 
      Association (NYHA) functional classification class IV, 31.9% in class III and 
      5.5% in class II. CONCLUSION: Congestive heart failure constitutes 3.3% of all 
      medical admissions at KNH. Rheumatic heart disease is the commonest cause of 
      congestive heart failure in our set-up while inadequate therapy, arrhythmias and 
      respiratory infections are the three major causes of decompensation in our 
      patients with cardiac disease.
FAU - Oyoo, G O
AU  - Oyoo GO
AD  - SDA Health Services, Nairobi, Kenya.
FAU - Ogola, E N
AU  - Ogola EN
LA  - eng
PT  - Journal Article
PL  - Kenya
TA  - East Afr Med J
JT  - East African medical journal
JID - 0372766
SB  - IM
MH  - Adolescent
MH  - Adult
MH  - Aged
MH  - Aged, 80 and over
MH  - Chi-Square Distribution
MH  - Cross-Sectional Studies
MH  - Female
MH  - Heart Failure/epidemiology/*etiology
MH  - Humans
MH  - Kenya/epidemiology
MH  - Male
MH  - Middle Aged
MH  - Prevalence
MH  - Statistics, Nonparametric
EDAT- 1999/08/12 00:00
MHDA- 1999/08/12 00:01
CRDT- 1999/08/12 00:00
PHST- 1999/08/12 00:00 [pubmed]
PHST- 1999/08/12 00:01 [medline]
PHST- 1999/08/12 00:00 [entrez]
PST - ppublish
SO  - East Afr Med J. 1999 Jan;76(1):23-7.