Year : 2019  |  Volume : 4  |  Issue : 2  |  Page : 53-57

Association between echocardiography findings and cardiovascular comorbidities in Indian patients with chronic heart failure

1 Department of Research and Development, Madhavbaug Hospital, Khopoli, Maharashtra, India
2 Department of Clinical Operations, Madhavbaug Hospital, Khopoli, Maharashtra, India
3 Medical Department, Madhavbaug Hospital, Khopoli, Maharashtra, India

Correspondence Address:
Rahul Mandole
Department of Research and Development, Madhavbaug Hospital, Khopoli, Maharashtra
Login to access the Email id

Source of Support: None, Conflict of Interest: None

DOI: 10.4103/cp.cp_11_19

Get Permissions

Background: Various comorbidities contribute to structural and functional changes in congestive heart failure (CHF). Echocardiography is a first-line diagnostic tool for screening and monitoring CHF patients. Hence, it is important to study the association between echocardiographic findings and comorbidities in CHF. Methodology: A retrospective study was conducted using data from CHF patients evaluated at the Madhavbaug clinics between August 2018 and January 2019. Patients were classified based on normal (>55%) and compromised (<55%) left ventricular ejection fraction (LVEF) and grades of diastolic dysfunction (Grade I – impaired relaxation, Grade II – pseudonormal, and Grade III – reversible restrictive). Chi-square test was used to assess the associations between comorbidities and echocardiographic findings (including ejection fraction and grade of diastolic dysfunction). Results: One hundred and thirty-eight patients' data were evaluated. The majority of patients were male (74.15%), and the mean age was 59.15 ± 10.28 years. Sixty-two patients had compromised LVEF, whereas 76 patients had normal LVEF. Most patients (n = 77) had Grade I diastolic dysfunction, followed by Grade II (n = 53) and Grade III (n = 3). Patients with comorbidities including coronary artery disease (CAD) (odds ratio [OR]: 2.3, 95% confidence interval [CI]: [1.13–4.65],P = 0.02), dilated cardiomyopathy (OR: 30.6, 95% CI: [1.75–534.01],P = 0.002), and myocardial infarction (OR: 6.22, 95% CI: [2.45–15.78],P = 0.001) had higher odds of having compromised ejection fraction (LVEF <55%). Hypertension (HTN) (OR: 2.11, 95% CI: [1.02–4.6],P = 0.049) was associated with higher odds of Grade I diastolic dysfunction. Conclusions: Comorbidities such as CAD, dilated cardiomyopathy, and myocardial infarction are associated with increased odds of compromised ejection fraction, whereas HTN is associated with Grade I diastolic dysfunction.

Print this article     Email this article
 Next article
 Previous article
 Table of Contents

 Similar in PUBMED
   Search Pubmed for
   Search in Google Scholar for
 Related articles
 Citation Manager
 Access Statistics
 Reader Comments
 Email Alert *
 Add to My List *
 * Requires registration (Free)

 Article Access Statistics
    PDF Downloaded129    
    Comments [Add]    

Recommend this journal