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Medicina is published by MDPI from Volume 54 Issue 1 (2018). Articles in this Issue were published by another publisher in Open Access under a CC-BY (or CC-BY-NC-ND) licence. Articles are hosted by MDPI on mdpi.com as a courtesy and upon agreement with Lithuanian Medical Association, Lithuanian University of Health Sciences, and Vilnius University.
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Characteristics and management of acute heart failure patients in a single university hospital center

Department of Cardiology, Kaunas University of Medicine, Lithuania
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Medicina 2009, 45(11), 855; https://doi.org/10.3390/medicina45110111
Received: 29 April 2008 / Accepted: 6 November 2009 / Published: 11 November 2009
Objective. To evaluate the causes of acute heart failure, complications, management, and outcomes.
Material and methods. A total of 200 patients with diagnosed de novo acute heart failure (27.5%) or worsening chronic heart failure (72.5%) were treated at the Department of Cardiology, Hospital of Kaunas University of Medicine, which was participating in the Euro Heart Failure Survey-II (EHFS-II). The patients were divided into five groups: 1) chronic decompensated heart failure (66.0%); 2) pulmonary edema (13.0%); 3) hypertensive heart failure (7.5%); 4) cardiogenic shock (11.0%); and 5) right heart failure (2.5%).
Results. Hypertensive and coronary heart diseases were the most common underlying conditions of acute heart failure. Noncompliance with the prescribed medications was present as the most frequent precipitating factor in more than half of the cases. Left ventricular ejection fraction of >45% was found in 28.64% of cases. Intravenous diuretics (74.5%), nitrates (44.0%), and heparin (71.0%) were the most widely used in the acute phase. At discharge from hospital, 96.69% of patients were given diuretics; 80.11%, angiotensin-converting enzyme inhibitors; and 62.43%, beta-blockers. The mean duration of inhospital stay was 13 days; death rate was 9.5%: after 3 months and 12 months, it was 7.5% and 11.5%, respectively.
Conclusion
. Preserved systolic function, multiple concomitant diseases, and high mortality rates were observed in a substantial proportion of the patients hospitalized due to acute heart failure. The management of the patients in a university hospital center was performed in accordance with the international guidelines.
Keywords: acute heart failure; chronic decompensated heart failure; pulmonary edema; cardiogenic shock; right heart failure acute heart failure; chronic decompensated heart failure; pulmonary edema; cardiogenic shock; right heart failure
MDPI and ACS Style

Venskutonytė, L.; Molytė, I.; Ablonskytė-Dūdonienė, R.; Mizarienė, V.; Kavoliūnienė, A. Characteristics and management of acute heart failure patients in a single university hospital center. Medicina 2009, 45, 855.

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