ĐẶC ĐIỂM LÂM SÀNG, CẬN LÂM SÀNG VÀ TỶ LỆ TỬ VONG TRONG 30 NGÀY CỦA BỆNH NHÂN SUY TIM CẤP TẠI BỆNH VIỆN NGUYỄN TRI PHƯƠNG

Abstract

Background: Acute heart failure is a progressive, life-threatening condition requiring appropriate treatment. Despite advances in the management of acute heart failure, the 30-day mortality rate of these patients has not decreased significantly. Objectives: To describe the clinical characteristics and the 30-day mortality rate of patients with acute heart failure. Methods: A cross sectional study. Results: A total of 138 patients were recruited for our study. The median age of the patients was 67 years, and 52.9% were female. The major comorbidities were hypertension (73.2%), diabetes mellitus (42%), dyslipidemia (64%), chronic coronary artery disease (40.6%), atrial fibrillation (20.3%), and chronic kidney disease (16.7%). The 30-day mortality rate was 14.5%. There were significant differences in heart rate (p < 0.001), SpO2 (p = 0.04), systolic blood pressure (p = 0.011), diastolic blood pressure (p = 0.008), Barthel index (p < 0.001), NYHA class IV (p < 0.001), acute coronary syndrome (p = 0.001), serum NT-proBNP (p = 0.033), serum creatinine (p = 0.034), and ST depression (p = 0.001) between the two groups, with and without 30-day death. Conclusions: The 30-day mortality rate remains high. Heart rate, SpO2, systolic blood pressure, diastolic blood pressure, Barthel index, NYHA class IV, acute coronary syndrome, serum NT-proBNP, serum creatinine, and ST depression were associated factors with 30-day death.