ĐẶC ĐIỂM LÂM SÀNG, CẬN LÂM SÀNG CỦA BỆNH NHÂN SUY TIM TẠI BỆNH VIỆN ĐA KHOA TÂM TRÍ ĐÀ NẴNG

Abstract

Objective: To investigate the clinical and paraclinical characteristics of hospitalized heart failure patients at Tam Tri Da Nang General Hospital and identify associated factors.

Subjects and Methods: A cross-sectional descriptive study was conducted on 86 patients diagnosed with heart failure according to the 2021 European Society of Cardiology (ESC) guidelines and treated at the Department of Cardiology and the Intensive Care Unit of Tam Tri Da Nang General Hospital from January 1, 2024, to April 1, 2025.

Results: The most common clinical manifestations among heart failure patients were peripheral edema (82.6%), paroxysmal nocturnal dyspnea (72.1%), and pulmonary crackles (52.3%). Electrocardiographic findings showed myocardial ischemia in 40.7% of patients, atrial fibrillation in 27.9%, and premature beats in 14.0%. Echocardiographic assessment revealed that 69.8% of patients had preserved ejection fraction (HFpEF), 17.4% had mildly reduced ejection fraction (HFmrEF), and 12.8% had reduced ejection fraction (HFrEF). A statistically significant association was found between ejection fraction classification and the presence of coronary artery disease and diabetes mellitus.

Conclusion: The majority of patients belonged to the heart failure with preserved ejection fraction (HFpEF) group. Heart failure classification according to ejection fraction was associated with the presence of coronary artery disease and diabetes mellitus.