Heart failure with preserved ejection fraction (HFpEF) is more common in people of old age. In Indian population, HFpEF has been unified with hypertension, diabetes mellitus and artherosclerosis in most of the cases. In this study we examined risk factors, clinical features and prognosis of patients with HF. We compared outcomes based on LV functional status and risk factor of HF. This study includes participants with incident HF occurring between January 2017 to June 2017 with evaluation of LV systolic function at the time of their initial episode of heart failure.

Keywords: Diastolic dysfunction, Ejection fraction, Risk factor, Echocardiogram.

1. European Study Group on Diastolic Heart Failure. How to diagnose diastolic heart failure. Eur Heart J. 1998;19:990-1003. 
2. Ho KK, Pinsky JL, Kannel WB, Levy D. The epidemiology of heart failure: the Framingham Study. J Am Coll Cardiol 1993; 22:6A-13A
3. Jong P, Yusuf S, Rousseau MF, Ahn SA, Bangdiwala SI. Effect of enalapril on 12-year survival and life expectancy in patients with left ventricular systolic dysfunction: a follow-up study. Lancet 2003; 361: 1843-1848
4. Smith JG, Newton-Chec C, Almgren P, Struck J, Morgenthaler NG, Bergmann A, Platonov PG, Hedblad B, Engstrom G, Wang TJ, Melander O. Assessment of incident heart failure failure and atrial fibrillation. J Am Coll Cardiol 2010; 56:1712-1719.
5. Lee DS, Gona P, Vasan RS, Larson MG, Benjamin EJ, Wang TJ, Tu JV. et al. Relation of disease pathogenesis and risk factors to heart failure with preserved or reduced ejection fraction: insights from the framingham heart study of the national heart, lung, and blood institute. 2009; 119(24):3070–3077. doi: 10.1161/ CIRCULATIONAHA. 108.815944.  [PMC free article] [PubMed][Cross Ref]
6. Davie AP, Francis CM, Love MP, Caruana L, Starkey IR, Shaw TR, Sutherland GR. et al. Value of the electrocardiogram in identifying heart failure due to left ventricular systolic dysfunction.  1996; 312(7025): 222. doi: 10.1136/bmj.312.7025.222. [PMC free article] [PubMed] [Cross Ref]
7. Karaye KM, Sani MU. Electro-cardiographic abnormalities in patients with heart failure. Cardiovasc J Afr.  2008;19(1):22–25. [PMC free article][PubMed]
8. Cheng S,Vasan RS. Advances in the epidemiology of heart failure and left ventricular remodelling. Circulation 2011 ; 124:e516-e519
9. Lam CS, Donal E, Kraigher-Krainer E, Vasan RS. Epidemiology and clinical course of heart failure with preserved ejection fraction. Eur J Heart Fail 2011; 13: 18-28.
10. Van Veldhuisen DJ, Linssen GCM, Jaarsma T, van Gilst WH, Hoes AW, Tijssen JGP, Paulus WJ, Voors AA, Hillege HL. B-type natriuretic peptide and prognosis in heart failure patients with preserved and reduced ejection fraction. J Am Coll Cardiol 2013;61:1498–1506

R Krishnapriya

Post Graduate, Department of Medicine, RMMCH, Chidambaram-608002, Tamilnadu