Characteristics of patients admitted with heart failure: Insights from the first Malaysian Heart Failure Registry

• DOI: 10.1002/ehf2.14608
• Publication Date: 2023-12-22T09:59:30Z
• Authors: Wan Azman Wan Ahmad; Abdul Kahar Abdul...; Hafisyatul Aiza Z...; Dharmaraj Karthik...; Noel Thomas Ross; Muhamad Ali S.K. ...; Alexander Loch; Kauthaman Mahendran; Ahmad Wazi Ramli; Tiong Kiam Ong; Nor Hanim Mohd Amin; Chuey Yan Lee; Hamat Hamdi Che H...; Siti Khairani Zai...; Houng Bang Liew; Wing Sze Ho; Azmee Mohd Ghazi
• Keywords: Etiology; Guideline

Abstract Aims Heart failure (HF) is a growing health problem, yet there are limited data on patients with HF in Malaysia. The Malaysian Failure (MY‐HF) Registry aims to gain insights into the epidemiology, aetiology, management, and outcome of identify areas for improvement within national services. Methods results MY‐HF 3‐year prospective, observational study comprising 2717 admitted acute HF. We report description baseline at admission outcomes index hospitalization these patients. mean age was 60.2 ± 13.6 years, 66.8% were male, 34.3% had de novo Collectively, 55.7% presented New York Association (NYHA) Class III or IV; ischaemic heart disease most frequent aetiology (63.2%). Most admissions (87.3%) occurred via emergency department, 13.7% requiring intensive care, these, 21.8% needed intubation. proportion receiving guideline‐directed medical therapy increased discharge (84.2% vs. 93.6%). median length stay (LOS) 5 days, in‐hospital mortality 2.9%. Predictors LOS and/or age, NYHA class, estimated glomerular filtration rate, comorbid anaemia. similar regardless ejection fraction. Conclusions showed that population Malaysia younger, predominantly ischaemic‐driven has good prospects optimization treatment. These findings suggest need reassess current clinical practice guide resource allocation improve patient outcomes.