Author(s): Laabes EP, Thacher TD, Okeahialam BN
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Abstract OBJECTIVES: Heart failure (HF) is a lethal disorder most common in blacks. Available treatment options have little impact on prognosis, making primary prevention a priority. We aimed to describe the spectrum of established HF risk factors and clinical features in Nigerian adults. METHODS: We recruited consecutive adults with HF diagnosed using the Framingham criteria in a Teaching Hospital, and recorded clinical findings with a structured form. Blood was drawn for haematocrit, erythrocyte sedimentation rate (ESR) and serum cholesterol. RESULTS: 102 subjects were studied. Common HF risk factors were hypertension 45 (44\%), obesity 26 (25\%), alcohol intake 25 (24\%) and hypercholesterolaemia 22 (21\%). Both tachycardia (OR 5.5, 95\%CI 1.7-14.9) and S3 gallop (OR 4.05, 95\%CI 1.53-10.76) were significantly related with NYHA class IV HF. BMI was strongly related with total serum cholesterol (r = 0.70, P < 0.001). Low ESR (< 5 mm/h) was protective of NYHA class IV HF (OR 0.40, 95\%CI 0.16-0.88). CONCLUSION: Hypertension, obesity, alcohol intake and hypercholesterolaemia were common in blacks with HF. Both S3 gallop and high ESR indicated more severe HF.
This article was published in Acta Cardiol
and referenced in Journal of Community Medicine & Health Education