Mohammad Risandi Priatama
Faculty of Medicine Universitas, Indonesia
Mohammad Risandi P has worked as a General Practitioner for 2 years at Bintuni General Hospital, West Papua and Sofifi General Hospita, North Maluku, East Indonesia. He has completed his Medical education from Faculty of Medicine, Universitas Indonesia. He has obtained Fellowhip in Hypertension, Heart Failure, Pulmonary Hypertension and is working as a Research Assistant at National Cardiovascular Center Harapan Kita. He is the Member of Indonesian Doctors Association.
Statement of the Problem: Systolic Heart Failure (HFrEF) is characterized by ejection fraction of <40% and causes significant mortality and morbidity rate. We seek to characterize Indonesian patients’ clinical presentation (low to middle income country), one-year outcome and prognostic factors of HFrEF patients.
Method: Prospective cohort with consecutive sampling method was done in National Cardiovascular Center Harapan Kita (NCCHK), Jakarta from October 2013 to March 2014. NCCHK is a national heart referral center for 34 provinces in Indonesia. Data was obtained from medical records of HFrEF patients enrolled in ASIAN-HF study. One-year follow up was done via medical record or phone interview. Data was analyzed using SPSS version 23.
Findings: 90 HFrEF subjects (57.3±1.17 years) were obtained. Angina was more commonly seen in higher EF group (21-40%; p=0.016). At one-year, 22.2% died. Lower EF group had higher rate of death (p>0.05). Age, rales and elevated JVP were predictive of death regardless of EF (p<0.05).
Conclusion: Angina was more commonly seen in higher EF group. Signs of congestion are associated with poorer prognosis. Low EF (<20% vs. 21-40%) had clinically high rate of death (26.7% vs. 13.3%, p>0.05).