FREQUENCY OF HYPONATREMIA AND IN-HOSPITAL CLINICAL OUTCOMES IN THESE PATIENTS HOSPITALIZED FOR HEART FAILURE

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Farooq Ahmad
Abdul Hadi
Muhammad Asif Iqbal
Ikram ullah Khan
Yasir Adnan
Muhammad Rehanul Haq
Salman Ahmad
Mohammad Hafizullah

Abstract

Objective: To determine the frequency of hyponatremia and in-hospital clinicaloutcomes in hyponatremic patients hospitalized for heart failure.

Methodology: This was a descriptive study conducted in department ofcardiology, Lady Reading Hospital, Peshawar. Both male and female patientsaged 14 years and above admitted with heart failure fulfilling the inclusioncriteria, were included in the study. Patients were subjected to detailed historyand clinical examination. Admission Serum sodium was measured in allpatients. All the patients were managed according to guidelines. All patientswere followed for in hospital mortality and length of hospital stay (LOHS).

Results: The total number of patients was 241. Mean age was 59.2 ± 14.9(range 18–100) years. Females were 123 (51%) patients. Mean serum sodiumwas 136±5.1mmol/L. Hyponatremia (serum sodium ≤135mmol/L) was foundin 85 (35.3%) patients. The overall in-hospital mortality rate was 5.4%. Lowervalues of serum sodium at admission was associated with higher in-hospitalmortality of 8.2% as compared with 3.8% for those patients with normal serumsodium (p=0.23). Mean Length of Hospital stay (LOHS) for overall CHFpatients was 3.8+2.24 days. Longer mean LOHS, 4.1±1.8 days was observedfor hyponatremic group compared with 3.7±2.4days for normonatremicgroup (p=0.009).

Conclusions: Hyponatremia is a common finding in hospitalized heart failurepatients and is associated with significantly longer length of hospital stay. Inaddition hyponatremia is associated with higher but statistically insignificantin-hospital mortality in heart failure patients.

Article Details

How to Cite
1.
Ahmad F, Hadi A, Iqbal MA, Khan I ullah, Adnan Y, Haq MR, Ahmad S, Hafizullah M. FREQUENCY OF HYPONATREMIA AND IN-HOSPITAL CLINICAL OUTCOMES IN THESE PATIENTS HOSPITALIZED FOR HEART FAILURE. J Postgrad Med Inst [Internet]. 2015 Jan. 19 [cited 2021 Oct. 16];28(4). Available from: https://jpmi.org.pk/index.php/jpmi/article/view/1616
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Original Article
Author Biographies

Farooq Ahmad, provincial health department

medical officer emergency satillite hospital, Nahaqi, peshawar.

Abdul Hadi, lady reading hospital peshawar

cardiology, junior registerar

Muhammad Asif Iqbal, Lady reading hospital peshawar

cardiology/medical officer

Ikram ullah Khan, lady reading hospital peshawar

cardiology/junior registerar

Yasir Adnan, provincial health department

services hospital/medical officer

Muhammad Rehanul Haq, PGMI

cardiology/Tmo

Salman Ahmad, provincial health department

cardiology/medical officer

Mohammad Hafizullah, lady reading hospital peshawar

cardiology/professor

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