| Abstrakt: |
Aim: The aim of the present study was to assess serum chloride level in patient with acute decompensated heart failure. Methods: The present study included patients of acute decompensated heart failure who were admitted to emergency or ward SGRD HOSPITAL Amritsar. 50 patients of acute decompensated heart failure from April 2021 to March 2022 getting enrolled in emergency/ward of SGRD were selected. Patient fulfilling the below given criteria before their final inclusion, informed consent from the patient taken before participating in their study Results: Majority of the patients were 61-70 years old (40%) followed by 51-60 years (24%), 71-80 years (14%), 41-50 years (10%), <31 years (6%), 31-40 years (4%), and >80 years (2%). Mean age was 59.68±12.84 years. Out of 50 patients, 33 (66%) were females and 17 (34%) were males. 42% of the patients had BMI >24.9 Kg/m2 followed by 23-24.9 Kg/m2 (38%) and <23 Kg/m2 (20%). 52% patients had hypertension, 50% patients had diabetes mellitus, 6% patients had COPD, and 2% were smokers. 40% patients had diastolic dysfunction grade 2 followed by grade 3 (34%), grade 1 (20%), and 6% patients were normal. In 76% patients, ST was present followed by AF (12%), LBBB (6%), Bifascicular block (4%), and PSVT (2%). Conclusion: Serum chloride has a key function in heart failure and diuretic resistance regulatory mechanisms. Serum chloride levels in patients were shown to be statistically significant in connection to mean EVEREST scores, mean diuretics levels, duration of hospital stays, and serum salt levels. Those with hypochloremia had a longer average hospital stay than patients with normal or hyperchloremia. [ABSTRACT FROM AUTHOR] |
