The burden of multiple cardiac and non-cardiac comorbidities in hospitalized patients with worsening congestive heart failure in Misan province

Abstract

To determine the burden of cardiac and noncardiac common comorbid diseases in patients with chronic
heart failure. Inpatient-based prospective cross-sectional study. Medical wards and coronary care unit
in Al-Sadder Teaching Hospital Misan, Iraq. Over 5 years from 1st September 2014 to 2nd September
2019. A total sample was 778 adult inpatients with chronic heart failure associated comorbid diseases
were enrolled in this study. Women were 40% and men 60%. The most common cardiac and noncardiac comorbid diseases in both HFrEF, HFmeEF, and HFpEF as follow: Coronary artery diseases,
chronic kidney diseases, systemic hypertension, diabetes mellitus type II, atrial fibrillation, chronic
obstructive pulmonary diseases, anemia, obstructive sleep apnea syndrome, obesity, previous history of
cerebrovascular accident, depression and thyroid dysfunction. Multi-morbidity very common, about
70% had 3+ comorbid diseases, and 54% had 5+comobid conditions, only 8% hand one co-morbid
disease. Cardiac and non-cardiac comorbid diseases are frequent associated with chronic heart failures,
adversely increased the burden of the diseases in terms of an increase the frequency of admission and
re-admission, besides days stay at a hospital, impaired quality of life, multiple medicines, increased
side effect of drugs and poor compliance with an increase in the mortality