Prevalence of Different Etiologies for Heart Failure Among a Contemporary Cohort of Egyptian Patients
Ebaid, H., Bendary, A., Zidan, D., Sanad, O., Allam, H. (2025). Prevalence of Different Etiologies for Heart Failure Among a Contemporary Cohort of Egyptian Patients. EKB Journal Management System, 42(2), 109-118. doi: 10.21608/bmfj.2024.267467.2013
Hany Hassan Ebaid; Ahmed Bendary; Diaa Zidan; Osama Sanad; Hager Ibrahim Allam. "Prevalence of Different Etiologies for Heart Failure Among a Contemporary Cohort of Egyptian Patients". EKB Journal Management System, 42, 2, 2025, 109-118. doi: 10.21608/bmfj.2024.267467.2013
Ebaid, H., Bendary, A., Zidan, D., Sanad, O., Allam, H. (2025). 'Prevalence of Different Etiologies for Heart Failure Among a Contemporary Cohort of Egyptian Patients', EKB Journal Management System, 42(2), pp. 109-118. doi: 10.21608/bmfj.2024.267467.2013
Ebaid, H., Bendary, A., Zidan, D., Sanad, O., Allam, H. Prevalence of Different Etiologies for Heart Failure Among a Contemporary Cohort of Egyptian Patients. EKB Journal Management System, 2025; 42(2): 109-118. doi: 10.21608/bmfj.2024.267467.2013

Prevalence of Different Etiologies for Heart Failure Among a Contemporary Cohort of Egyptian Patients

Benha Medical Journal
Article 11, Volume 42, Issue 2, February 2025, Page 109-118  XML PDF (621.3 K)
Document Type: Original Article
DOI: 10.21608/bmfj.2024.267467.2013
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Authors
Hany Hassan Ebaidorcid 1; Ahmed Bendaryorcid 2; Diaa Zidan email 3; Osama Sanad4; Hager Ibrahim Allam5
1Cardiovascular Medicine Department, Faculty of Medicine, Benha University, Benha, Egypt.
2Cardiology Department, Benha faculty of Medicine, Benha University, Egypt.
3Cardiovascular Medicine, Faculty of Medicine, Benha University, Benha, Egypt.
4Cardiology Department, Faculty of Medicine, Benha University, Benha, Egypt
5Cardiology Department, Faculty of Medicine, Benha University, Benha, Egypt.
Abstract
Background: Heart failure (HF) is a major public health concern globally and in Egypt. Understanding the prevalence of different etiologies and management practices in Egyptian HF patients is crucial for targeted healthcare strategies. This study aimed to assess the prevalence of different etiologies and management practices in a contemporary cohort of Egyptian patients with HF.
Methods: This cross-sectional, multi-centre observational study was conducted over 12 months at Agouza Police Hospital and Benha University Hospital, including 503 Egyptian HF patients. Patients were categorized into three categories according to their ejection fraction: HFmrEF, HFrEF, and HFpEF. Data collection involved patient interviews, clinical examinations, and reviews of medical records and diagnostic tests.
Results: This study comprised 70% males and 30% females, with an average age of 61 years. The primary etiologies of HF were ischemic heart disease (68.8%), hypertension (23%), and valvular heart disease (5.2%). The mean left ventricular ejection fraction (LVEF) was 45% ± 12. Pharmacological therapy included ACEIs/ARBs (79.9%), ARNI (10.9%), Beta-blockers (95.4%), MRAs (86.8%) and SGLT2 inhibitors (84.9%). A total of 94.4% of patients exhibited ECG abnormalities, and 34.3% had abnormal chest X-rays.
Conclusion: Ischemic heart disease constituted the prevailing cause of HFrEF, while hypertension predominated in HFpEF cases. A significant percentage of patients received ACEIs/ARBs, Beta-blockers, MRAs, and SGLT2 inhibitors. The study highlights the need for tailored management strategies in the Egyptian context, considering the specific etiological patterns and treatment practices observed.
Keywords
Prevalence; Etiologies; Heart Failure; Egyptian Patients
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