Factors associated with heart failure severity and mortality in Butembo between 2021 and 2023.
| Title: | Factors associated with heart failure severity and mortality in Butembo between 2021 and 2023. |
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| Authors: | Paluku Mwalitsa JP; Medicine, Catholic University of Graben, Butembo, Democratic Republic of the Congo.; Mbo Mukongole JP; Medicine, University of Kisangani, Butembo, Democratic Republic of the Congo.; Tsongo Kibendelwa Z; Medicine, University of Kisangani, Butembo, Democratic Republic of the Congo.; Kambale Munyambalu D; Medicine, Catholic University of Graben, Butembo, Democratic Republic of the Congo.; Sahika SM; Medicine, Catholic University of Graben, Butembo, Democratic Republic of the Congo.; Katsuva Mbahweka F; Medicine, Catholic University of Graben, Butembo, Democratic Republic of the Congo.; Nzanzu Arma F; Medicine, Catholic University of Graben, Butembo, Democratic Republic of the Congo.; Muhindo Muyisa R; Medicine, Catholic University of Graben, Butembo, Democratic Republic of the Congo. Electronic address: rolandmuyisam@gmail.com.; Kambale N; Medicine, Catholic University of Graben, Butembo, Democratic Republic of the Congo.; Nzanzu Kalima A; Medicine, Catholic University of Graben, Butembo, Democratic Republic of the Congo.; Kasereka Masumbuko C; Medicine, Catholic University of Graben, Butembo, Democratic Republic of the Congo. Electronic address: claudemasumbuko@gmail.com. |
| Source: | Current problems in cardiology [Curr Probl Cardiol] 2025 Sep; Vol. 50 (9), pp. 103122. Date of Electronic Publication: 2025 Jun 30. |
| Publication Type: | Journal Article; Review |
| Language: | English |
| Journal Info: | Publisher: Elsevier Country of Publication: Netherlands NLM ID: 7701802 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1535-6280 (Electronic) Linking ISSN: 01462806 NLM ISO Abbreviation: Curr Probl Cardiol Subsets: MEDLINE |
| Imprint Name(s): | Publication: [Amsterdam] : Elsevier; Original Publication: Chicago, Year Book Medical Publishers. |
| MeSH Terms: | Heart Failure*/mortality ; Heart Failure*/epidemiology ; Heart Failure*/diagnosis ; Heart Failure*/physiopathology ; Quality of Life*; Survival Rate/trends ; Humans ; Male ; Female ; Middle Aged ; Severity of Illness Index ; Aged ; Risk Factors |
| Abstract: | Background: Heart failure is a syndrome with high morbidity and mortality, influenced by various regional factors.; Objective: This study aimed to enhance heart failure management by identifying factors that can improve the quality of life and survival of patients in eastern DR Congo.; Methods: Conducted from January 1, 2022, to December 31, 2023, this descriptive analytical study included 156 heart failure patients (mean age 62 ± 15), comprising 80 males and 76 females. Each patient was followed for 12 months.; Results: The frequency of heart failure was 17.5 % (156 out of 2732 patients) at the cardiology center. Severity correlated with the use of indigenous anti-poison products (p 0.000) and valvular heart disease (p 0.000). Mortality was notably influenced by indigenous anti-poison product use (41.2 % mortality; p 0.000), duration of diabetes (≤ 1 year 7.4 %; 2-5 years 11.1 %; > 5 years 33.3 %; p 0.014), dilated cardiomyopathy (18.9 % vs. 1.2 % for non-dilated; p 0.000), and valvular heart disease (17.5 % vs. 1.3 %; p 0.003). Mortality rates varied by heart failure phenotype (HFrEF 30.9 %, HFmEF 5.1 %, HFpEF 0.0 %; p 0.000) and severity (NYHA IV 55.6 % vs. NYHA I and II 0.0 %).; Conclusion: Indigenous anti-poison products and rheumatic valvular heart disease contribute to the worsening and premature death of heart failure patients. Addressing these factors may improve patient survival in this region.; (Copyright © 2025 Elsevier Inc. All rights reserved.) |
| Competing Interests: | Declaration of competing interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper. |
| Contributed Indexing: | Keywords: Butembo; Factors; Heart failure; Mortality; Severity |
| Entry Date(s): | Date Created: 20250702 Date Completed: 20250730 Latest Revision: 20250730 |
| Update Code: | 20260130 |
| DOI: | 10.1016/j.cpcardiol.2025.103122 |
| PMID: | 40602736 |
| Database: | MEDLINE |
Journal Article; Review