الفهرس 
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Abstract
Despite impressive advances in diagnosis and management over the last
decades, Heart failure (HF) is one of the most important causes of morbidity
and mortality in the industrialized and developed world. It is the leading cause
of hospital admissions in the adult population.
This study was conducted at Benha University Hospital and was done as
a part of Euro heart failure registry which is a long term survey of acute heart
failure in Europe and the Mediterranean basin. The current study included 100
patients with acute heart failure from attendants of cardiology department.
patients with age < 18years were excluded from the study. The patients were
observed for initial presentation, in-hospital outcome and management.
Patients admitted with acute heart failure were either acute de novo H.F
(23%) or acute decompensated H.F (77%). Most of them presented with acute
decompensated heart failure (59%) and pulmonary edema (30%) & less
frequently presented with cardiogenic shock (7%). Most common etiologies
were ischemic heart disease (57%), dilated cardiomyopathy (22%) and
valvular heart disease (16%).
Overall hospital mortality rate was 6% . Forty seven patients (47%)
received I.V nitrate , All patients (100%) received I.V diuretic therapy, 19%
received inotropes , 3% received vasopressors, 6% received thrombolytic
therapy , 52% received aspirin , 20% received clopidogrel , 57% received
parenteral anticoagulant ,81% received ACEI , 2% received ARBS, 60%
received BB, 68% received aldosterone antagonist, 33% received digitalis ,
52% received statin , 19% received oral anticoagulant, 7% received amiodarone , 41% received nitrates and 6% received CCB.