Prognostic Factors in

Hospitalization for Heart

Failure in Asia
I Nengah Rama Adi Suputra
1670121035
SGD 1
 The widely accepted prognostic factors include age, low
blood pressure, ischemic heart disease, a reduced left ventricular
(LV) function, hyponatremia, and renal dysfunction.
(Kang & Cho, 2015)
PROGNOSTIC FACTORS OF MORTALITY AND
MORBIDITY

 Age
 Hyponatremia
 Systolic Blood Pressure
 Renal Dysfunction
 Left Ventricular Function
 Ventricular Conduction Disturbance
 Anemia
 Evidence-based Medication Adherence
 Hospitalization
Hyponatremia

 Hyponatremia, defined as a serum sodium concentration less than 135 mEq/L,

predicts poor prognosis in hospitalized patients with HF

 Sodium berperan dalam pelepasan hormon Vasopressin untuk mengatur

aktivitas pompa jantung
Systolic Blood Pressure
Tekanan darah sistole <120 mmHg (pada Heart Failure) dan <100 mmHg
(pada Acute Heart Failure) maka akan semakin besar angka mortalitas

Renal Dysfunction
Disfungsi renal berkaitan dengan systemic venous congestion
Ventricular Conduction Disturbance
Prolonged QRS duration (>120 milliseconds) has been known to be a poor prognostic
factor in patients with chronic HF.

Anemia
Anemia (hemoglobin [Hb] level <13 g/dL for men, and <12 g/dL for women) is a well-
known predictor of poor prognosis in chronic ambulatory HF and is commonly
observed in hospitalized patients with HF as well.
Evidence-based Medication Adherence

Current data show that all-cause mortality and

rehospitalization after discharge of hospitalized patients with HF were
higher during the first month after discharge compared with other
cardiovascular diseases
Hospitalization
SUMMARY
Referensi

Kang, S.-M., & Cho, M.-C. (2015). Prognostic Factors in

Hospitalization for Heart Failure in Asia. Heart Failure Clinics, 11(4),
543–550. https://doi.org/10.1016/j.hfc.2015.07.006
TERIMA KASIH~