1. Heart Failure Long-Term Registry KORONARNA BOLEST I SRČANA SLABOST U SKB MOSTAR Prim.Doc.Dr Emir Fazlibegović, ESC, FESC Prof.Dr Mustafa Hadžiomerović, ESC, FESC Doc.Dr Danijel Pravdić Dr Benjamin Palić 27.9.2012., Hotel Bristol Internacionalni naučni simpozijum Svjetski dan srca 2012 u Mostaru Koronarna bolest

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3. CountryNational CoordinatorCentres Created ARMENIAProfessor Parounak Zelveian1 BOSNIA HERZEGOVINAProf. Emir Fazlibegovic3 BULGARIAProfessor Plamen Gatzov12 CZECH REPUBLICProfessor Jaromir Hradec8 EGYPTDr. Mahmoud Hassanein27 FRANCEDr. Damien Logeart19 GEORGIAProfessor Vakhtang Chumburidze6 ITALYProfessor Marco Metra20 LITHUANIAProfessor Ausra Kavoliuniene2 PORTUGALProfessor Candida Fonseca11 ROMANIADr. Ovidiu Chioncel13 SERBIA & MONTENEGROProf. Petar M. Seferovic1 SLOVAKIAProfessor Eva Goncalvesova6 Centres already created

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6. Heart Failure Long Term Registry August, 2012 (n. 10601) Age (years), mean±SD median [IQR] 65.8±13.25 Median=67 Q1=58, Q3=76 Age ≥70 years, %42.4 % Females, %32.5 % SBP (mmHg), mean±SD128.71±25.42 EF (%), mean±SD 35.8±14.07 n=8105 Diabetes mellitus, %34.1 % Baseline characteristics Global data of registry

7. Heart Failure Long Term Registry August, 2012 (n. 208) Age (years), mean±SD median [IQR] 69.10±12.48 Median=72 Q1=62, Q3=77 Age ≥70 years, %61.1 % Females, %47.6 % SBP (mmHg), mean±SD137.48±29.27 EF (%), mean±SD 53.31±14.71 n=117 Diabetes mellitus, %38.0 % Baseline characteristics Clinical Hospital Mostar - BOSNIA HERZEGOVINA

8. Heart Failure Long Term Registry August, 2012 Acute HF (n. 5165) Chronic HF (n. 5436) Age (years), mean±SD median [IQR] 67.6±12.58 Median=69 Q1=60, Q3=77 64±13.63 Median=65 Q1=56, Q3=74 Age ≥70 years, %47.6 %37.6 % Females, %36.8 %28.5 % SBP (mmHg), mean±SD132.5±28.45125.1±21.56 EF (%), mean±SD 39.3±14.41 n=3264 36.8±13.75 n=4841 Diabetes mellitus, %38.3 %30.0% Baseline characteristics Global data of registry (Comparison Acute versus Chronic Heart Failure)

9. Heart Failure Long Term Registry August, 2012 Acute HF (n. 190) Chronic HF (n. 18) Age (years), mean±SD median [IQR] 69.6±12.24 Median=73 Q1=65, Q3=77 64.2±14.24 Median=61.5 Q1=52, Q3=77 Age ≥70 years, %63.2%38.9 % Females, %47.9%44.4 % SBP (mmHg), mean±SD138.7±28.1124.7±38.29 EF (%), mean±SD 53.5±14.72 n=115 39.5±4.95 n=2 Diabetes mellitus, %41.1%5.6 % Baseline characteristics Clinical Hospital Mostar - BOSNIA HERZEGOVINA (Comparison Acute versus Chronic Heart Failure)

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12. Osnovne karakteristike bolesnika Akutno HF (n. 72) Kronično HF (n. 118) Prosječna dob (god.) 66,9 M 63,5 Ž 70,9 70,8 M 68,5 Ž 73,3 BMI27,427,8 spol M 39 (54,1%) Ž 33 (45,8%) M 60 (50,8%) Ž 58 (49,2%) HTA liječenje D 47 (65,3%) N 25 (34,7%) D 90 (76,3%) N 28 (23,7%) mortalitet 8/72 (11,1%)20/118 (16,9%)

13. ACS and arrhytmias in HF Clinical Hospital Mostar - BOSNIA HERZEGOVINA (n=189) Speaker

14. BMI distribution in HF Clinical Hospital Mostar - BOSNIA HERZEGOVINA Speaker

15. Age and sex distribution in HF-died patients Clinical Hospital Mostar - BOSNIA HERZEGOVINA Speaker

16. Comorbidity in HF-died patients Clinical Hospital Mostar - BOSNIA HERZEGOVINA Speaker

17. Akutno vs kronično srčano popuštanje

18. Akutno srčano popuštanje - Etiologija

19. Kronično srčano popuštanje - Etiologija

20. Etiologija akutno vs kronično

21. Mortalitet Mortalitet ak.srč.pop. 11,1% (8/72) Mortalitet kron.srč.pop. 16,9% (20/118)

22. Zaključak Koronarna bolest je najčešći uzrok AHF i CHF kako u ESC registru tako i u registru SKB Mostar. Mortalitet od koronarne bolesti je visok u pacijenata sa HF. Žene umiru više nego muškarci u dobnoj skupini 70-80 g. Veći mortalitet je kod pacijenata s CHF nego sa AHF. Komorbidna stanja značajno doprinose mortalitetu u HF. Speaker