Prevalence of Heart Failure among Young Patients in Al-Wahdah Teaching Hospital, Dhamar City, Yemen

Background: Heart failure is the inability of the heart to maintain adequate cardiac output to meet the demands of the body, it’s the end stage of all diseases that affect the heart and it is a major health problem in our society. It measures major challenges in its diagnosis and management. Aim: This study aimed at the registry of heart failure in young patients at AL-Wahdah Hospital, Dhamar Governorate, Yemen with its prevalence, major risk factors that can precipitate this condition, and the difference in prevalence between males and females. Methods: All patients in the term of heart failure with age between 20 - 40 years old were admitted to AL-Wahdah Hospital in the last two years 2019/2020. All patients are subjected to clinical evaluation, baseline ECG, results of laboratory investigations, and treatment strategies. Results: According to our study, the prevalence of study group patients is 25.1% from all other groups with heart failure. Qat chewing was a major risk factor in 74%, smoking at 40.40%, hypertension at 27.90%, rheumatic heart disease at 24%, and family history at 21.20%. Dilated cardiomyopathy was the most common cause that presents in 17.30% and diabetes mellitus at 15.4% on clinical evaluation; dyspnea (NYHA class IV) was the most common presenting symptoms in 95.5%, with the prevalence of males at 58.70% and females at 41.30%. Conclusion: This study about heart failure among young people registry for 104 cases (male, female), age group 20 - 40 years old, among duration between 1 January 2019 to 30 December 2020 in Al-Wehdah Teaching Hospital, Dhamar Governorate, Yemen. According to our study, the prevalence of young patients with heart failure from all other age groups with heart failure is 25.1%. In our study, most patients with heart failure are chewing Qat for further studies, as well as those patients who are already known cases of other diseases such as RHD, CHD, and DM with irregular treatment. According to our study, the most common cause of heart failure is dilated cardiomyopathy. Also, the prevalence of HF is more common in males than females.