Abstract
This study was performed to clarify the prognosis of congestive heart failure (CHF) with various underlying heart diseases in a tertiary care hospital. Among the patients admitted to our hospital from December 1993 to May 1997, 312 consecutive patients who were diagnosed as having CHF on admission were investigated to determine the underlying structual heart disease. They included coronary artery disease (38%), valvular heart disease (21%), dilated cardiomyopathy (13%), hypertensive heart disease (10%), and other diseases (18%). During the hospitalization period, 20 cardiac and 5 noncardiac deaths occurred (6.4% and 1.6%, respectively). Interventricular conduction disturbance was associated with the worst prognosis. The cumulative survival rate was 91% at one year and 78% at three years. The in-hospital mortality rate was comparable to other previous reports.
