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Abstract
Acute heart failure (AHF) is a multifactorial and heterogeneous syndrome that defies concise classification. AHF is defined as the rapid or gradual onset of signs and symptoms of heart failure that result in urgent unplanned hospitalizations or office or emergency department visits. [6] Acute heart failure is a clinical syndrome comprising multiple symptoms and signs related to the pathophysiology. The rapid and accurate assessment of these patients is critical to provide appropriate therapy. The history and physical examination, which may elicit the symptoms and signs crucial to diagnosis, are the first steps in this assessment Identifying risk factors that compromise patients admitted to coronary care units with primary diagnosis of acute heart failure can help in more accurate diagnosis, rapid assessment of the patient and predict outcome individually for every patient In the present study we have evaluated 100 patients admitted to the CCUs with primary diagnosis of acute heart failure as regard their admission serum sodium level, potassium level, hemoglobin level and Pro BNP level and studied their relationship between these levels and patients` outcome in short term (30 days) during their hospitalization and after discharge We have included patients with systolic heart failure (ejection fraction less than 50 %); they were having one or more of the following ischemic heart disease, valvular heart disease and dilated cardiomyopathy). Patients with traumatic heart disease or congenital heart disease or patients with diastolic heart failure & preserved left ventricular function were excluded.