ABSTRACT
Objective: to find out causes of heart failure in patients who presented for echocardiography in PIMS Islamabad
Material and Methods: this observational study was carried out in 100 consecutive patients with history of dyspnea and abnormal echocardiography who reported to the Cardiology Department, PIMS, and Islamabad
Results: out of 100 patients, 43 were male and 57 were female. Fifty one percent patients were above the age of 50 years and only 21 % were under 30 years of age. Hypertension was present in 51 % patients while 22% had diabetes mellitus. Coronary artery disease was present in 26% cases and was the commonest cause of systolic dysfunction
Conclusion: diastolic dysfunction was the leading cause of heart failure followed by myocardial infarction and rheumatic heart disease