iarjimphIARJIMPHIARJIMPH2709-331Xhttps://doi.org/10.47310/iarjimph.2021.v02i02.015Size and Expansibility of Femoral Vein at Discharge and Its Association with 6 Month Mortality and Re-Hospitalisation in Patients with Acute Decompensated Heart FailurePranavVatsayanSimorjotKaurMadanKaushikVivekChauhanVimalBhartiBackground: The prevalence of HF follows an exponential pattern, and it rises with age. The present study evaluated the size and expansibility of femoral vein at discharge and its association with 6-month mortality and readmission in patients with acute decompensated heart failure with reduced ejection fraction. Material & methods: This Prospective Cross sectional study was conducted in the Department of Medicine including Consecutive patients of HfrEF discharged alive from the Department of Medicine over 6 months. A total of 67 patients with heart failure with reduced ejection fraction were included. Results: In this study, the proportion of patients who did not survive at 6-months was 32.8% (n=22) out of total 67 patients. In our study, general age, gender, NYHA class 7 ejection fraction of the patients were not significantly associated with mortality & re-hospitalization. Also, in this study, Hb levels, Serum iron and ferritin levels ,Water restriction and the use of beta-blockers, diuretics, and inotropes was not significantly associated with mortality & re-hospitalization at 6-months. Our study observed mortality AT 6 months was significantly associated with levels of BNP levels on admission and discharge. But rehospitalization was not significantly associated with BNP levels on admission and discharge. Our study observed a significant reduction in the expansibility of femoral vein at discharge at 6-months in comparison to at discharge and there was a significant association between the expansibility of femoral vein and BNP at discharge, mortality and re-hospitalization in 6-months. Conclusion: Size and expansibility of the femoral vein (SEFV) on Ultra-sonography is a novel bedside tool to detect the presence of volume overload even in the absence of physical signs in the patient of heart failure.