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  <front>
    <journal-meta>
      <journal-id journal-id-type="ojs">tjpls</journal-id>
      <journal-title-group>
        <journal-title xml:lang="en">Tropical Journal of Pharmaceutical and Life Sciences</journal-title>
        <abbrev-journal-title xml:lang="en">Trop. j. pharm. life sci.</abbrev-journal-title>
      </journal-title-group>
      <publisher>
        <publisher-name>Jadoun Science Publishing Group India</publisher-name>
        <publisher-loc>
          <country>IN</country>
          <uri>https://jadounscience.com</uri>
        </publisher-loc>
      </publisher>
      <issn pub-type="epub">2349-9818</issn>
      <self-uri xlink:href="https://informativejournals.com/journal/index.php/tjpls"/>
    </journal-meta>
    <article-meta>
      <article-id pub-id-type="publisher-id">343</article-id>
      <article-categories>
        <subj-group xml:lang="en" subj-group-type="heading">
          <subject>Research Article</subject>
        </subj-group>
      </article-categories>
      <title-group>
        <article-title xml:lang="en">Effect of Precipitating Factors on Acute Decompensated Heart Failure</article-title>
      </title-group>
      <contrib-group content-type="author">
        <contrib corresp="yes">
          <name-alternatives>
            <name name-style="western" specific-use="primary">
              <given-names>Ramya D</given-names>
            </name>
          </name-alternatives>
          <email>ramyadevaraj1234@gmail.com</email>
          <xref ref-type="aff" rid="aff-1"/>
          <bio xml:lang="en">
            <p>Pharm D Intern</p>
          </bio>
        </contrib>
        <contrib>
          <name-alternatives>
            <name name-style="western" specific-use="primary">
              <given-names>Vaishnavi Prasannan</given-names>
            </name>
          </name-alternatives>
          <email>ramyadevaraj1234@gmail.com</email>
          <bio xml:lang="en">
            <p>Associate Professor</p>
          </bio>
        </contrib>
        <contrib>
          <name-alternatives>
            <name name-style="western" specific-use="primary">
              <given-names>Fathima Shahjahan</given-names>
            </name>
          </name-alternatives>
          <email>ramyadevaraj1234@gmail.com</email>
          <bio xml:lang="en">
            <p>Pharm D Intern</p>
          </bio>
        </contrib>
        <contrib>
          <name-alternatives>
            <name name-style="western" specific-use="primary">
              <given-names>Nivedh K</given-names>
            </name>
          </name-alternatives>
          <email>ramyadevaraj1234@gmail.com</email>
          <bio xml:lang="en">
            <p>Pharm D Intern</p>
          </bio>
        </contrib>
        <contrib>
          <name-alternatives>
            <name name-style="western" specific-use="primary">
              <given-names>Rishika Reddy</given-names>
            </name>
          </name-alternatives>
          <email>mangat_babbu@yahoo.com</email>
          <xref ref-type="aff" rid="aff-2"/>
          <bio xml:lang="en">
            <p>MBBS MD Internal Medicine, Assistant professor</p>
          </bio>
        </contrib>
      </contrib-group>
      <aff id="aff-1">
        <institution content-type="orgname">Department of Pharmacy Practice, Acharya &amp;amp; BM Reddy College of Pharmacy, Soldevanahalli, Achit Nagar (Post), Hesaraghatta Main Road, Bengaluru, Karnataka, India – 560107</institution>
      </aff>
      <aff id="aff-2">
        <institution content-type="orgname">Department of Internal medicine, KIMS, Bangalore, Karnataka, India</institution>
      </aff>
      <pub-date date-type="pub" publication-format="epub">
        <day>30</day>
        <month>10</month>
        <year>2026</year>
      </pub-date>
      <fpage>34</fpage>
      <lpage>45</lpage>
      <pub-history>
        <event event-type="received">
          <event-desc>Received: <date date-type="received" iso-8601-date="2026-10-28T02:02:44+00:00"><day>28</day><month>10</month><year>2026</year></date></event-desc>
        </event>
      </pub-history>
      <permissions>
        <copyright-statement>Copyright (c) 2026 </copyright-statement>
        <copyright-year>2026</copyright-year>
        <license xlink:href="https://creativecommons.org/licenses/by-nc/4.0">
          <license-p>&lt;a rel="license" href="https://creativecommons.org/licenses/by-nc/4.0/"&gt;&lt;img alt="Creative Commons License" src="//i.creativecommons.org/l/by-nc/4.0/88x31.png" /&gt;&lt;/a&gt;&lt;p&gt;This work is licensed under a &lt;a rel="license" href="https://creativecommons.org/licenses/by-nc/4.0/"&gt;Creative Commons Attribution-NonCommercial 4.0 International License&lt;/a&gt;.&lt;/p&gt;</license-p>
        </license>
      </permissions>
      <self-uri xlink:href="https://informativejournals.com/journal/index.php/tjpls/article/view/343"/>
      <kwd-group xml:lang="en">
        <kwd>Acute Decompensated Heart Failure</kwd>
        <kwd>Heart Failure with Reduced Ejection Fraction</kwd>
        <kwd>Precipitating Factors</kwd>
        <kwd>Medication Adherence</kwd>
        <kwd>Short-Term Outcomes</kwd>
        <kwd>Cardiorenal Syndrome</kwd>
      </kwd-group>
      <counts>
        <page-count count="12"/>
      </counts>
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  <back>
    <ref-list>
      <ref id="R1">
        <mixed-citation>1. Gualandro DM, Masip J, Halvorsen S, Price S, Rosselló X, Chioncel O, et al. Acute heart failure in non-cardiac surgery. Eur Heart J [Internet]. 2025;(ehaf559). Available from: http://dx.doi.org/10.1093/eurheartj/ehaf559</mixed-citation>
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        <mixed-citation>5. R, Yu L-T, Tan H-Q, Wang Y, Yang Y-M, Liang Y, et al. A new scoring system for predicting short-term outcomes in Chinese patients with critically-ill acute decompensated heart failure. BMC Cardiovasc Disord [Internet]. 2021;21(1):228. Available from: http://dx.doi.org/10.1186/s12872-021-02041-2</mixed-citation>
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  </back>
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