[Heart failure: a view from primary care].

Autor:	Barrio Ruiz C; Centro de Salud Camps Blancs, Sant Boi de Llobregat, Barcelona, España. cbarrio.cp.ics@gencat.cat, Parellada Esquius N, Alvarado Montesdeoca C, Moll Casamitjana D, Muñoz Segura MD, Romero Menor C
Jazyk:	Spanish; Castilian
Zdroj:	Atencion primaria [Aten Primaria] 2010 Mar; Vol. 42 (3), pp. 134-40. Date of Electronic Publication: 2009 Oct 08.
DOI:	10.1016/j.aprim.2009.06.019
Abstrakt:	Objective: Our aim was to find out the situation of heart failure (HF) in primary care. Design: Cross-sectional multicentre study. Setting: Four primary health care centres and a hospital in an urban area of Barcelona. Participants: From a registered population of 35,212 inhabitants older than 45 years, we studied all patients (333) diagnosed with HF in 2006 in primary care. Measurements: A standardised questionnaire was used to record demographic, clinical and treatment data. Results: There were 61.4% females. Mean age was 74.5 (standard deviation [SD]: 10) for men and 79 (SD: 9.8) for women. A total of 46% of patients had HF for <5 years. The comorbidity diagnosis and at the beginning of the study were: hypertension 65.4% and 73%, diabetes 33.6% and 40%, dyslipaemia 40% and 53%, coronary disease 30% and 27%, and valvular disease 23.7% and 27%, respectively. A total of 64% of patients had registered New York Heart Association functional class (48% class II, 30% III and 6.6% IV). Blood pressure was controlled in 36% men and 20.5% women (P=0.002); 75.4% had an electrocardiogram, 57% X-ray; 58% of men and 46% of women (P=0.02) had echocardiography. The most prescribed drugs were diuretics 85.3%, the least, beta blockers 27%. Conclusions: Patients with HF in primary care are elderly females with a lot of comorbidities. We must be concerned by the suboptimal use of basic investigations (electrocardiogram and X-ray) and beta blocker treatments. (Copyright (c) 2009 Elsevier España, S.L. All rights reserved.)
Databáze:	MEDLINE
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