Adherence to guidelines in patients with chronic heart failure in primary health care

Scandinavian Journal of Primary Health Care
Maaike GiezemanKersti Theander

Abstract

To describe adherence to international guidelines for chronic heart failure (CHF) management concerning diagnostics, pharmacological treatment and self-care behaviour in primary health care. A cross-sectional descriptive study of patients with CHF, using data obtained from medical records and a postal questionnaire. Three primary health care centres in Sweden. Patients with a CHF diagnosis registered in their medical record. Adherence to recommended diagnostic tests and pharmacological treatment by the European Society of Cardiology guidelines and self-care behaviour, using the European Heart Failure Self-care Behaviour Scale (EHFScBS-9). The 155 participating patients had a mean age of 79 (SD9) years and 89 (57%) were male. An ECG was performed in all participants, 135 (87%) had their NT-proBNP measured, and 127 (82%) had transthoracic echocardiography performed. An inhibitor of the renin angiotensin system (RAS) was prescribed in 120 (78%) patients, however only 45 (29%) in target dose. More men than women were prescribed RAS-inhibition. Beta blockers (BBs) were prescribed in 117 (76%) patients, with 28 (18%) at target dose. Mineralocorticoidreceptor antagonists were prescribed in 54 (35%) patients and daily diuretics in 96 (...Continue Reading

References

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Citations

Oct 20, 2018·European Journal of Heart Failure·Maria Liljeroos, Anna Strömberg
Jun 2, 2018·Asia Pacific Family Medicine·Latifa Mohammad Baynouna Al Ketbi, Sana Zein Al Deen
Jun 17, 2020·European Journal of Cardiovascular Nursing : Journal of the Working Group on Cardiovascular Nursing of the European Society of Cardiology·Choung RyouYeonsoo Jang
Oct 14, 2018·Clinical Drug Investigation·Josep Franch-NadalPatricia Rodríguez-Fortúnez
Apr 3, 2020·Journal of Cardiovascular Pharmacology and Therapeutics·Haejung LeeJong Hyun Kim
Jun 1, 2020·Heart Failure Reviews·Caroline VerhestraetenMichael Maris
Nov 18, 2020·Scandinavian Journal of Primary Health Care·José María Verdu-RotellarMiguel Angel Muñoz
Feb 12, 2021·European Journal of Cardiovascular Nursing : Journal of the Working Group on Cardiovascular Nursing of the European Society of Cardiology·Choung RyouYeonsoo Jang
Mar 31, 2021·The American Journal of the Medical Sciences·Libor JelínekMiloš Táborský
Mar 17, 2021·European Heart Journal. Quality of Care & Clinical Outcomes·Uwe ZeymerUNKNOWN ARIADNE investigators

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Methods Mentioned

BETA
X-ray

Software Mentioned

Statistical Package for the Social Sciences

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