ArticleAtencion primaria2010
[Heart failure: a view from primary care].
Article in Atencion primaria, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.
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Who cites it
6 citing papers in PubMed, 10 citations in OpenAlex.
- Prevalence of Chronic Heart Failure, Associated Factors, and Therapeutic Management in Primary Care Patients in Spain, IBERICAN Study.Journal of clinical medicine · 2021Article
- Self-Care Practices of Primary Health Care Patients Diagnosed with Chronic Heart Failure: A Cross-Sectional Survey.International journal of environmental research and public health · 2019Article
- [Heart failure in primary care: Attitudes, knowledge and self-care].Atencion primaria · 2018Article
- [Situations where natriuretic peptides may be useful].Atencion primaria · 2012Article
- [Do we need multidisciplinary heart failure programmes in primary care?].Atencion primaria · 2010Article
- [Survival of patients with heart failure in primary care].Atencion primariaObservational
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Authors and funding
6 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveOur aim was to find out the situation of heart failure (HF) in primary care.
designCross-sectional multicentre study.
settingFour primary health care centres and a hospital in an urban area of Barcelona.
participantsFrom 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.
resultsThere 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%.
conclusionsPatients 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.
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Registered trials
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