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Are hospitalized or ambulatory patients with heart failure treated in accordance with European Society of Cardiology guidelines? Evidence from 12 440 patients of the ESC Heart Failure Long-Term Registry
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- Maggioni, Aldo P. (författare)
- ANMCO Research Centre, Italy
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- Anker, Stefan D. (författare)
- Campus Virchow Klinikum, Germany
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- Dahlström, Ulf (författare)
- Östergötlands Läns Landsting,Linköpings universitet,Avdelningen för kardiovaskulär medicin,Hälsouniversitetet,Kardiologiska kliniken US
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- Filippatos, Gerasimos (författare)
- University of Athens, Greece
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- Ponikowski, Piotr (författare)
- Mil Hospital, Poland
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- Zannad, Faiez (författare)
- Nancy University, France
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- Amir, Offer (författare)
- Institute deBoliCardiovasc CC Iliescu, Romania
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- Chioncel, Ovidiu (författare)
- Institute deBoliCardiovasc CC Iliescu, Romania
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- Crespo Leiro, Marisa (författare)
- Hospital University of A Coruna, Spain
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- Drozdz, Jaroslaw (författare)
- Medical University of Lodz, Poland
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- Erglis, Andrejs (författare)
- Pauls Stradins Clin University Hospital, Latvia
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- Fazlibegovic, Emir (författare)
- Clin Hospital Mostar, Bosnia and Herceg
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- Fonseca, Candida (författare)
- University of Nova Lisboa, Portugal
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- Fruhwald, Friedrich (författare)
- Medical University, Austria
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- Gatzov, Plamen (författare)
- University Hospital Lozenets, Bulgaria
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- Goncalvesova, Eva (författare)
- National Institute Cardiovasc Disease NUSCH, Slovakia
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- Hassanein, Mahmoud (författare)
- University of Alexandria, Egypt
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- Hradec, Jaromir (författare)
- Charles University of Prague, Czech Republic
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- Kavoliuniene, Ausra (författare)
- Lithuanian University of Health Science, Lithuania
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- Lainscak, Mitja (författare)
- University of Clin Resp and Allerg Disease Golnik, Slovenia
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- Logeart, Damien (författare)
- Lariboisiere Hospital, France
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- Merkely, Bela (författare)
- Semmelweis University, Hungary
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- Metra, Marco (författare)
- University of Brescia, Italy
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- Persson, Hans (författare)
- Karolinska Institutet
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- Seferovic, Petar (författare)
- Clin Centre Serbia, Serbia
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- Temizhan, Ahmet (författare)
- Turkey Yuksek Ihtisas Hospital, Turkey
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- Tousoulis, Dimitris (författare)
- University of Athens, Greece
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- Tavazzi, Luigi (författare)
- Ettore Sansavini Health Science Fdn, Italy
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(creator_code:org_t)
- 2014-01-27
- 2013
- Engelska.
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Ingår i: European Journal of Heart Failure. - : Oxford University Press (OUP): Policy B. - 1388-9842 .- 1879-0844. ; 15:10, s. 1173-1184
- Relaterad länk:
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https://onlinelibrar...
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https://urn.kb.se/re...
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https://doi.org/10.1...
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Abstract
Ämnesord
Stäng
- To evaluate how recommendations of European guidelines regarding pharmacological and non-pharmacological treatments for heart failure (HF) are adopted in clinical practice. less thanbrgreater than less thanbrgreater thanThe ESC-HF Long-Term Registry is a prospective, observational study conducted in 211 Cardiology Centres of 21 European and Mediterranean countries, members of the European Society of Cardiology (ESC). From May 2011 to April 2013, a total of 12 440 patients were enrolled, 40.5 with acute HF and 59.5 with chronic HF. Intravenous treatments for acute HF were heterogeneously administered, irrespective of guideline recommendations. In chronic HF, with reduced EF, reninangiotensin system (RAS) blockers, beta-blockers, and mineralocorticoid antagonists (MRAs) were used in 92.2, 92.7, and 67.0 of patients, respectively. When reasons for non-adherence were considered, the real rate of undertreatment accounted for 3.2, 2.3, and 5.4 of the cases, respectively. About 30 of patients received the target dosage of these drugs, but a documented reason for not achieving the target dosage was reported in almost two-thirds of them. The more relevant reasons for non-implantation of a device, when clinically indicated, were related to doctor uncertainties on the indication, patient refusal, or logistical/cost issues. less thanbrgreater than less thanbrgreater thanThis pan-European registry shows that, while in patients with acute HF, a large heterogeneity of treatments exists, drug treatment of chronic HF can be considered largely adherent to recommendations of current guidelines, when the reasons for non-adherence are taken into account. Observations regarding the real possibility to adhere fully to current guidelines in daily clinical practice should be seriously considered when clinical practice guidelines have to be written.
Ämnesord
- MEDICIN OCH HÄLSOVETENSKAP -- Hälsovetenskap -- Hälso- och sjukvårdsorganisation, hälsopolitik och hälsoekonomi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Health Sciences -- Health Care Service and Management, Health Policy and Services and Health Economy (hsv//eng)
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Kardiologi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Cardiac and Cardiovascular Systems (hsv//eng)
Nyckelord
- Heart failure
- ACE inhibitors
- Beta-blockers
- MRAs
- ICD
- CRT
- MEDICINE
- MEDICIN
Publikations- och innehållstyp
- ref (ämneskategori)
- art (ämneskategori)
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Till lärosätets databas
- Av författaren/redakt...
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Maggioni, Aldo P ...
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Anker, Stefan D.
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Dahlström, Ulf
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Filippatos, Gera ...
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Ponikowski, Piot ...
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Zannad, Faiez
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visa fler...
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Amir, Offer
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Chioncel, Ovidiu
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Crespo Leiro, Ma ...
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Drozdz, Jaroslaw
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Erglis, Andrejs
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Fazlibegovic, Em ...
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Fonseca, Candida
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Fruhwald, Friedr ...
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Gatzov, Plamen
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Goncalvesova, Ev ...
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Hassanein, Mahmo ...
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Hradec, Jaromir
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Kavoliuniene, Au ...
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Lainscak, Mitja
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Logeart, Damien
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Merkely, Bela
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Metra, Marco
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Persson, Hans
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Seferovic, Petar
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Temizhan, Ahmet
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Tousoulis, Dimit ...
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Tavazzi, Luigi
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