老年心脏病学杂志(英文版)2011,Vol.8Issue(2):88-92,5.DOI:10.3724/SP.J.1263.2011.00088
Adherence to treatment guidelines in the pharmacological management of chronic heart failure in an Australian population
Adherence to treatment guidelines in the pharmacological management of chronic heart failure in an Australian population
Dao-Kuo Yao 1Le-Xin Wang 2Shane Curran 3Patrick Ball3
作者信息
- 1. Department of Cardiology,Beijing Friendship Hospital,Capital Medical University,Beijing 100050,China
- 2. School of Biomedical Sciences and Centre for Inland Health,Charles Sturt University,Wagga Wagga,NSW 2678,Australia
- 3. School of Biomedical Sciences and Centre for Inland Health,Charles Sturt University,Wagga Wagga,NSW 2678,Australia
- 折叠
摘要
Abstract
Background To document the pharmacotherapy of chronic heart failure (CHF) and to evaluate the adherence to treatment guidelines in Australian population.Methods The pharmacological management of 677 patients (female 46.7%,75.5±11.6 years) with CHF was retrospectively analyzed.Results The use of angiotensin converting enzyme (ACE) inhibitors/angiotensin receptor blockers (ARB) and fl-blockers were 58.2%and 34.7%,respectively.Major reasons for non-use of ACE inhibitors/ARBs were hyperkalemia and elevated serum creatimne level.For patients who did not receive β-blockers,asthma and chronic obstructive pulmonary disease were the main contraindications.Treatment at or above target dosages for ACE inhibitors/ARBs and β-blockers was low for each medication (40.3% and 28.9%,respectively).Conclusions Evidenced-based medical therapies for heart failure were under used in a rural patient population.Further studies are required to develop processes to improve the optimal use of heart failure medications.关键词
heart failure/ACE inhibitors/angiotensin receptor,β-blockers/prognosisKey words
heart failure/ACE inhibitors/angiotensin receptor,β-blockers/prognosis引用本文复制引用
Dao-Kuo Yao,Le-Xin Wang,Shane Curran,Patrick Ball..Adherence to treatment guidelines in the pharmacological management of chronic heart failure in an Australian population[J].老年心脏病学杂志(英文版),2011,8(2):88-92,5.