PREVALENCE AND TREATMENT OF HF IN PATIENTS OLDER THAN 65 YEARS IN ZORILOR NEIGHBORGHOOD, CLUJNAPOCA
Abstract:
The elderly have an increased risk of developing heart failure (HF). Guidelines adherence is reduced in all physicians .The purpose of this study was to investigate the prevalence of HF in patients over the age of 65, in Zorilor neighborhood, Cluj-Napoca, Romania and to analyze the current trends in the use of evidence-based therapy by the primary care physicians. Methods: There were studied 515 subjects, aged 73, 41±6, 43 years. 10.5% of subjects were diagnosed with HF. The prevalence is increasing with age: 16.16% in patients aged 65-70 years, 22.22% in patients aged 71-75 and 61.11% in patients over the age of 75. The treatment prescribed for HF was as follows: ACEIs -66.66%, ARBs-1.85%; loop diuretics and antialdosteronics-83.33%, nitrates-22.22%, beta-blockers-48.14%, and digoxin-35.18%. Conclusion: The treatment recommended by guidelines for HF is underutilized in the elderly. New strategies are necessary increase the number of patients that benefit of the effective therapies.
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