Heart failure patients in Primary Care: Aging, comorbidities and polypharmacy;Pacientes con el diagnóstico de insuficiencia cardiaca en Atención Primaria: envejecimiento, comorbilidad y polifarmacia

Atencion Primaria

Volumn 43, Issue 2, 2011, Pages 61-67

  Galindo Ortego, Gisela ^a,b   Esteve, Inés Cruz ^a,b   Gatius, Jordi Real ^b   Santiago, Leonardo Galván ^c   Lacruz, Carmen Monsó ^d   Soler, Plácido Santafé ^e  

^a CAP Primer de Maig   (Spain)

^b Unitat de Suport A la Recerca IDIAP Jordi Gol Lleida Pirineus ^*  (Spain)

^c Servei Catal de la Salut   (Spain)

^d Enfermera de Enlace   (Spain)

^e ABS Balfia Pardinyes Sec   (Spain)

Author keywords

Epidemiology; Gender differences; Heart failure; Polypharmacy; Primary care

Indexed keywords

ANGIOTENSIN 2 RECEPTOR ANTAGONIST; BETA ADRENERGIC RECEPTOR BLOCKING AGENT; CARDIAC GLYCOSIDE; DIPEPTIDYL CARBOXYPEPTIDASE INHIBITOR; DIURETIC AGENT;

AGED; AGING; ARTICLE; CARDIOVASCULAR RISK; CHRONIC OBSTRUCTIVE LUNG DISEASE; COMORBIDITY; CONTROLLED STUDY; CROSS-SECTIONAL STUDY; DEMOGRAPHY; DESCRIPTIVE RESEARCH; DIABETES MELLITUS; ELECTRONIC MEDICAL RECORD; FEMALE; HEART ATRIUM FIBRILLATION; HEART FAILURE; HUMAN; HYPERLIPIDEMIA; HYPERTENSION; ISCHEMIC HEART DISEASE; KIDNEY FAILURE; MAJOR CLINICAL STUDY; MALE; OBESITY; POLYPHARMACY; PRIMARY MEDICAL CARE; SEX DIFFERENCE; STROKE;

AGE FACTORS; AGED; AGED, 80 AND OVER; CROSS-SECTIONAL STUDIES; FEMALE; HEART FAILURE; HUMANS; MALE; MIDDLE AGED; POLYPHARMACY; PRIMARY HEALTH CARE;

EID: 79952003634     PISSN: 02126567     EISSN: 15781275     Source Type: Journal    
DOI: 10.1016/j.aprim.2010.03.021     Document Type: Article

References (32)

1. S.A. Hunt ACC/AHA 2005 guideline update for the diagnosis and management of chronic heart failure in the adult: a report of the American College of Cardiology J Am Coll Cardiol. 46 2005 81 82
2. L. Piterman, H. Zimmet, H. Krum, A. Tonkin, and J. Yallop Chronic heart failure optimising care in general practice Aust Fam Physician. 34 2005 547 553
3. G. Leibundgut, M. Pfisterer, and H.P. Brunner-La Rocca Drug treatment of chronic heart failure in the elderly Drugs Aging. 24 2007 991 1006 (Pubitemid 350145408)
4. F. Rodríguez-Artalejo, J.R. Banegas Banegas, and P. Guallar-Castillon Epidemiologia de la insuficiencia cardíaca Rev Esp Cardiol. 57 2004 163 170
5. Instituto Nacional de Estadística. 2008. Acceso 19 septiembre 2008. Avaliable from: www.ime.es
6. J. Muniz García, M.G. Crespo Leiro, and A. Castro Beiras Insuficiencia cardiaca en España. Epidemiología e importancia del grado de adecuación a las guías de práctica clínica Rev Esp Cardiol. 6 Suppl F 2006 2 8
7. M. Flesch, and E. Erdmann The problem of polypharmacy in heart failure Curr Cardiol Rep. 8 2006 217 225 (Pubitemid 43670621)
8. J.R. González-Juanatey, E. Alegría Ezquerra, V. Bertoméu Martínez, P. Conthe Gutiérrez, A. de Santiago Nocito, and I. Zsolt Fradera Heart failure in outpatients: comorbidities and management by different specialists. The EPISERVE Study Rev Esp Cardiol. 61 2008 611 619 (Pubitemid 351930570)
9. E. Duaso, M. Díez- Caballero, and F. Formiga Abordaje de la insuficiencia cardiaca en ancianos: una visión desde la atención primaria Rev Esp Cardiol. 59 2006 289 291
10. B. De Rivas Otero, G. Permanyer-Miralda, C. Brotons Cuixart, J. Aznar Costa, and E. Sobreviela Vazquez Perfil clínico y patrones de manejo en los pacientes con insuficiencia cardiaca atendidos ambulatoriamente en España: Estudio INCA Aten Primaria. 41 2009 394 401
11. F.A. Masoudi, C.A. Baillie, Y. Wang, W.D. Bradford, J.F. Steinert, and E.P. Havranek The complexity and cost of drug regimens of older patients hospitalized with heart failure in the United States, 1998-2001 Arch Intern Med. 165 2005 2069 2076 (Pubitemid 41434581)
12. A. Ahmed, L. Jones, and C.I. Hays DEFEAT heart failure: assessment and management of heart failure in nursing homes made easy J Am Med Dir Assoc. 9 2008 383 389
13. C.T. Lien, N.D. Gillespie, A.D. Struthers, and M.E. McMurdo Heart failure in frail elderly patients: diagnostic difficulties, co-morbidities, polypharmacy and treatment dilemmas Eur J Heart Fail. 4 2002 91 98 (Pubitemid 34113333)
14. C.C. Lang, and D.M. Mancini Non-cardiac comorbidities in chronic heart failure Heart. 93 2007 665 671 (Pubitemid 46808262)
15. F. Otero-Ravina, L. Grigorian-Shamagian, L. Fransi-Galiana, C. Nazara-Otero, J.M. Fernández-Villaverde, and A. del Álamo-Alonso Galician study of heart failure in primary care (GALICAP Study) Rev Esp Cardiol. 60 2007 373 383 (Pubitemid 46887059)
16. M. Anguita Sánchez, M.G. Crespo Leiro, E. de Teresa Galván, M. Jiménez Navarro, L. Alonso-Pulpón, J. Muñiz García PRICE Study Investigators Prevalence of heart failure in the Spanish general population aged over 45 years The PRICE Study. Rev Esp Cardiol. 61 2008 1041 1049
17. A. Ribera, J.R. Marsal, I. Ferreira-González, P. Cascant, J.M. Pons, and F. Mitjavila Predicting in-hospital mortality with coronary bypass surgery using hospital discharge data: comparison with a prospective observational study Rev Esp Cardiol. 61 2008 843 852
18. A. Majeed, J. Williams, S. de Lusignan, and T. Chan Management of heart failure in primary care after implementation of the National Service Framework for Coronary Heart Disease: a cross-sectional study Public Health. 119 2005 105 111 (Pubitemid 40197803)
19. A. Majeed, J. Car, A. FAU-Sheikh, and A. Sheikh Accuracy and completeness of electronic patient records in primary care Fam Pract. 25 2008 213 214
20. J. Lupón, B. González, S. Santaeugenia, S. Altimir, A. Urrutia, and D. Más Prognostic implication of frailty and depressive symptoms in an outpatient population with heart failure Rev Esp Cardiol. 61 2008 835 842
21. J.M. García-Pinilla, M.F. Jiménez-Navarro, M. Anguita-Sánchez, A. Martínez-Martínez, F. Tomas-Calvo investigadores del registro RAIC. How many patients admitted for heart failure are eligible for cardiac resynchronization therapy? Analysis of the Andalusian Heart Failure Registry (RAIC) study Rev Esp Cardiol. 60 2007 38 44 (Pubitemid 46359176)
22. M. Anguita Sánchez Clinical characteristics, treatment and short-term morbidity and mortality of patients with heart failure followed in heart failure clinics. Results of the BADAPIC Registry Rev Esp Cardiol. 57 2004 1159 1169
23. B. Redondo-Bermejo, D.A. Pascual-Figal, J.A. Hurtado-Martínez, P. Penafiel-Verdu, D. Saura-Espin, and I.P. Garrido Bravo Influence of gender on the clinical characteristics and prognosis of patients hospitalized for heart failure Rev Esp Cardiol. 60 2007 1135 1143 (Pubitemid 350294343)
24. J. Lupón, A. Urrutia, B. González, C. Díez, S. Altimir, and C. Albadalejo Does heart failure therapy differ according to patient sex? Clin Cardiol. 30 2007 301 305 (Pubitemid 46983268)
25. C. Zhan, R. Correa-de-Araujo, A.S. Bierman, J. Sangl, M.R. Miller, and S.W. Wickizer Suboptimal prescribing in elderly outpatients: potentially harmful drug-drug and drug-disease combinations J Am Geriatr Soc. 53 2005 262 267 (Pubitemid 41632552)
26. M. Wawruch, D. Fialova, M. Zikavska, L. Wsolova, D. Jezova, and M. Kuzelova Factors influencing the use of potentially inappropriate medication in older patients in Slovakia J Clin Pharm Ther. 33 2008 381 392
27. M. Ledwidge, B. Travers, M. Ryder, E. Ryan, and K. McDonald Specialist care of heart failure improves appropriate pharmacotherapy at the expense of greater polypharmacy and drug-interactions Eur J Heart Fail. 6 2004 235 243 (Pubitemid 38249368)
28. L.P. Gallagher The potential for adverse drug reactions in elderly patients Appl Nurs Res. 14 2001 220 224 (Pubitemid 33601948)
29. J. Mc Murray, W. Hart, and G. Rhodes An evaluation of the cost of heart failure to de National Health Service in the UK Br J Med Econ. 6 1993 91 98 (Pubitemid 24078262)
30. S. De Geest, E. Steeman, M.E. Leventhal, R. Mahrer-Imhof, B. Hengartner-Kopp, and A. Conca Complexity in caring for an ageing heart failure population: concomitant chronic conditions and age related impairments Eur J Cardiovasc Nurs. 3 2004 263 270 (Pubitemid 39574744)
31. M. Martínez-Selles, J.A. García Robles, L. Prieto, M. Domínguez Munoa, and E. Frades Heart failure in the elderly: age-related differences in clinical profile and mortality Int J Cardiol. 102 2005 55 60 (Pubitemid 40812916)
32. J. Soler-Soler ¿Se necesitan más fármacos para el tratamiento de la insuficiencia cardiaca? Diferencias entre los ensayos clínicos y la práctica clínica Rev Esp Cardiol. 6 2006 25