Russian Heart Failure Journal 2008year New ways to increasing efficacy of therapy in patients with chronic heart failure


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2008/

New ways to increasing efficacy of therapy in patients with chronic heart failure

Mitrofanova I. S., Kots Ya. I., Vdovenko L. G.

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Urgency. Despite the recent trend to reduced mortality and hospitalization rate and increased survival of patients with CHF due to implementation of new pharmacotherapeutic groups of medicines in everyday practice, some studies did not provide any encouraging data with respect of general improvement of survival and decreased hospitalization rate in patients with CHF. Aim. Improving the quality of treatment in patients with CHF by evaluating their compliance to develop methods for correction of revealed disorders. Materials and methods. 120 patients (aged 36 to 80 years) with CHF of different severity were evaluated. All patients received therapy for CHF (cardiac glycosides, ACEI, ß-adrenoblockers, diuretics, veroshpiron). The listed medicines were administered depending on CHF stage, FC and peculiarities of the CHF course in the patient. Patients were divided into two groups matched by sex, age, CHF stage and FC. Patients of one group (100 patients) received a treatment with correction of non-compliance by individual discussions. The other group (20 patients) was a control one, in which these measures were not taken. Patients were evaluated on enrollment, after 3 months and after 1 year of the treatment for CHF. Results. Among 100 patients re-examined at 3 months after individual discussions about compliance at enrollment and during observation, 58 patients who had been compliant at baseline preserved the compliance. Thirty-five of 42 patients with low compliance changed their point of view.
    1.    Беленков Ю. Н., Агеев Ф. Т. Эпидемиология и прогноз хронической сердечной недостаточности. Русский медицинский журнал. 1999;7 (2):51–55.
    2.    Агеев Ф. Т., Мареев В. Ю., Середенина Е. М., Беленков Ю. Н. Перспективы внедрения специализированных форм активного амбулаторного ведения больных с сердечной недостаточностью: структура, методика и предварительные результаты Российской программы «ШАНС». Журнал сердечная недостаточность. 2004;5 (6):268–271.
    3.    McMurray JJ, Petrie MC, Murdoch DR, Davie AP. Clinical epidemiology of heart failure: public and private health burden. Eur Heart J. 1998;19 (Suppl P): P9–16.
    4.    Ghali JK, Kadakia S, Cooper R et al. Precipitating factors leading to decompensation of heart failure. Traits among urban blacks. Arch Intern Med. 1988;148 (9):2013–2016.
    5.    Коц Я. И., Гражданкин А. А., Эпидемиологические аспекты и качество лечения хронической сердечной недостаточности, Диссертация на соискание ученой степени кандидата наук. – 2003.

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