Russian Heart Failure Journal 2011year Modern character of CHF patients in the European part of the Russian Federation (hospital stage)

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Modern character of CHF patients in the European part of the Russian Federation (hospital stage)

Belenkov Yu. N., Mareyev V. Yu., Ageyev F. T., Fomin I. V., Badin Yu. V., Polyakov D. S., Danielyan M. O., Artemyeva E. G., Malenkova V. Yu., Poroshina E. A., Smirnova E. A., Tarlovskaya E. I., Csherbinina E. V., Yakushin S. S.

Keywords: clinic, CHF, epidemiology

DOI: 10.18087/rhfj.2011.5.1587

Relevancy. Implementation of soft criteria (labored breathing, heartbeats, asthenia) and / or clinical or instrument checkup (6 minutes walk test, chest x-ray, echocardiography, establishing diagnosis by clinical practice officer) will allow selecting CHF patients of all four FC (functional classes). Such approach in epidemiological studies specifies clinical presentation of CHF patients, both of low and high FC. Objective. Analysis of clinical signs for CHF patients (entered into the epidemiological EPOCH studies) at the ambulatory stage with a following updating of CHF diagnosis after hospitalizing. Materials and methods. Soft and rigid diagnosis criteria were defined for CHF patient. The group of respondents comprised patients with a tentative diagnosis of CHF – I–IV FC. The hospital stage was involved for confirmation of the CHF diagnosis. In the course of that research the patients with soft CHF criteria were hospitalized. Results. The main CHF symptoms are labored breathing, heartbeats and asthenia. Those symptoms are characteristic to more then a half of CHF patients. Specific symptoms of bad CHF are paroxysmal dyspnea, swollen neck veins and lungs bubbling rale. The important criterion for establishing diagnosis is defense attitude in bed and body weight gain within the last week. Hydrops are not determining factors for establishing CHF diagnosis. The most often symptoms are lower limbs pitting edema. Non effective treatment of hyperpiesis and ischemic heart disease are the main triggers for CHF generation.
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Belenkov Yu. N., Mareyev V. Yu., Ageyev F. T. et al. Modern character of CHF patients in the European part of the Russian Federation (hospital stage). 2011;12(5):255-259.

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