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.
  1. Оганов Р. Г, Масленникова Г. Я. Смертность от сердечно-сосудистых других хронических неинфекционных заболеваний среди трудоспособного населения России. Кардиоваскулярная терапия и профилактика. 2002;1 (3):4–8.
  2. Константинов В. В., Шальнова С. А.., Деев А. Д. и др. Методологические аспекты мониторирования эпидемиологической ситуации по артериальной гипертонии среди населения Российской Федерации в ходе выполнения елеевой Федеральной программы «Профилактика и лечение артериальной гипертонии в Российской Федерации на 2002–2008 годы». Кардиоваскулярная терапия и профилактика. 2007;2:66–70.
  3. Miura K, Dyer AR, Greenland P, et al. Pulse pressure compared with other blood pressure indexes in the prediction of 25‑year cardiovascular and all-cause mortality rates: The Chicago Heart Association Detection Project in Industry Study. Hypertension. 2001;38 (2):232–237.
  4. Lerner DJ, Kannel WB. Patterns of coronary heart disease morbidity and mortality in the sexes: a 26‑year follow-up of the Framingham population. Am Heart J. 1986;111 (2):383–390.
  5. Williams C. Measuring the Burden of Cardiovascular Diseases in Europe: Steps towards establishing comparable data. The Hague. Netherlands Heart Foundation, 1995.
  6. Van de Lisdonk EH, Van den Bosch WJHM, Huygen FJA, Lagro-Jansen ALM. Diseases in general practice [in Dutch]. Utrecht, the Netherlands: Bunge, 1990.
  7. Emanuelsson H, Karlson BW, Herlitz J. Characteristics and prognosis of patients with acute myocardial infarction in relation to occurrence of congestive heart failure. Eur Heart J. 1994;15 (6):761–768.
  8. Phillips SJ, Whisnant JP, O’Fallon WM, Frye RL. Prevalence of cardiovascular disease and diabetes mellitus in residents of Rochester, Minnesota. Mayo Clin Proc. 1990;65 (3):344–359.
  9. Rodeheffer RJ, Jacobsen SJ, Gersh BJ et al. The incidence and prevalence of congestive heart failure in Rochester, Minnesota. Mayo Clin Proc 1993;68 (12):1143–1150.
  10. Kannel WB, Ho K, Thorn T. Changing epidemiological feattres of cardiac failure. Br Heart J. 1994;72 (2 Suppl):S3–9.
  11. Ho KK, Pinsky JL, Kannel WB et al. The epidemiology of heart failure: the Framingham study. J Am Coll Cardiol. 1993;22 (4 Suppl A):6A-13A.
  12. Remes J, Miettinen H, Reunanen A, Pyorala K. Validity of clinical diagnosis of heart failure in primary health care. Eur Heart J. 1991;12 (3):315–321.
  13. Madsen BK, Hansen JF, Stokholm KH et al. Chronic congestive heart failure. Description and survival of 190 consecutive patients with a diagnosis of chronic congestive heart failure based on clinical signs and symptoms. Eur Heart J. 1994 Mar; 15 (3):303–310.
  14. Remes J, Reunanen A, Aromaa A, Pyorala K. Incidence of heart failure in eastern Finland: a population-based surveillance study. Eur Heart J 1992; 13: 588–93.
  15. Мареев В. Ю., Беленков Ю. Н., Агеев Ф. Т. и др. Первые результаты Российского эпидемиологического исследования по ХСН (ЭПОХА–ХСН). Журнал Сердечная Недостаточность 2003; 4 (1):17–18.
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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