Authors

Mª Candelaria Fraga González1, Lucía Cid Conde2, Teresa Alves Pérez3, Cristina Martín Godínez4,Pilar Alonso Álvarez5, José López Castro6

Position

1Enfermera. Doctoranda. Departamento de Medicina Interna. Hospital Comarcal de Monforte. Lugo2Licenciada en Farmacia. Departamento de Farmacia. Complexo Hospitalario Universitario de Ourense3Licenciada en Matemáticas. Grupo NECOM. Universidad  de Vigo. Vigo4Licenciada en Medicina y Cirugía. Centro de Salud Xinzo de Limia. Ourense5Licenciada en Medicina y Cirugía. Centro de Salud Toén. Ourense6Doctor en Medicina. Departamento de Medicina Interna. Hospital Comarcal de Monforte. Lugo

Contact address

Mª Candelaria Fraga González. C/ Sobrado do Picato, 14. 27680 Baralla (Lugo).

Contact email: 22cande@hotmail.es

Abstract

Objective: to understand the sociodemographical and clinical profile of the patient with heart failure managed at a University Hospital.
Method: a prospective observational study in a cohort of patients managed for heart failure between January 1st, 2003 and December 31st, 2006 at the Complexo Hospitalario Universitario of Orense. Clinical-epidemiological data were collected through the review of clinical records. Descriptive and analytical analysis; statistical program SPSS version 22.0.
Results: the sample included 665 patients, with a mean age (standard deviation) of 76.51 (10.37) years; 54.4% of them were male, and 69.3% lived in the rural area. Of these patients, 56.7% were admitted at the Cardiology Unit; 55.6% (n= 370) of them had their left ventricular ejection fraction (LVEF) preserved. Also, 52.8% of the patients presented hypertension (HTN) as clinical background, and 68.0% presented dyspnea at admission. The most widely prescribed treatments at discharge where non-K+-saving diuretics (85.4%), ACE inhibitors-ARBs (66%) and antiaggregants (42.10%).
Conclusions: the most typical profile of patients managed for heart failure at the centre is a male >65-year-old patient, living in the rural setting, with preserved LVEF, where the most prevalent clinical background is HTN, and with dyspnea as the most usual symptom; this patient requires pharmacological treatment with non-K+-saving diuretics, ACE inhibitors-ARBs and antiaggregants for disease control.

Keywords:

heart failure; general symptoms; signs and symptoms; epidemiology; cohort study

Versión en Español

Título:

Perfil clínico-epidemiológico del paciente con insuficiencia cardiaca en un hospital universitario