Heart failure in Europe: Guideline-directed medical therapy use and decision making in chronic and acute, pre-existing and de novo, heart failure with reduced, mildly reduced, and preserved ejection fraction - the ESC EORP Heart Failure III Registry

被引:13
作者
Lund, Lars H. [1 ,2 ]
Crespo-Leiro, Maria Generosa [3 ,4 ,5 ]
Laroche, Cecile [6 ]
Zaliaduonyte, Diana [7 ,8 ]
Saad, Aly M. [9 ]
Fonseca, Candida [10 ,11 ]
Celutkiene, Jelena [12 ,13 ]
Zdravkovic, Marija [14 ,15 ,16 ]
Bielecka-Dabrowa, Agata M. [17 ,18 ]
Agostoni, Piergiuseppe [19 ,20 ]
Xuereb, Robert G. [21 ]
Neronova, Kseniya V. [22 ]
Lelonek, Malgorzata [23 ]
Cavusoglu, Yuksel [24 ]
Gellen, Barnabas [25 ]
Abdelhamid, Magdy [26 ]
Hammoudi, Naima [27 ]
Anker, Stefan D. [28 ,29 ,30 ,31 ]
Chioncel, Ovidiu [32 ,33 ]
Filippatos, Gerasimos [34 ,35 ]
Lainscak, Mitja [36 ,37 ]
McDonagh, Theresa A. [38 ]
Mebazaa, Alexandre [39 ]
Piepoli, Massimo [40 ,41 ]
Ruschitzka, Frank [42 ,43 ]
Seferovic, Petar M. [44 ,45 ]
Savarese, Gianluigi [1 ,2 ]
Metra, Marco [46 ]
Rosano, Giuseppe M. C. [47 ,48 ,49 ]
Maggioni, Aldo P. [50 ]
机构
[1] Karolinska Inst, Dept Med, Stockholm, Sweden
[2] Karolinska Univ Hosp, Dept Cardiol, Stockholm, Sweden
[3] Hosp Univ A Coruna CHUAC, Inst Invest Biomed Coruna, Cardiol, INIBIC, La Coruna, Spain
[4] CHUAC, La Coruna, Spain
[5] Univ A Coruna UDC, La Coruna, Spain
[6] European Soc Cardiol, Sophia Antipolis, France
[7] Lithuanian Univ Hlth Sci, Acad Med, Dept Cardiol, Kaunas, Lithuania
[8] Kaunas Hosp, Dept Cardiol, Kaunas, Lithuania
[9] Zagazig Univ, Fac Med, Cardiovasc Dept, Zagazig, Egypt
[10] Hosp Sao Francisco Xavier, Internal Med Dept, Heart Failure Clin, ULSLO, Lisbon, Portugal
[11] Univ Nova Lisboa, NOVA Med Sch, Lisbon, Portugal
[12] Vilnius Univ, Inst Clin Med, Clin Cardiac & Vasc Dis, Vilnius, Lithuania
[13] Ctr Innovat Med, Dept Personalized Med, Vilnius, Lithuania
[14] Univ Clin Hosp Ctr Bezanijska Kosa, Belgrade, Serbia
[15] Univ Belgrade, Fac Med, Belgrade, Serbia
[16] CMR Lab, Dept Cardiol, CMR Lab, Belgrade, Serbia
[17] Polish Mothers Mem Hosp Res Inst PMMHRI, Dept Cardiol & Adult Congenital Heart Dis, Lodz, Poland
[18] Med Univ Lodz, Dept Prevent Cardiol & Lipidol, Lodz, Poland
[19] Univ Milan, Dept Clin Sci & Community Hlth, Cardiovasc Sect, Milan, Italy
[20] Ctr Cardiol Monzino IRCCS, Heart Failure Unit, Milan, Italy
[21] Mater Dei Hosp, Dept Cardiol, Msida, Malta
[22] Kyrgyz State Med Acad IK Akhunbaev, Dept Fac Therapy, Bishkek, Kyrgyzstan
[23] Med Univ Lodz, Dept Noninvas Cardiol, Lodz, Poland
[24] Eskisehir Osmangazi Univ, Dept Cardiol, Eskisehir, Turkiye
[25] ELSAN Polyclin Poitiers, Dept Cardiol, Heart Failure, Poitiers, France
[26] Kasr Alainy Cairo Univ, Fac Med, Dept Occupat & Environm Med, Cairo, Egypt
[27] EHS Maouche Hosp Benaknoun, Dept Cardiol, Algiers, Algeria
[28] German Heart Ctr Charite, Dept Cardiol CVK, Berlin, Germany
[29] Berlin Inst Hlth Ctr Regenerat Therapies BCRT, Ctr Regenerat Therapies BCRT, Berlin, Germany
[30] German Ctr Cardiovasc Res DZHK, Berlin, Germany
[31] Charite, Berlin, Germany
[32] Emergency Inst Cardiovasc Dis C C, Dept Cardiol, C Iliescu, Bucharest, Romania
[33] Univ Med & Pharm Carol Davila, Bucharest, Romania
[34] Natl & Kapodistrian Univ Athens, Sch Med, Dept Cardiol, Athens, Greece
[35] Athens Univ Hosp Attikon, Dept Cardiol, Chaidari, Greece
[36] Gen Hosp Murska Sobota, Div Cardiol, Rakican, Slovenia
[37] Univ Ljubljana, Fac Med, Ljubljana, Slovenia
[38] Kings Coll Hosp London, Dept Cardiol, London, England
[39] Univ Paris Cite, Anesthesia & Crit Care Med, Paris, France
[40] Univ Milan, Dept Biomed Sci Hlth, Milan, Italy
[41] IRCCS Policlin San Donato, Clin Cardiol, San Donato Milanese, Italy
[42] Univ Hosp Zurich, Univ Heart Ctr, Dept Cardiol, Zurich, Switzerland
[43] Univ Hosp Zurich, Ctr Translat & Expt Cardiol CTEC, Dept Cardiol, Zurich, Switzerland
[44] Serbian Acad Arts & Sci, Belgrade, Serbia
[45] Univ Belgrade, Univ Med Ctr, Fac Med, Belgrade, Serbia
[46] Univ Brescia, Inst Cardiol, Dept Med & Surg Specialties, ASST Spedali Civili,Radiol Sci & Publ Hlth, Brescia, Italy
[47] St Georges Univ, Dept Cardiac & Vasc Sci, Med Sch, London, England
[48] San Raffaele Univ Rome, Chair Pharmacol, Dept Human Sci & Promot Qual Life, Rome, Italy
[49] San Raffaele Cassino Hosp, Cassino, Italy
[50] Heart Care Fdn, ANMCO Res Ctr, Florence, Italy
关键词
Heart failure; Ejection fraction; Registry; Guideline-directed medical therapy; Implementation; Quality of care; MORTALITY; CLASSIFICATION; ASSOCIATION; DEFINITION; CARDIOLOGY; OUTCOMES; CARE; HF;
D O I
10.1002/ejhf.3445
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Aims We analysed baseline characteristics and guideline-directed medical therapy (GDMT) use and decisions in theEuropean Society of Cardiology (ESC) Heart Failure (HF) III Registry. Methods and results Between1November 2018and31December 2020,10162 patients with acute HF (AHF, 39%, age 70 [62-79],36% women) or outpatient visit for HF (61%, age 66 [58-75], 33% women), with HF with reduced (HFrEF, 57%),mildly reduced (HFmrEF,17%) or preserved (HFpEF, 26%) ejection fraction were enrolled from 220 centres in 41European or ESC-affiliated countries. With AHF, 97% were hospitalized, 2.2% received intravenous treatment in theemergency department, and 0.9% received intravenous treatment in an outpatient clinic. AHF was seen by most bya general cardiologist (51%) and outpatient HF most by a HF specialist (48%). A majority had been hospitalized forHF before, but 26% of AHF and 6.1% of outpatient HF had de novo HF. Baseline use, initiation and discontinuation ofGDMT varied according to AHF versus outpatient HF, de novo versus pre-existing HF, and by ejection fraction. Afterthe AHF event or outpatient HF visit, use of any renin-angiotensin system inhibitor, angiotensin receptor-neprilysininhibitor, beta-blocker, mineralocorticoid receptor antagonist and loop diuretics was 89%, 29%, 92%, 78%, and 85%in HFrEF; 89%, 9.7%, 90%, 64%, and 81% in HFmrEF; and 77%, 3.1%, 80%, 48%, and 80% in HFpEF. ConclusionUse and initiation of GDMT was high in cardiology centres in Europe, compared to previous reports from cohortsand registries including more primary care and general medicine and regions more local or outside of Europe andESC-affiliated countries.....................................
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收藏
页码:2487 / 2501
页数:15
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