1. Comparison of chronic systolic heart failure guideline adherence for two ambulatory clinics
- Author
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Sarah B. Dehoney, Lori M. Dickerson, and Jean M. Nappi
- Subjects
medicine.medical_specialty ,mesh:Heart Failure ,Population ,Specialty ,Drug Therapy ,mesh:Drug Therapy ,Internal medicine ,Family medicine clinic ,mesh:Guideline Adherence ,medicine ,Intensive care medicine ,education ,Original Research ,Heart Failure ,education.field_of_study ,Ejection fraction ,business.industry ,Guideline adherence ,Chronic systolic heart failure ,medicine.disease ,United States ,Heart failure ,Ambulatory ,Guideline Adherence ,mesh:Systolic ,mesh:United States ,business ,Systolic - Abstract
*Guidelines have been published for management of chronic systolic heart failure to reduce patient morbidity and mortality. Objective: A quality review of the heart failure medical therapy for a community family medicine residency program clinic and a multidisciplinary heart failure specialty clinic was performed to compare adherence to ACC/AHA heart failure guidelines, with regard to medications and in titrating to recommended target doses. Methods: The study was a retrospective chart review and data collected included name and dose of any ACEI, beta-blocker, ARB, or other medication addressed in the guidelines. Results: Specialty clinic patients had significantly lower systolic blood pressures and ejection fractions. Significantly more patients were prescribed beta-blockers in the specialty clinic population (98% vs 80%, p
- Published
- 2010
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