1. Is Current Drug Therapy for Heart Failure Sufficient to Control Heart Rate of Patients?
- Author
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Carlos Henrique Del Carlo, Mauricio Cunha, Enock Netto, Antonio Carlos Pereira Barretto, Mateus Dressler de Espíndola, Milena Novaes, Cristina Ribeiro de Barros Cardoso, Juliano Novaes Cardoso, Alessandro Lyra Name, and Euler C. O. Brancalhão
- Subjects
SciELO ,Pacemaker, Artificial ,medicine.medical_specialty ,Treatment outcome ,Insuficiência Cardíaca ,030204 cardiovascular system & hematology ,Medication Adherence ,03 medical and health sciences ,0302 clinical medicine ,Drug Therapy ,Heart Rate ,Atrial Fibrillation ,Heart rate ,medicine ,Digoxicina ,Diseases of the circulatory (Cardiovascular) system ,Heart Failure ,Gynecology ,Ventricular function ,business.industry ,medicine.disease ,Morbidade e Mortalidade ,Morbidity & Mortality ,Fibrilação Atrial ,RC666-701 ,Heart failure ,Digoxine ,Frequência Cardíaca ,Marca-Passo ,Cardiology and Cardiovascular Medicine ,business ,Tratamento Farmacológico ,Adesão à Medicação - Abstract
Resumo Fundamento Estudos revelam que pacientes com insuficiência cardíaca (IC) e frequência cardíaca (FC) 70. Entretanto, muitos pacientes com IC mantêm FC elevada. Objetivo Avaliar se os pacientes acompanhados em ambulatório de cardiologia têm sua FC controlada e como estava a prescrição dos medicamentos que reduzem a mortalidade na IC. Métodos Foram analisados de forma consecutiva pacientes que passaram em consulta e que já acompanhavam em ambulatório de cardiologia, idade > 18 anos e com diagnóstico de IC e fração de ejeção do ventrículo esquerdo (FEVE) 70 bpm (G2). Na análise estatística, foram utilizados os testes t de Student, Qui-quadrado. Foi considerado significante p 70 bpm (G2). A FC média no G1 foi de 61,53 bpm (±5,26) e no G2, 81,76 bpm (±9,52), p 70 bpm. However, many HF patients maintain an elevated HR. Objective To evaluate HR and the prescription of medications known to reduce mortality in HF patients attending an outpatient cardiology clinic. Methods We consecutively evaluated patients seen in an outpatient cardiology clinic, aged older than 18 years, with diagnosis of HF and left ventricular ejection fraction (LVEF) < 45%. Patients with sinus rhythm were divided into two groups – HR ≤ 70 bpm (G1) and HR > 70 bpm (G2). The Student’s t-test and the chi-square test were used in the statistical analysis, and a p-value < 0.05 was considered statistically significant. The SPSS software was used for the analyses. Results A total of 212 consecutive patients were studied; 41 (19.3%) had atrial fibrillation or had a pacemaker implanted and were excluded from the analysis, yielding 171 patients. Mean age of patients was 63.80 ± 11.77 years, 59.6% were men, and mean LVEF 36.64±7.79%. The most prevalent HF etiology was ischemic (n=102; 59.6%), followed by Chagasic (n=17; 9.9%). One-hundred thirty-one patients (76.6%) were hypertensive and 63 (36.8%) diabetic. Regarding HR, 101 patients had a HR ≤70 bpm (59.1%) and 70 patients (40.93%) had a HR >70 bpm (G2). Mean HR of G1 and G2 was 61.5±5.3 bpm and 81.8±9.5 bpm, respectively (p
- Published
- 2020