[Diagnosis and treatment of heart failure in primary health care. Low correlation between Pro-ANF and heart failure]

https://arctichealth.org/en/permalink/ahliterature54127
Source
Lakartidningen. 2000 Jan 19;97(3):159-62
Publication Type
Article
Date
Jan-19-2000
Author
K. Blomqvist
K. Ortoft
A. Johansson
S. Ascione
E. Nylander
I. Akerlind
Author Affiliation
Allmänmedicin, Aby vårdcentral, Linköping. Kjell.Blomqvist@aby.lin.lio.se
Source
Lakartidningen. 2000 Jan 19;97(3):159-62
Date
Jan-19-2000
Language
Swedish
Publication Type
Article
Keywords
Aged
Angiotensin-Converting Enzyme Inhibitors - administration & dosage
Atrial Natriuretic Factor - metabolism
English Abstract
Follow-Up Studies
Heart Failure, Congestive - diagnosis - drug therapy - metabolism - ultrasonography
Humans
Primary Health Care
Sweden
Abstract
Three eastern Swedish primary care clinics serving a predominantly rural clientele monitored for 13 months all patients under 80 years of age with a diagnosis based on clinical signs alone of heart failure (n = 56) or suspected incipient heart failure (n = 62). Echocardiography was performed on all patients. For 64% of the former group, the putative diagnosis matched echocardiography findings. Results showed a purely diastolic disorder in one-fifth of all 118 patients, and a hemodynamically significant, hitherto unknown heart defect in about as many. Pro-ANF assays correlated poorly with manifest heart failure. Pharmacological treatments were registered, and at 6-month follow-up, 82% of patients with systolic failure were receiving ACE-inhibition.
PubMed ID
10687345 View in PubMed
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