Jourdain P
France
Research Article
Medical Inertia in the Optimization of Heart Failure Treatment after Discharge and its Relationship to Outcome
Author(s): Berthelot E, Eicher JC, Salvat M, Seronde MF, de Groote, Jondeau G, Galinier M, Roul G, Donal E, Damy T, Jourdain P, Bauer F, Isnard R, Trochu JN, Logeart D and On behalf of Gicc-HF.Berthelot E, Eicher JC, Salvat M, Seronde MF, de Groote, Jondeau G, Galinier M, Roul G, Donal E, Damy T, Jourdain P, Bauer F, Isnard R, Trochu JN, Logeart D and On behalf of Gicc-HF.
Background: After discharge, patients with Acute Heart Failure (AHF) have a high risk of early re-admission and death. Many patients are discharged early before treatment has been optimized. By using a multicenter cohort of AHF patients, we analyzed changes in evidence-based HF medication between admission, discharge and early follow-up as well as their links to mortality. Methods: Clinical data and medications were collected during hospitalization. Changes in medication during the 3 months following discharge as well as the rate of all-cause mortality at one year were analyzed. Results: Among survivors at 3 months, 275 patients with LVEF ≤ 40% were included (age 72 ± 14 y). Between admission and discharge, usage of angiotensin converting enzyme inhibitor (ACE-I) or angiotensin receptor blocker (ARB) and beta bl.. View More»
DOI:
10.4172/2375-4273.1000221