DOI: https://doi.org/10.22141/2306-2436.7.6.2018.158612

Role of family physicians in the prevention of heart failure

О.M. Korzh

Abstract


Background. Heart failure is a life-threatening disease, and its solution should be seen as a global health priority. Heart failure is indeed a complex disease and has until now been the leading cause of morbidity and mortality in developing and developed countries. Standardized medical therapy was successful in the early stages of heart failure. The advanced stages of heart failure require frequent hospitalization because of the presence of severe heart failure and / or associated co-morbid conditions that require the strict implementation of an adequately individualized multidisciplinary approach and quality measures. Materials and methods. In our review Ukrainian and international clinical guidelines, recommendations, documents and scientific literature were used. Results. The range of diseases that predispose patients to heart failure is extremely wide. Health care professionals in all clinical disciplines should receive education to identify patients with diseases that increase the risk of heart failure and prescribe preventive medications. This ensures that as many people as possible get access to therapyEven after the development of heart failure, premature deaths can be prevented if they are taught to recognize symptoms and seek immediate medical attention. Public awareness campaigns on these messages have a great potential for improving outcomes for patients with heart failure and, ultimately, for saving lives.Compliance with the recommendations of clinical practice is also associated with improved results for patients with heart failure. However, there are significant differences in how closely the doctors follow the recommendations. In order to promote equitable care, improvements should be promoted through the use of indicators and incentives for hospitals that are appropriate to local conditions. The policy should facilitate the research needed to create an evidence base for performance indicators that reflect improved outcomes for patients. Conclusions. Prevention of heart failure is of paramount importance. Ensuring access to preventive drugs should be provided to those who are at greatest risk for developing heart failure, regardless of age, sex or income. Cost-effective information, education and support programs to reduce the risk of heart failure should be at the forefront of public health guidelines. Lifestyle events can have a significant impact on the health of the world, because obesity, diabetes, cigarette smoking and high blood pressure significantly increase the likelihood of heart failure. Renewing commitment to public education the importance of healthy nutrition and weight, regular exercise and prevention of smoking should be a priority for policy makers.


Keywords


heart failure; prevention; compliance; medical care; therapeutic education

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References


Robertson J, McElduff P, Pearson SA et al. The health services burden of heart failure: an analysis using linked population health data-sets. BMC Health Serv Res 2012;12:103. doi:10.1186/1472-6963-12-103.

AlHabib KF, Elasfar AA, Alfaleh H et al. Clinical features, management, and short- and long-term outcomes of patients with acute decompensated heart failure: phase I results of the HEARTS database. Eur J Heart Fail 2014: doi: 10.1002/ejhf.57.

Huelsmann M, Neuhold S, Resl M, et al. PONTIAC (NT-proBNP selected prevention of cardiac events in a population of diabetic patients without a history of cardiac disease): a prospective randomized controlled trial. J. Am. Coll. Cardiol. 2013; 62:1365-72.

Ledwidge M, Gallagher J, Conlon C, et al. Natriuretic peptide-based screening and collaborative care for heart failure: the STOP-HF randomized trial. JAMA. 2013; 310:66-74.

Gaggin HK, Mohammed AA, Bhardwaj A, et al. Heart failure outcomes and benefits of NT-proBNP-guided management in the elderly: results from the prospective, randomized ProBNP outpatient tailored chronic heart failure therapy (PROTECT) study. J. Card Fail. 2012; 18:626-34.

Son CS, Kim YN, Kim HS, et al. Decision-making model for early diagnosis of congestive heart failure using rough set and decision tree approaches. J Biomed Inform. 2012; 45:999-1008.

Kelder JC, Cramer MJ, Van WJ, et al. The diagnostic value of physical examination and additional testing in primary care patients with suspected heart failure. Circulation. 2011; 124:2865-73.

Heidenreich PA, Hernandez AF, Yancy CW et al. Get with the guidelines program participation, process of care, and outcome for Medicare patients hospitalized with heart failure. Circ Cardiovasc Qual Outcomes 2012;5:37–43.

McAlister FA, Stewart S, Ferrua S et al. Multidisciplinary strategies for the management of heart failure patients at high risk for admission: a systematic review of randomized trials. J Am Coll Cardiol 2004;44:810–9.

Palaniswamy C, Mishkin A, Aronow WS et al. Remote patient monitoring in chronic heart failure. Cardiol Rev 2013;21:141–50.




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