Document Detail

Chronic heart failure in Australian general practice. The Cardiac Awareness Survey and Evaluation (CASE) Study.
MedLine Citation:
PMID:  11386587     Owner:  NLM     Status:  MEDLINE    
OBJECTIVES: To investigate the frequency and general practitioner awareness of patients with chronic heart failure (CHF), and to evaluate a cardiac algorithm and document cardiac investigations performed in establishing this diagnosis. DESIGN AND SETTING: Between March and August 1998, consecutive patients aged 60 years and older presenting to their GP were assessed. In patients previously diagnosed with CHF, aetiology and diagnostic assessments were documented. In patients with suspected CHF (by a standardised algorithm, based on World Health Organization guidelines), further investigations and GP diagnosis were recorded. PATIENTS: 80 consecutive patients were assessed by each of 341 GPs throughout Australia, reflecting the Australian metropolitan/rural population mix of 1996. This provided a total of 22060 evaluable patients. MAIN OUTCOME MEASURES: Estimated numbers of patients with CHF in general practice (previously and newly diagnosed); major aetiological factors; use of ancillary diagnostic tests; drugs prescribed. RESULTS: CHF was diagnosed in 2905 of 22060 patients (13.2%) (2485 previously diagnosed and 420 newly diagnosed). Major aetiological factors were ischaemic heart disease and hypertension. Echocardiography had been performed in 64% of previously diagnosed patients, but was performed in only 22% of possible CHF patients. Angiotensin-converting enzyme (ACE) inhibitors were prescribed in 58.1% of patients with CHF. Patients with evidence of left ventricular dysfunction were more likely to have received ACE inhibitors. CONCLUSIONS: CHF appears to be very common in the elderly, based on GP diagnosis of the condition. Of 100 patients aged 60 years and over presenting to their GP, two new cases of CHF will be detected using a simple clinical algorithm in conjunction with appropriate diagnostic tests. ACE inhibitors appear to be underutilised.
H Krum; A M Tonkin; R Currie; R Djundjek; C I Johnston
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  The Medical journal of Australia     Volume:  174     ISSN:  0025-729X     ISO Abbreviation:  Med. J. Aust.     Publication Date:  2001 May 
Date Detail:
Created Date:  2001-06-01     Completed Date:  2001-06-14     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  0400714     Medline TA:  Med J Aust     Country:  Australia    
Other Details:
Languages:  eng     Pagination:  439-44     Citation Subset:  IM    
Alfred Hospital, Melbourne, VIC.
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MeSH Terms
Angiotensin-Converting Enzyme Inhibitors / therapeutic use
Australia / epidemiology
Cardiac Output, Low / diagnosis*,  drug therapy,  epidemiology
Data Collection
Family Practice*
Middle Aged
Rural Population
Urban Population
Reg. No./Substance:
0/Angiotensin-Converting Enzyme Inhibitors
Comment In:
Med J Aust. 2001 May 7;174(9):432-3   [PMID:  11386583 ]

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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