| Diagnosis of heart failure in elderly patients in primary care. | |
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MedLine Citation:
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PMID: 11163739 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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BACKGROUND: Heart failure is difficult to diagnose in a primary care setting with a reported false positive diagnosis in up to 70% of cases. Aims: To use echocardiography in a large rural practice to evaluate the accuracy of diagnosis of heart failure in patients over 65 years of age. METHODS: Sixty patients with a previous diagnosis of heart failure were selected at random from the practice records and were invited to attend for an echocardiogram at the practice premises. RESULTS: Fifty-eight patients attended, the age was 81+/-7 years, 29% had impaired left ventricular (LV) systolic function of whom 65% were in atrial fibrillation. A further 7% had isolated diastolic LV dysfunction. The prevalence of heart failure by clinical assessment was 29 per 1000 in this patient group and 9 per 1000 when echocardiography was used to confirm the diagnosis. CONCLUSION: True heart failure in this population is less prevalent than has been estimated from practice records. |
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Authors:
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A Owen; S Cox |
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Publication Detail:
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Type: Journal Article; Research Support, Non-U.S. Gov't |
Journal Detail:
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Title: European journal of heart failure Volume: 3 ISSN: 1388-9842 ISO Abbreviation: Eur. J. Heart Fail. Publication Date: 2001 Jan |
Date Detail:
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Created Date: 2001-02-22 Completed Date: 2001-04-26 Revised Date: 2011-06-08 |
Medline Journal Info:
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Nlm Unique ID: 100887595 Medline TA: Eur J Heart Fail Country: Netherlands |
Other Details:
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Languages: eng Pagination: 79-81 Citation Subset: IM |
Affiliation:
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Department of Cardiology, Kent & Canterbury Hospital, Canterbury, CT1 3LP, Kent, UK. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Aged Aged, 80 and over Echocardiography England / epidemiology Female Heart Failure / epidemiology, ultrasonography* Humans Male Prevalence Primary Health Care* Rural Population |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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