| Factors precipitating congestive heart failure--role of patient non-compliance. | |
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MedLine Citation:
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PMID: 10999123 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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OBJECTIVE: This study was aimed to identify systematically the precipitating factors causing decompensation of heart failure and subsequent hospitalisation. We specially assessed the role of patient non-compliance with therapy as an important precipitating factor for heart failure, since it has not been systematically studied previously in an Indian setting where rheumatic heart disease is common. METHODS: In this cross-sectional analytical study, 125 cases of congestive heart failure hospitalized in Government Medical College, Nagpur, were studied. All the patients were thoroughly evaluated and investigated to identify the precipitating factors for heart failure. A patient was categorized as being non-compliant with therapy if he/she was consuming less than 80% prescribed drugs (assessed by pill count) or was non-compliant with dietary advice (assessed by an interviewer-administered questionnaire). RESULTS: Rheumatic heart disease was the commonest underlying heart disease (52.8%) followed by ischemic and/or hypertensive heart disease (27.2%). The most common precipitating factor was patient non-compliance with diet or drug therapy (49.6%) followed by arrhythmias (16.8%), uncontrolled hypertension (14.4%), infective endocarditis (13.6%), anemia (14.4%) and infections (11.2%). CONCLUSION: The results emphasize the importance of patient non-compliance with prescribed therapy as a leading precipitating factor for congestive heart failure in an Indian setting, which can be prevented by appropriate cost-effective strategies aimed to improve patient compliance. |
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Authors:
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P P Joshi; C J Mohanan; S P Sengupta; R G Salkar |
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Publication Detail:
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Type: Comparative Study; Journal Article |
Journal Detail:
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Title: The Journal of the Association of Physicians of India Volume: 47 ISSN: 0004-5772 ISO Abbreviation: J Assoc Physicians India Publication Date: 1999 Mar |
Date Detail:
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Created Date: 2000-10-11 Completed Date: 2000-10-11 Revised Date: 2007-11-15 |
Medline Journal Info:
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Nlm Unique ID: 7505585 Medline TA: J Assoc Physicians India Country: INDIA |
Other Details:
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Languages: eng Pagination: 294-5 Citation Subset: IM |
Affiliation:
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Clinical Epidemiology Unit, Govt Medical College, Nagpur. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Causality Cross-Sectional Studies Evaluation Studies as Topic Female Heart Failure / drug therapy, epidemiology*, etiology* Humans India / epidemiology Male Patient Compliance Patient Education as Topic Prognosis Risk Assessment Risk Factors Sensitivity and Specificity Treatment Refusal / statistics & numerical data* |
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