%0 Journal Article %T Adherence to treatment guidelines in the pharmacological management of chronic heart failure in an Australian population
%A Yao Dao-Kuo %A Wang Le-Xin %A Curran Shane %A Ball Patrick %A
%J 老年心脏病学杂志(英文版) %D 2011 %I Science Press %X Background To document the pharmacotherapy of chronic heart failure (CHF) and to evaluate the adherence to treatment guidelines in Australian population.Methods The pharmacological management of 677 patients (female 46.7%,75.5±11.6 years) with CHF was retrospectively analyzed.Results The use of angiotensin converting enzyme (ACE) inhibitors/angiotensin receptor blockers (ARB) and fl-blockers were 58.2%and 34.7%,respectively.Major reasons for non-use of ACE inhibitors/ARBs were hyperkalemia and elevated serum creatimne level.For patients who did not receive β-blockers,asthma and chronic obstructive pulmonary disease were the main contraindications.Treatment at or above target dosages for ACE inhibitors/ARBs and β-blockers was low for each medication (40.3% and 28.9%,respectively).Conclusions Evidenced-based medical therapies for heart failure were under used in a rural patient population.Further studies are required to develop processes to improve the optimal use of heart failure medications. %K heart failure %K ACE inhibitors %K angiotensin receptor %K β-blockers %K prognosis
%U http://www.alljournals.cn/get_abstract_url.aspx?pcid=A9DB1C13C87CE289EA38239A9433C9DC&cid=AD36F34DDC3BA7B0&jid=4DC702B3A2386A4814E2FF9CFB799B27&aid=53D1930C2BB9CC71E813FEC4BAA5FFBA&yid=9377ED8094509821&vid=5D311CA918CA9A03&iid=0B39A22176CE99FB&sid=7E8E8B150580E4AB&eid=08805F9252973BA4&journal_id=1671-5411&journal_name=Journalofgeriatriccardiology:JGC&referenced_num=0&reference_num=21