Please use this identifier to cite or link to this item: https://hdl.handle.net/11499/9354
Title: Turkish registry for diagnosis and treatment of acute heart failure: TAKTIK study
Authors: Eren, M.
Zoghi, M.
Tuncer, M.
Çavuşoglu, Y.
Demirbag, R.
Şahin, M.
Serdar, O.A.
Onrat, Ersel
Mutlu, Haşim
Dursunoğlu, Dursun
Yılmaz, Mehmet Birhan
Temizhan, Ahmet
Keywords: Acute heart failure
Internet
Registry
Turkey
aldosterone antagonist
angiotensin receptor antagonist
beta adrenergic receptor blocking agent
digoxin
dipeptidyl carboxypeptidase inhibitor
inotropic agent
acute heart failure
adult
age
Article
cardiovascular mortality
cerebrovascular accident
cohort analysis
cold limb
crackle
data base
disease association
disease registry
drug use
electrocardiography
female
health survey
heart ejection fraction
heart failure with preserved ejection fraction
heart infarction
heart rate
hospital admission
hospital mortality
hospitalization
human
hypertension
major clinical study
male
middle aged
mortality rate
peripheral edema
physical examination
systolic blood pressure
treatment refusal
Turkey (republic)
valvular heart disease
acute disease
age distribution
aged
factual database
heart failure
questionnaire
register
survival analysis
Acute Disease
Age Distribution
Aged
Databases, Factual
Female
Heart Failure
Hospitalization
Humans
Male
Middle Aged
Registries
Surveys and Questionnaires
Survival Analysis
Publisher: Turkish Society of Cardiology
Abstract: Objective: The goal of this study was to develop a national database of patients hospitalized in Turkey with acute heart failure (AHF) using evaluations of diagnostic and therapeutic approaches. Methods: Patient data was collected using an Internet-based survey. Total of 588 patients were enrolled from 36 participating medical centers from across the country. Results: Mean age was 62±13 years and 38% of the patients were female. Ratio of de novo AHF to study cohort was 24%. Coronary heart disease and hypertension were found in 61% and 53% of the patients, respectively. Valvular heart disease was underlying cause in 46% of heart failure patients. Most frequent factor associated with decompensation was noncompliance with treatment, observed in 34% of patients. Systolic blood pressure was 125±28 mmHg and heart rate was 93±22 beats/minute in the cohort. Most common fndings on physical examination were inspiratory fne crackles (84%), peripheral edema (64%), and cold extremities in 34%. Mean ejection fraction (EF) measured at admission was 33±13%. Preserved EF (=%40) was present in 20% of patients. At admission, 60%, 46%, and 40% of patients were using angiotensin-converting enzyme inhibitor/angiotensin receptor blocker, beta-blocker, or aldosterone antagonist, respectively. Death, stroke, and myocardial infarction were reported with frequency of 3.4%, 1.6%, and 2%, respectively, as in-hospital events. Conclusion: Compared to some other research data collected around the world, AHF patients in Turkey were younger, more frequently had valvular heart disease as underlying cause, and were more noncompliant with medical treatment, but overall mortality was lower. Drugs shown to reduce mortality, and which also form the backbone of guideline-directed medical therapy, are still used inadequately. © 2016 Turkish Society of Cardiology.
URI: https://hdl.handle.net/11499/9354
https://doi.org/10.5543/tkda.2016.07572
ISSN: 1016-5169
Appears in Collections:PubMed İndeksli Yayınlar Koleksiyonu / PubMed Indexed Publications Collection
Scopus İndeksli Yayınlar Koleksiyonu / Scopus Indexed Publications Collection
Tıp Fakültesi Koleksiyonu
TR Dizin İndeksli Yayınlar Koleksiyonu / TR Dizin Indexed Publications Collection
WoS İndeksli Yayınlar Koleksiyonu / WoS Indexed Publications Collection

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