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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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