Results of Russian Hospital Chronic Heart Failure Registry in Three Subjects of Russian Federation

• DOI: 10.18565/cardio.2015.10.5-13
• Publication Date: 2015-11-11T03:58:00Z
• Authors: M.Yu. Sitnikova S...; E.A. Lyasnikova L...; A.V. Yurchenko Yu...; M.A. Trukshina Tr...; R.A. Libis Libis; V.Yu. Kondratenko...; D.V. Duplyakov Du...; S.M. Khokhlunov K...; E.V. Shlyakhto Sh...
• Keywords: 03 medical and health sciences; 0302 clinical medicine; 3. Good health

Aim of the RUssian hoSpital Heart Failure Registry (RUS-HFR) was to analyze clinical and epidemiological characteristics, application modern drug non-drug therapy among hospitalized patients with systolic chronic heart failure (CHF) in 3 subjects Russian Federation.We conducted a prospective multicenter observational study cardiological centers (Petersburg, Orenburg, Samara) which we recruited aged 18-75 years left ventricular ejection fraction less or equal 40% without ongoing myocardial infarction pulmonary thromboembolism.Between October 2012 June 2014 included 524 (mean age 60 years, >79% men) mostly NYHA class III CHF. Main etiological factors were ischemic disease arterial hypertension, not corrected by time admission 20-40.7% patients. Portions who had undergo revascularization, surgery because valvular defects, implantation permanent pacemaker including device for cardiac resynchronizing 11-41, 0-4, 0-19.5%, respectively. In up 25% one main medications diuretic initiated after hospitalization. At discharge 82.3-8.3, 76.3-95.8, 65.9-81.1, 80.7-94.6% received ACEI/ARB, -adrenoblockers, MRA, therapy, Implantation cardioverter ICD/CRT, ICD transplantation considered indicated 0-21.2 0-6.6% patients, Duration hospitalization 26+/-14, 15+/-10, 13+/-5 bed-days Petersburg, Samara, respectively.Compared data obtained 10 earlier portrait patient general remained unchanged. However portion undergone cardio-surgical electrophysiological interventions became tangible, numbers receiving MRA comparable those European registries. Significant deviations from guidelines on revealed at prehospital stage; high-technology methods insufficiently often recommended participating hospitals. Portion hospitalizations related acute decompensation 5-37%, while duration such as well CHF significantly exceeded this parameter EU USA. Absence obligatory prior part RUS-HF raises questions correction compliance creation system specialized ambulatory surveillance hospital.