Experience of introducing a new form of organization of medical care for patients with heart failure in the Russian Federation

• DOI: 10.18087/cardio.2021.3.n1005
• Publication Date: 2021-04-14T06:59:49Z
• Authors: I. V. Fomin; N. G. Vinogradova; D. S. Polyakov; V. A. Pogrebetskaya
• Keywords: Peripheral edema; Palpitations

Aim To present clinical characteristics of patients after hospitalization for acute decompensated heart failure (ADHF) and to analyze hemodynamic indexes compliance with the treatment at two years depending on conditions outpatient follow-up. Material methods The study included 942 chronic (CHF) older than 18 who had been hospitalized ADHF. Based patients’ decisions, groups were isolated: continued follow-up Center CHF (CCHF) (group 1, n=510) in multidisciplinary clinics (OMC) their place residence 2, n=432). portrait was evaluated ADHF, parameters discharge from hospital. Also, patient analyzed during Statistical analysis performed Statistica 7.0 Windows. Results leading causes arterial hypertension, ischemic disease, atrial fibrillation, type 2 diabetes mellitus. With mean duration 11 inpatient days, 88.1 % 88.4 1 discharged complaints shortness breath; 62 70.4 complained palpitations; 73.6 71.8 general weakness. On hospital, following obvious signs congestion remained: peripheral edema 54.3 57.9 %; pulmonary rales 28.8 32.4 orthopnea 21.4 26.2 cough 16,5 15.5 respectively. For time hospitalization, did not achieve targets systolic BP (SBP), diastolic (DBP) rate (HR). Patients group achieved recommended values SBP, DBP HR already one year CCHF. no significant changes indexes. At follow-up, showed a considerable impairment basis therapy compared 1. Conclusions During short period (11 days), retained pronounced symptoms HF targets. followed up long CCHF more compliant therapy, which resulted improvement indexes, managed OMS residence.