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  1. Open access echocardiography in management of heart failure in the community.

    Article - En anglais

    Objective

    To assess the value of an open access echocardiography service.

    Design-Study of new open access service for general practitioners, who were invited to refer patients taking diuretics for suspected heart failure, untreated patients with symptoms of possible heart failure, and asymptomatic patients with risk factors for left ventricular systolic dysfunction.

    Setting-Regional cardiology centre

    Subjects-259 consecutive patients.

    Main outcome measures-Presence or absence of left ventricular systolic dysfunction and consequent changes in clinical management.

    Results

    119 treated patients, 99 untreated patients, and nine asymptomatic patients were referred over five months. 32 were considered to be inappropriately referred.

    Among the treated patients, 31 had impaired left ventricular systolic function and five had valvular disease ; angiotensin converting enzyme inhibitors were recommended for 34 of these patients.

    In addition, 53 were thought not to need diuretics.

    Eight untreated patients had impaired systolic function and six valvular disease.

    Conclusions-The service was well used by general practitioners and led to advice to change management in more than two thirds of patients.

    Mots-clés Pascal : Fonction ventriculaire gauche, Echocardiographie, Exploration ultrason, Diagnostic, Traitement, Homme, Angleterre, Insuffisance cardiaque, Appareil circulatoire pathologie, Cardiopathie, Grande Bretagne, Royaume Uni, Europe

    Mots-clés Pascal anglais : Left ventricle performance, Echocardiography, Sonography, Diagnosis, Treatment, Human, England, Heart failure, Cardiovascular disease, Heart disease, Great Britain, United Kingdom, Europe

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 95-0207841

    Code Inist : 002B30A04A. Création : 09/06/1995.