Characteristics of in-hospital patients with chronic heart failure in Hubei province from 2000 to 2010
10.3760/cma.j.issn.0253-3758.2011.06.015
- VernacularTitle:湖北地区慢性心力衰竭住院患者病因分析及药物治疗现状
- Author:
Sheng-Bo YU
1
;
Hong-Ying CUI
;
Mu QIN
;
Bin KONG
;
Tao LIU
;
Qing-Yan ZHAO
;
He HUANG
;
Bo YANG
;
Cong-Xin HUANG
Author Information
1. 武汉大学人民医院
- Keywords:
Heart failure,congestive;
Drug therapy,combination;
Age;
Etiology
- From:
Chinese Journal of Cardiology
2011;39(6):549-552
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the current status of chronic heart failure (CHF) in Hubei province and analyze the epidemiology of CHF including the general condition, etiology and pharmacological therapy.Methods Data of in-hospital patients with CHF were investigated between 2000 and 2010 from 12 hospitals in Hubei Province. Inclusion criteria: over 18 years of age, organic heart disease and with the symptom of HF including dyspnea and fatigue. Patients with a history of myocardial infarction in the prior 12 months,congenital heart disease, pericardial disease and the history of cancer were excluded. Results (1) A total of 12 450 patients were enrolled (7166 male, 57.56%). The average age was (62.0±14.5) years. Patients in the scale of age ≥80, 70-79, 60-69, 50-59, 40-49 and ＜40 was 9.53%(1187/12 450), 30.80% (3835/12 450), 23.45% (2920/12 450), 18.81% (2342/12 450), 10.73% (1336/12 450) and 6.67% (830/12 450), respectively (P<0.01). The NYHA class Ⅰ,Ⅱ,Ⅲ and Ⅳ was 0.60%, 23.20%, 50.31% and 26.50%, respectively. (2) The age of patients was significant reduced from 2000-2003, 2004-2006 to 2007-2010 [(66.4±14.1) years, (64.9±14.4) years and (64.2±14.8) years, P<0.01]. (3) The major causes of CHF were hypertension (31.54%), coronary heart disease (28.24%), dilated cardiomyopathy (26.57%) and rheumatic valvular heart disease (17.49%). The most frequent etiology for CHF was rheumatic valvular heart disease in patients aged less than 40 years old, dilated cardiomyopathy in patients aged 40-49 and 50-59 years and hypertension in patients aged 60-69, 70-79 and ≥80 years. (4) Drug use was as follows: Digitalis (47.49%), diuretics (68.75%), ACEI (50.66%),β-blocker (44.06%) and aldosterone antagonist (53.08%). Use of digitalis (Wald χ2=903.41, P<0.01;r=0.271,P<0.01), diuretics (Wald χ2=818.05, P<0.01;r=0.249, P<0.01), aldosterone antagonists (Wald χ2=76.92, P<0.01;r=0.091, P<0.01) increased while the β-blocker (Wald χ2=160.65, P<0.01;r=-0.117,P<0.01) declined in proportion to NYHA class increase.Conclusions The age of in-hospital patients with CHF declined in the previous 10 years. The primary etiology was hypertension for aged CHF in-hospital patients with CHF. There was big gap between guideline recommended standard therapy and current drug use for in-hospital patients with CHF in Hubei province.
