Analysis of chronic heart failure among hospitalized veteran cadres
10.3969/j.issn.1009-0754.2016.06.002
- VernacularTitle:某医院住院军队老干部慢性心力衰竭情况分析
- Author:
Feng ZHAO
1
;
Yan CHEN
;
Jianbo SHI
;
Jundi YAO
Author Information
1. 解放军第四一一医院
- Keywords:
Veteran cadre;
Chronic heart failure;
Retrospective analysis
- From:
Journal of Navy Medicine
2016;37(6):484-486
- CountryChina
- Language:Chinese
-
Abstract:
Objective To make a retrospective investigation on the diagnosis and treatment of the chronic heart failure ( CHF) among hospitalized veteran cadres , so as to provide scientific evidence for the development of health protection policies against the disease.Methods Totally, the medical records of 201 veteran cadres admitted into our hospital for treatment of CHF from 2006-2015 were collected , and then the causes , inducing factors , diagnosis and treatment of the disorder were analyzed statistically .Results The sequence of the causes of CHF was:coronary heart disease (36.8%), hypertensive heart disease (31.3%), diabetic cardiomyop-athy (12.9%), chronic pulmonary heart disease (10.4%) and other factors (9.5%).The sequence of the inducing factors was:in-fection (28.4%), arrhythmia (23.4%), poor treatment compliance (17.9%), myocardial ischemia (13.9%), poor control of blood pressure (9.9%), and other factors (6.5%).The level of NT-proBNP for the patients of the 86-95 age group was significantly high-er than that of the 76-85 age group, and the NT-proBNP level of the 76-85 age group was significantly higher than that of the 66-75 age group.The level of LVEF in the 86-95 age group was significantly higher than that of the 76-85 age group, and the level of LVEF in the 76-85 age group was significantly lower than that of the 66-75 age group .The medication of digitalis , ACEI/ARB, beta blockers and spironolactone drugs accounted for 50.2%, 49.3%, 47.8% and 45.8% respectively.Conclusion With regard to the prevention and treatment of CHF in the veteran cadres , special attention should be paid to the control of the pathogenic causes and indu -cing factors, the standardization of treatment , as well as comprehensive management of the disorder outside hospital .
