Author/Editor		Lainščak, Mitja; Kerbev, Mateja; Horvat, Alojz; Benko, Davorin; Klančnik-Gruden, Maja; Keber, Irena
Title		Rezultati raziskave "Euroheart failure" v Sloveniji: značilnosti in diagnostična obravnava bolnikov, bolnišnično zdravljenih zaradi srčnega popuščanja
Translated title		Results of "Euroheart failure" survey in Slovenia: characteristics and diagnostic procedures in hospitalised heart failure patients
Type		članek
Source		Zdrav Vestn
Vol. and No.		Letnik 73, št. 3
Publication year		2004
Volume		str. 117-21
Language		slo
Abstract		Background. In years 2000-1 European Society of Cardiology performed an »EuroHeart Failure« Survey in 24 European countries, including Slovenia. The aim of the survey was to determine the characteristics, diagnostic and therapeutic management of patients, hospitalised for heart failure. Methods. In the prospective survey medical records of all patients admitted during six weeks of April and May 2000 to the University Medical Centre, Internal Medicine Clinic, and Internal medicine departments of General Hospitals Murska Sobota and Slovenj Gradec were screened. Only patients with diagnosis of heart failure on discharge or death were included. Results. Out of 1351 screened we included 358 patients (52% males), aged 73 ± 12 years. Hospitalization index was first hospitalization for heart failure in 41% of patients. On admission, 84% of patients presented with signs of heart failure, 68% were in New York Heart Association class III, and 28% in class IV. Myocardial infarction was recorded in 22% angina pectoris in 34%, arterial hypertension in 46% Diabetes mellitus in 34% respiratory disease in 34%, and renal failure in 28% of patients. During hospitalization (11.6± 8.1 days), 11% of patients died and during 12 weeks after discharge additional 7% of them. 26% of patients were rehospitalized in twelve weeks after discharge. Almost all patients had electrocardiogram, chest X-ray and results of basic laboratory tests (full blood count, electrolytes, creatinine). Echocardiography report was found in 57% of patients. Systolic dysfunction was present in 70% of investigations. Conclusions. Heart failure is very common in internal medicine patients. Short term prognosis is gloomy with frequent rehospitalizations.
Summary		Izhodišča. Evropsko kardiološko združenje je v letih 2000-2001 v 24 evropskih državah izvedlo raziskavo "EuroHeart Failure" Survey. Njen cilj je bil ugotoviti, kakšne so značilnosti bolnikov, ki so bolnišnično zdrav jeni zaradi srčnega popuščanja, ter kakšna sta njihova diagnostična obravnava in zdravljenje. V raziskavi je sodelovala tudi Slovenija. Metode. Raziskava je bila prospektivna. V obdobju 6 tednov v aprilu in maju 2000 smo pregledali bolnišnično dokumentacijo vseh sprejetih bolnikov na Interni kliniki Kliničnega centra Ljubljana ter na internih oddelkih Splošne bolnišnice Murska Sobota in Splošne bolnišnice Slovenj Gradec. V raziskavo smo vključili bolnike z diagnozo srčnega popuščanja ob odpustu ali smrti. Rezultati. Od 1351 sprejetih se je zaradi srčnega popuščanja zdravilo 358 bolnikav, starih 73 ± 12 let, med njimi je bilo 52% moških. Prvič je bilo hospitaliziranih 41% bolnikov. Ob sprejemu so bili znaki srčnega popuščanja izraženi pri 84% bolnikov. Po klasifikaciji Newyorškega združenja za srce (NYHA) je bilo v funkcijskem razredu III 68%, v IV. pa 28% bolnikov. Srčni infarkt je prebolelo 22% bolnikov, angino pektoris je imelo 34% in arterijsko hipertenzijo 46% bolnikov. Najpogostejše soobolevnosti so bile sladkorna bolezen pri 34%, bolezni dihal pri 34% in ledvična odpoved pri 28% bolnikov. Bolnišnično zdravljenje je povprečno trajalo 11,6 ± 8,1 dneva. Med bolnišničnim zdravljenjem je umrlo 11%, v 12 tednih po odpustu pa še 7% bolnikov. V istem obdobju je bilo v bolnišnico ponovno sprejetih 26% bolnikov. Med diagnostičnimi preiskavami so bili elektrokardiogram, rentgenogram srca in pljuč in osnovne laboratorijske preiskave (krvna slika, elektroliti, dušični retenti) opravljeni pri domala vseh bolnikih. Izvid ultrazvočne preizkave srca je imelo 57% bolnikov. Med temi je bila sistolična disfunkcija ugotovljena pri 70%. (Izvleček prekinjen pri 2000 znakih).
Descriptors		HEART FAILURE, CONGESTIVE HOSPITALIZATION LENGTH OF STAY MYOCARDIAL INFARCTION ANGINA PECTORIS HYPERTENSION DIABETES MELLITUS ELECTROCARDIOGRAPHY ECHOCARDIOGRAPHY PROSPECTIVE STUDIES SLOVENIA EUROPE