Manejo de los pacientes con insuficiencia cardiaca atendidos en la consulta de cardiología : Estudio IC-BERG
Barrios, V. (Hospital Universitario Ramón y Cajal (Madrid))
Escobar, Carlos (Hospital Universitario La Paz (Madrid))
Ortiz Cortés, C. (Hospital San Pedro de Alcántara)
Cosín-Sales, Juan (Hospital Arnau de Vilanova (València))
Pascual Figal, D.A. (Hospital Clínico Universitario Virgen de la Arrixaca (El Palmar, Múrcia))
Garcia-Moll, Xavier (Institut d'Investigació Biomèdica Sant Pau)
Universitat Autònoma de Barcelona

Date:	2020
Abstract:	To determine the perception and management of heart failure with reduced ejection fraction (HFrEF) by clinical cardiologists and to establish a consensus with recommendations. We employed the modified Delphi method among a panel of 150 experts who answered a questionnaire that included three blocks: definition and perception of patients with «stable» HFrEF (15 statements), management of patients with «stable» HFrEF (51 statements) and recommendations for optimising the management and follow-up (9 statements). The level of agreement was assessed with a Likert 9-point scale. A consensus of agreement was reached on 49 statements, a consensus of disagreement was reached on 16, and 10 statements remained undetermined. There was consensus regarding the definition of «stable» HF (82%), that HFrEF had a silent nature that could increase the mortality risk for mildly symptomatic patients (96%) and that the drug treatment should be optimised, regardless of whether a patient with HFrEF remains stable in the same functional class (98. 7%). In contrast, there was a consensus of disagreement regarding the notion that treatment with an angiotensin receptor-neprilysin inhibitor is justified only when the functional class worsens (90. 7%). Our current understanding of «stable» HF is insufficient, and the treatment needs to be optimised, even for apparently stable patients, to decrease the risk of disease progression.
Rights:	Aquest document està subjecte a una llicència d'ús Creative Commons. Es permet la reproducció total o parcial, la distribució, la comunicació pública de l'obra i la creació d'obres derivades, fins i tot amb finalitats comercials, sempre i quan es reconegui l'autoria de l'obra original.
Language:	Castellà
Document:	Article ; recerca ; Versió publicada
Subject:	Atención primaria ; Cardiaca ; Cardiología ; Estable ; Insuficiencia ; Insuficiencia cardiaca ; Natriuréticos ; Péptidos
Published in:	Revista clínica española, Vol. 220 Núm. 6 (agosto 2020) , p. 339-349, ISSN 1578-1860

DOI: 10.1016/j.rce.2019.10.011
PMID: 32111439

11 p, 1.1 MB

The record appears in these collections:
Research literature > UAB research groups literature > Research Centres and Groups (research output) > Health sciences and biosciences > Institut de Recerca Sant Pau
Articles > Research articles
Articles > Published articles