Insuficiência cardíaca com fração de ejeção preservada e com disfunção sistólica na comunidade

Abstract

SummaryBackground: In developed countries, heart failure with preserved ejection fraction (HFpEF) is more prevalent than heart failure with reduced ejection fraction (HFrEF) in the community. However, it has not been completely established if this fact is also observed within our community.

Perfil epidemiológico, clínico e terapêutico da insuficiência cardíaca em hospital terciário

“…When analyzing this study, it can be observed that the prevalence of DM (16.6%) was less significant, which can explain the lower occurrence of ischemic cardiomyopathy 19 .…”

“…The main guidelines for the management of HF 1,8,19,26 recommend, as the classic treatment, the sue of diuretics, ACEI or ARB and beta-blockers, but the etiology of HF and its intensity seem to influence the prescription of these drugs 13 .…”

Medida do átrio esquerdo em pacientes com suspeita de insuficiência cardíaca com fração de ejeção normal

“…The confirmation of the diagnosis required other echocardiographic measurements, such as the following: indexed LV mass > 122 g/m 2 , for women, and > 149 g/m 2 , for men; and ratio between early and late LV filing velocity (E/A ratio) lower than 0.5, with a deceleration time of the E wave greater than 280 m/s, for individuals over 50 years of age. In addition to the echocardiographic criteria, a BNP level greater than 200 pg/mL was also used.…”

“…Epidemiological studies on heart failure (HF) have confirmed that HF with preserved ejection fraction (HFPEF) is more prevalent than HF with reduced ejection fraction (HFREF) [1][2][3] . The pathophysiological model focuses on the presence of diastolic dysfunction, subsequent to abnormalities of relaxation or increased left ventricular (LV) stiffness, which retrogradely produces an elevation in the mean left atrial (LA) pressure, causing structural and functional changes in that chamber 4 …”

Anemia e insuficiência cardíaca na comunidade: comparação com um ambulatório especializado

“…The advantage of these studies is to obtain data from non-selected populations, differently from studies carried out in tertiary environments, where more severe patients are treated. A recent national study confirmed that, in the studied community, there was a predominance of HFNEF in relation to HFDEF 28 , which differs from what has been observed in Reference Services for HF.…”