Perfil clínico-demográfico e indicadores de qualidade da insuficiência cardíaca em uma área rural

Abstract

Background: data on heart failure (HF) in Brazil are ensued from tertiary centers. This information can not be extended to the rural population, for it reflects distinct social, economic and cultural characteristics.

Heart Failure Care in Low- and Middle-Income Countries: A Systematic Review and Meta-Analysis

“…Four studies involved both inpatient and outpatient data [22],[24],[26],[36], six studies referred solely to patients seen at outpatient clinics [27],[39],[61],[66],[67],[70], three studies described heart failure in primary care settings [62]–[64], and the remainder reported solely on inpatient populations. One study was a population-based assessment of the prevalence of heart failure in Turkey [63].…”

“…Diagnosis of heart failure was established according to the Framingham criteria [71] in 12 studies [21],[22],[24],[28]–[31],[42],[48],[55],[62],[70]. European Society of Cardiology guidelines were used in eight studies [25]–[27],[41],[50],[54],[60],[61], the Boston criteria [72] in three studies [39],[40],[47], and the American Heart Association guidelines in two studies [49],[53], and the diagnosis was left to the investigator's or examining physician's discretion in 26 studies ([19],[20],[23],[32]–[38],[43]–[46],[51],[52],[56]–[58],[64],[65],[67]–[69]; S. Rahimzadeh, F. Farzadfar F, and M. Ghaziani, unpublished data). One study diagnosed all cases of heart failure solely using echocardiography [59].…”

“…One study diagnosed all cases of heart failure solely using echocardiography [59]. Information on the use of additional investigative tools, including echocardiography, chest radiography, and electrocardiography, was provided in 28 studies [19]–[21],[24]–[26],[28],[31],[35],[39],[41]–[43],[46],[48]–[50],[51],[54],[56],[57],[59],[61],[63],[64],[66],[70],[73]. Of these, 14 studies performed echocardiography on all patients [19],[24]–[26],[28],[35],[46],[48],[53],[54],[59],[61],[63],[66].…”

“…Of these, 14 studies performed echocardiography on all patients [19],[24]–[26],[28],[35],[46],[48],[53],[54],[59],[61],[63],[66]. The mean left ventricular ejection fraction (LVEF) was documented in 18 studies, reporting data from Algeria [70], Egypt [70], Tunisia [70], Cameroon [24], Ethiopia [35], Sudan [35], Mozambique [35], Kenya [35], Uganda [35], Senegal [35], South Africa [25], Nigeria [26],[28], Brazil [19],[39],[42],[46],[66], Chile [41],[70], Colombia [70], Mexico [70], Romania [50], Serbia [61], Turkey [49], Iran [70], Lebanon [70], Indonesia [20], Thailand [52], and China [53]. Across all studies, mean LVEF was 40% (range: 27%–57%) (Table 8).…”

Comparative analysis of non-adherence to medication treatment for systemic arterial hypertension in urban and rural populations

“…Few studies in Brazil and around the world describe the adherence rates among hypertensive patients, especially in rural areas. Most investigations have been focused on the evaluation in urban centers and these data cannot be extended to rural areas, as populations have very different demographic characteristics, food and cultural habits, occupation types and access to health care ( 3 ) .…”