呼吸困难诊所和初级保健医生合作鉴定社区中保留射血分数的心力衰竭:来自前桥市心衰项目的结果

IF 2.5 3区 医学 Q2 CARDIAC & CARDIOVASCULAR SYSTEMS
Naoki Yuasa, Satoshi Ubukata, Ryo Takayanagi, Eiji Yamashita, Keiji Hoshino, Yuta Tani, Takashi Kawashima, Hideki Ishii, Masaru Obokata
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引用次数: 0

摘要

背景:尽管在一般实践中意识越来越高,但由于诊断困难,保留射血分数的心力衰竭(HFpEF)在社区中仍未得到充分诊断。专门的呼吸困难诊所负责诊断HFpEF,初级保健医生的有效转诊是增强其作用的关键。方法:回顾性分析我们的呼吸困难门诊与前桥医学会为期一年的合作项目的有效性。鼓励初级保健医生筛查有HFpEF风险的患者,并将他们转介到呼吸困难诊所,在那里使用运动应激超声心动图来增强HFpEF的识别。为了评估该项目的临床价值,将获得的数据与前一年的数据进行比较。结果:合作项目时间为2023年5月至2024年5月。在合作期间,来自城市的患者转诊率从前一年的47% %增加到87% % (p )。结论:这些数据表明,通过专门的呼吸困难诊所和初级保健医生之间的合作,我们的方法在社区中识别HFpEF是有效的。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Collaboration between dyspnea clinic and primary care physicians to identify heart failure with preserved ejection fraction in the community: Results from the Maebashi City HF project.

Background: Despite increasing awareness in general practice, heart failure with preserved ejection fraction (HFpEF) remains under-diagnosed in the community due to diagnostic difficulties. Dedicated dyspnea clinics are responsible for diagnosing HFpEF and efficient referral from primary care physicians is the key to enhance its role.

Methods: This retrospective analysis was performed to assess the effectiveness of a one-year collaborative project between our dyspnea clinic and the Maebashi Medical Association. Primary care physicians were encouraged to screen patients at risk for HFpEF and refer them to the dyspnea clinic, where exercise stress echocardiography was utilized to enhance the identification of HFpEF. To evaluate the clinical value of the project, the data obtained were compared with data from the previous year without collaboration.

Results: The collaborative project was conducted between May 2023 and May 2024. The rate of patients referred from the city increased from 47 % during the previous year to 87 % during the collaborative period (p < 0.0001). Most of the patients were referred by non-cardiologists (77 %). The prevalence of HFpEF diagnosis tended to increase from 32 % to 39 % after the collaborative project, while pulmonary causes of dyspnea tended to decrease from 21 % to 12 %. After a thorough evaluation at the dyspnea clinic, 98 % of referred patients were referred back to their referring physicians for further treatment and follow-up.

Conclusions: These data suggest the effectiveness of our approach to identify HFpEF in the community through collaboration between the dedicated dyspnea clinic and primary care physicians.

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来源期刊
Journal of cardiology
Journal of cardiology CARDIAC & CARDIOVASCULAR SYSTEMS-
CiteScore
4.90
自引率
8.00%
发文量
202
审稿时长
29 days
期刊介绍: The official journal of the Japanese College of Cardiology is an international, English language, peer-reviewed journal publishing the latest findings in cardiovascular medicine. Journal of Cardiology (JC) aims to publish the highest-quality material covering original basic and clinical research on all aspects of cardiovascular disease. Topics covered include ischemic heart disease, cardiomyopathy, valvular heart disease, vascular disease, hypertension, arrhythmia, congenital heart disease, pharmacological and non-pharmacological treatment, new diagnostic techniques, and cardiovascular imaging. JC also publishes a selection of review articles, clinical trials, short communications, and important messages and letters to the editor.
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