Angiotensin-Converting Enzyme Inhibitor Use in Elderly Patients Hospitalized with Heart Failure and Left Ventricular Systolic Dysfunction

Angiotensin-Converting Enzyme Inhibitor Use in Elderly Patients Hospitalized with Heart Failure and Left Ventricular Systolic Dysfunction

Purpose: Although angiotensin-converting enzyme (ACE) inhibitors are recommended for all patients with systolic heart failure, prior studies suggest that elderly cohorts are less likely to receive such therapy. The purpose of this study was to determine the age dependence of adherence to guideline-b...

Ausführliche Beschreibung

Gespeichert in:
Bibliographische Detailangaben
Veröffentlicht in:Cardiology 2005-01, Vol.103 (1), p.17-23
Hauptverfasser: Rangaswamy, Chandhiran, Finn, Jeannine I., Koelling, Todd M.
Format: Artikel
Sprache:eng
Schlagworte:
Age Distribution
Aged
Aged, 80 and over
Angiotensin Receptor Antagonists
Angiotensin-Converting Enzyme Inhibitors - therapeutic use
Benchmarking
Captopril - therapeutic use
Cohort Studies
Contraindications
Creatinine - blood
Dose-Response Relationship, Drug
Drug Utilization - statistics & numerical data
Enzymes
Female
General Cardiology
Guideline Adherence
Heart failure
Heart Failure - drug therapy
Heart Failure - epidemiology
Hospital Mortality
Hospitalization
Humans
Hypertension - epidemiology
Inhibitor drugs
Long-Term Care
Male
Middle Aged
Multivariate Analysis
Older people
Patients
United States - epidemiology
Vasodilator Agents - therapeutic use
Ventricular Dysfunction, Left - drug therapy
Ventricular Dysfunction, Left - epidemiology
Online-Zugang:Volltext
Tags: Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
Beschreibung
Zusammenfassung:Purpose: Although angiotensin-converting enzyme (ACE) inhibitors are recommended for all patients with systolic heart failure, prior studies suggest that elderly cohorts are less likely to receive such therapy. The purpose of this study was to determine the age dependence of adherence to guideline-based medical care in hospitalized heart failure patients. Methods: We performed a multicenter observational cohort study including 613 patients admitted to participating hospitals with a primary diagnosis of heart failure with ejection fraction ≤40%. This cohort was divided into four age groups (group 1:
ISSN:0008-6312
1421-9751
DOI:10.1159/000081847