Utilization and dosing of angiotensin-converting enzyme inhibitors for heart failure. Effect of physician specialty and patient characteristics.
Utilization and dosing of angiotensin-converting enzyme inhibitors for heart failure. Effect of physician specialty and patient characteristics.
复制标题
血管紧张素转换酶抑制剂治疗心力衰竭的利用和剂量。
DOI：
10.1046/j.1525-1497.1997.07110.x
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发表时间：
1997
影响因子：
5.7
通讯作者：
Lang,RM
中科院分区：
文献类型：
--
作者：
Chin,MH;Wang,JC;Zhang,JX;Lang,RM
为了确定医生的专业是否与心力衰竭患者中血管紧张素转换酶抑制剂的使用不足和剂量不足有关，我们回顾了城市学术医学中心214名收缩功能下降的门诊患者的图表。无论患者是由心脏科医生、全科医生还是两个专科的组合护理，大约75%的患者服用血管紧张素转换酶抑制剂。然而，只有大约60%的患者服用了在试验中被证明有效的剂量。在所有专科小组中，都需要强调适当的剂量。
To determine if physician specialty is associated with underutilization and underdosing of angiotensin-converting enzyme inhibitors among patients with heart failure, we reviewed the charts of 214 outpatients with decreased systolic function at an urban academic medical center. Regardless of whether patients were cared for by cardiologists, generalist physicians, or a combination of the two specialties, approximately 75% of the patients were taking an angiotensin-converting enzyme inhibitor. However, only approximately 60% of these patients were taking dosages proved to be efficacious in trials. Emphasis on adequate dosing is needed among all specialty groups.