PRECIPITATING FACTORS LEADING TO DECOMPENSATION OF HEART-FAILURE - TRAITS AMONG URBAN BLACKS
PRECIPITATING FACTORS LEADING TO DECOMPENSATION OF HEART-FAILURE - TRAITS AMONG URBAN BLACKS
复制标题
DOI：
10.1001/archinte.148.9.2013
复制
发表时间：
1988-09-01
影响因子：
--
通讯作者：
FERLINZ, J
中科院分区：
文献类型：
--
作者：
GHALI, JK;KADAKIA, S;FERLINZ, J
在一家主要为工人阶级少数群体服务的大型公立医院，对101例患者进行了检查，以了解导致心脏失代偿和随后因心力衰竭住院的潜在诱发因素。百分之九十七的病人是黑人，他们的年龄是59岁。14岁（平均值±。SD）;平均而言，他们在前一年因心力衰竭相关问题住院三次。失代偿性心力衰竭的潜在诱发因素在93%的患者中被确定。不遵守规定的医疗方案是最常见的致病因素，在64%的病例中观察到;不遵守饮食占22%，药物占6%，药物和饮食的组合占37%。与住院相关的其他因素还有心律失常（29%）、情绪/环境问题（26%）、药物治疗构思不当（17%）、肺部感染（12%）和甲状腺毒症（1%）。因此，在至少三分之二的患者中，关键的预防措施必须围绕更好地遵守药物和/或饮食方案，突出强调了这样一个原则，即如果我们要尽量减少因失代偿性心力衰竭住院的人数，就必须加强患者教育。
Potential precipitating factors that led to cardiac decompensation and subsequent hospital admission for heart failure were examined in 101 patients in a large public hospital serving a predominantly working-class minority population. Ninety-seven percent of patients were black; their age was 59 .+-. 14 years (mean .+-. SD); on average they were hospitalized three times in the preceding year for problems related to their heart failure. Potential precipitating factors for decompensated heart failure were identified in 93% of patients. Lack of adherence to the prescribed medical regimen was the most commonly identified causative factor and was noted in 64% of the cases; noncompliance with diet amounted to 22%, with drugs to 6%, and with the combination of drugs and diet to 37%. Other factors also related to hospitalization were cardiac arrhythmias (29%), emotional/environmental issues (26%), inadequately conceived drug therapy (17%), pulmonary infections (12%), and thyrotoxicosis (1%). Thus the key preventive measure necessary in at least two thirds of patients centered around better adherence to drug and/or diet regimen, highlighting the precept that better patient education is mandatory if we are to minimize the number of hospital admissions for decompensated heart failure.