Impact of lockdown on patients with congestive heart failure during the coronavirus disease 2019 pandemic.
Impact of lockdown on patients with congestive heart failure during the coronavirus disease 2019 pandemic.
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DOI：
10.1002/ehf2.13016
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发表时间：
2020-12
影响因子：
3.8
通讯作者：
Zeller M
中科院分区：
文献类型：
--
作者：
Chagué F;Boulin M;Eicher JC;Bichat F;Saint Jalmes M;Cransac-Miet A;Soudry-Faure A;Danchin N;Cottin Y;Zeller M
充血性心力衰竭 (CHF) 等心血管合并症改变了 2019 年冠状病毒病的病程。与疫情爆发和封锁相关的因素可能会加剧 CHF。我们分析了在封锁的第六周和第七周期间通过电话采访的 124 名随机选择的 CHF 门诊患者（平均年龄 71.0 ± 14.0 岁，60.5% 男性）的答案。大多数患者接受纽约心脏病协会 II 级治疗（38.7%）和射血分数降低的 HF（70.2%）。心理困扰（凯斯勒 6 分≥5）很常见（18.5%），21.8% 的人感觉比封锁前更糟。很少有患者 (n = 10) 调整心力衰竭药物的摄入量，并且始终按照医疗处方进行调整。体力活动减少很常见（41.9%），并且在女性（P = 0.025）和城市居民（P = 0.009）中更为常见。近一半的受访者 (46.0%) 表示增加了看屏幕的时间，但只有少数受访者表示饮酒量增加 (4.0%)。体重增加很常见（27.4%），44.4% 的当前吸烟者增加了烟草消费。遵守建议的盐或液体摄入限制的比例减少了 14.5%。据报道，心力衰竭症状有所增加（21.8%），并且女性的发病率往往高于男性（P = 0.074）。在大流行期间接受电话远程咨询的 23 名患者中，有 16 人最初计划进行面对面咨询，后来改为远程咨询。在封锁期间，CHF门诊患者普遍存在心理困扰和幸福感下降，而且不健康的生活方式有所增加。这些变化可能会对短期和长期预后产生负面影响。保持了药物依从性，并且通过使用远程医疗部分抵消了获得护理的限制。
Cardiovascular co‐morbidities like congestive heart failure (CHF) alter the course of coronavirus disease 2019. Factors associated with the outbreak and lockdown can exacerbate CHF. We analysed the answers of 124 randomly selected CHF outpatients (mean age 71.0 ± 14.0 years, 60.5% male) interviewed by phone during the sixth and seventh weeks of the lockdown. Most patients were treated for New York Heart Association class II (38.7%) and reduced ejection fraction HF (70.2%). Psychological distress (Kessler 6 score ≥ 5) was common (18.5%), and 21.8% felt worse than before the lockdown. Few patients (n = 10) adjusted their intake of HF medications, always on medical prescription. Decreased physical activity was common (41.9%) and more frequent in women (P = 0.025) and urban dwellers (P = 0.009). Almost half of respondents (46.0%) declared increased screen time, but only few declared more alcohol intake (4.0%). Weight gain was common (27.4%), and 44.4% of current smokers increased tobacco consumption. Adherence to recommended salt or fluid intake restrictions was reduced in 14.5%. Increase in HF symptoms was commonly reported (21.8%) and tended to be higher in women than in men (P = 0.074). Of the 23 patients who had a phone teleconsultation during the pandemic, 16 had initially planned an in‐person consultation that they switched for teleconsultation. During the lockdown, psychological distress and decreased well‐being were common in CHF outpatients, and there was an increase in unhealthy lifestyle behaviours. These changes may negatively impact short‐term and long‐term prognoses. Medication adherence was maintained, and limitations in access to care were partly counterbalanced by use of telehealth.
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影响因子：
120.7
作者：
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通讯作者：
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