Narodna in univerzitetna knjižnica, Ljubljana (NUK)
Naročanje gradiva za izposojo na dom
Naročanje gradiva za izposojo v čitalnice
Naročanje kopij člankov
Urnik dostave gradiva z oznako DS v signaturi
  • Primary care physicians beliefs concerning heart failure management : results of a cross-sectional survey = Prepričanja zdravnikov na primarni ravni o obravnavi srčnega popuščanja : rezultati presečne raziskave
    Lainščak, Mitja ; Keber, Irena
    Chronic heart failure (CHF) presents a growing challenge for general practitioners (GP). Sufficient evidence exists for diagnostic assessment and implementation of key therapies in patients with left ... ventricular systolic dysfunction. We aimed to assess beliefs about CHF management strategies among GP's in north-eastern Slovenia. In this cross sectional survey, 66 GP's from the Pomurje region were sent a structured questionnaire about their beliefs onCHF management. The completed questionnaire was returned by 35 GP's (53%). Most of the GP's would suspect heart failure in a patient presenting with typical symptoms and signs. Electrocardiogram (91%) was most frequently reported as a diagnostic procedure in a patient with suspicion of heart failure. In addition, 80% of GP's would refer many or all such patients for anechocardiography. The recognition of the brain natriuretic peptide was far less solid as only 37% of the GP's recognized the role of the serum level of BNP in the diagnosis of heart failure. Non-pharmacological measures would usually encompass general advice, whereas advice on physical activity, influenza vaccination, and avoidance of non-steroidal anti-inflammatory drugs would generally be neglected. Treatment with angiotensin converting enzyme inhibitors and diuretics is frequently considered by GP's. On the other hand, the use and up-titration of beta blockers and spironolactone would be considered in less than 50% of their CHF patients. A considerable gap between the guidelines and GP beliefs on the management of CHF exists. Systematic education of GP's should be encouraged.
    Vir: Slovenska kardiologija : znanstveno strokovna revija za področje srčno-žilne medicine. - ISSN 1581-8543 (Vol. 3, iss. 2, 2006, str. 96-101)
    Vrsta gradiva - članek, sestavni del
    Leto - 2006
    Jezik - angleški
    COBISS.SI-ID - 21963225

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