A real-world perspective on the prevalence and treatment of heart failure with a reduced ejection fraction but no specific or only mild symptoms

Verfasser / Beitragende:
[Farzin Beygui, Manuel Anguita, Ulrich Tebbe, Josep Comin-Colet, Michel Galinier, Peter Bramlage, Eva Turgonyi, Katharina Lins, Lynda Imekraz, Trinidad de Frutos, Michael Böhm]
Ort, Verlag, Jahr:
2015
Enthalten in:
Heart Failure Reviews, 20/5(2015-09-01), 545-552
Format:
Artikel (online)
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024 7 0 |a 10.1007/s10741-015-9496-5  |2 doi 
035 |a (NATIONALLICENCE)springer-10.1007/s10741-015-9496-5 
245 0 2 |a A real-world perspective on the prevalence and treatment of heart failure with a reduced ejection fraction but no specific or only mild symptoms  |h [Elektronische Daten]  |c [Farzin Beygui, Manuel Anguita, Ulrich Tebbe, Josep Comin-Colet, Michel Galinier, Peter Bramlage, Eva Turgonyi, Katharina Lins, Lynda Imekraz, Trinidad de Frutos, Michael Böhm] 
520 3 |a Heart failure (HF) is commonly described according to the severity of symptoms, using the New York Heart Association (NYHA) classification, and the assessment of ventricular function, by measuring the left ventricular ejection fraction (LVEF). It is important to acknowledge, however, that the severity of symptoms does not systematically correlate with the level of ventricular systolic dysfunction. Patients with no or only mild symptoms are still at high risk of HF-related morbidity and mortality. The objective of this review was to summarize the prevalence, characteristics, and treatment of patients with chronic HF and mild or no symptoms and to review epidemiological data from three recent registries conducted in Europe. From a clinical practice perspective, patients with a reduced ejection fraction who have only mild symptoms appear to represent a group of patients for whom the provision of adequate medical care is yet to be optimized. While prescription of angiotensin-converting enzyme inhibitors, angiotensin receptor blockers, and beta-blockers appears to be consistently high, the use of mineralocorticoid receptor antagonists is more variable and does not appear to be in accordance with the latest clinical guidelines. As approximately half of patients with HF and a reduced LVEF have NYHA class II symptoms, significant reductions in morbidity and mortality could be achieved by more comprehensive treatment of this population. 
540 |a Springer Science+Business Media New York, 2015 
690 7 |a Heart failure  |2 nationallicence 
690 7 |a NYHA II  |2 nationallicence 
690 7 |a Pharmacotherapy  |2 nationallicence 
690 7 |a Ejection fraction  |2 nationallicence 
700 1 |a Beygui  |D Farzin  |u Department of Cardiology, University Hospital of Caen Basse-Normandie, Caen, France  |4 aut 
700 1 |a Anguita  |D Manuel  |u Cardiology, Heart Failure and Transplant Program, Hospital University Reina Sofia, Cordoba, Spain  |4 aut 
700 1 |a Tebbe  |D Ulrich  |u Abteilung für Kardiologie, Angiologie und Intensivmedizin, Klinikum Lippe-Detmold, Detmold, Germany  |4 aut 
700 1 |a Comin-Colet  |D Josep  |u Heart Diseases Biomedical Research Group, IMIM (Hospital del Mar Medical Research Institute), Barcelona, Spain  |4 aut 
700 1 |a Galinier  |D Michel  |u Department of Cardiology A, University Hospital of Toulouse - Rangueil Hospital, Toulouse, France  |4 aut 
700 1 |a Bramlage  |D Peter  |u Institute for Pharmacology and Preventive Medicine, Menzelstrasse 21, 15831, Mahlow, Germany  |4 aut 
700 1 |a Turgonyi  |D Eva  |u Pfizer Ltd., Dorking Rd, KT20 7NS, Tadworth, UK  |4 aut 
700 1 |a Lins  |D Katharina  |u Pfizer Ltd., Dorking Rd, KT20 7NS, Tadworth, UK  |4 aut 
700 1 |a Imekraz  |D Lynda  |u Pfizer France, Paris, France  |4 aut 
700 1 |a de Frutos  |D Trinidad  |u Pfizer Spain SLU, Madrid, Spain  |4 aut 
700 1 |a Böhm  |D Michael  |u Klinik für Innere Medizin III, Universitätsklinikum des Saarlandes, Homburg, Saar, Germany  |4 aut 
773 0 |t Heart Failure Reviews  |d Springer US; http://www.springer-ny.com  |g 20/5(2015-09-01), 545-552  |x 1382-4147  |q 20:5<545  |1 2015  |2 20  |o 10741 
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950 |B NATIONALLICENCE  |P 700  |E 1-  |a Beygui  |D Farzin  |u Department of Cardiology, University Hospital of Caen Basse-Normandie, Caen, France  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Anguita  |D Manuel  |u Cardiology, Heart Failure and Transplant Program, Hospital University Reina Sofia, Cordoba, Spain  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Tebbe  |D Ulrich  |u Abteilung für Kardiologie, Angiologie und Intensivmedizin, Klinikum Lippe-Detmold, Detmold, Germany  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Comin-Colet  |D Josep  |u Heart Diseases Biomedical Research Group, IMIM (Hospital del Mar Medical Research Institute), Barcelona, Spain  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Galinier  |D Michel  |u Department of Cardiology A, University Hospital of Toulouse - Rangueil Hospital, Toulouse, France  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Bramlage  |D Peter  |u Institute for Pharmacology and Preventive Medicine, Menzelstrasse 21, 15831, Mahlow, Germany  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Turgonyi  |D Eva  |u Pfizer Ltd., Dorking Rd, KT20 7NS, Tadworth, UK  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Lins  |D Katharina  |u Pfizer Ltd., Dorking Rd, KT20 7NS, Tadworth, UK  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Imekraz  |D Lynda  |u Pfizer France, Paris, France  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a de Frutos  |D Trinidad  |u Pfizer Spain SLU, Madrid, Spain  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Böhm  |D Michael  |u Klinik für Innere Medizin III, Universitätsklinikum des Saarlandes, Homburg, Saar, Germany  |4 aut 
950 |B NATIONALLICENCE  |P 773  |E 0-  |t Heart Failure Reviews  |d Springer US; http://www.springer-ny.com  |g 20/5(2015-09-01), 545-552  |x 1382-4147  |q 20:5<545  |1 2015  |2 20  |o 10741