PROBLEMS AND SPECIFICITY OF DIAGNOSTICS OF ACUTE HEART FAILURE IN PATIENTS WITH INTERMEDIATE EJECTION FRACTION AT THE НОSPITAL STAGE
https://doi.org/10.24884/2072-6716-2018-0-1-16-19
Abstract
We analyzed ambulance diagnoses of patients with acute decompensation of heart failure with the background of the intermediate ejection fraction. In this category of patients acute decompensation of heart failure was diagnosed in-hospital, not associated with acute coronary syndrome, or other cardiological diseases. 78 variants of different diagnoses of referral of patients to the hospital at the prehospital stage were found, with a true diagnosis of acute decompensation of heart failure being established in only patients. All diagnoses were divided into 6 groups with the subsequent analysis of the causes of diagnostic errors.
About the Authors
E. G. SkorodumovaRussian Federation
V. A. Kostenko
Russian Federation
E. A. Skorodumova
Russian Federation
A. V. Rysev
Russian Federation
References
1. McMurray J.J., Adamopoulos S., Anker S. D. et al. ESC guidelines for the diagnosis and treatment of acute and chronic heart failure 2012: the Task Force for the Diagnosis and Treatment of Acute and Chronic Heart Failure 2012 of the European Society of Cardiology. Developed in collaboration with the Heart Failure Association (HFA) of the ESC // Eur. J. Heart Fail. 2012. N14. Р. 803–869.
2. Yancy C. W., Lopatin M., Stevenson L. W. et al. Clinical Presentation, Management and In-Hospital Outcomes of Patients Admitted With Acute Decompensated Heart Failure With Preserved Systolic Function. A Report From the Acute Decompensated Heart Failure Registry (ADHERE) Database // J. Am. Coll. Cardiol. 2006. N47. P. 76–84.
3. Lam C. S., Solomon S. D. The middle child in heart failure: heart failure with mid-range ejection fraction (40–50%) // European Journal of heart failure. 2014. Vol. 16, N10. P. 1049–1055.
4. He K. L., Burkhoff D., Leng W. X. et al. // Comparison of ventricular structure and function in Chinese patients with heart failure and ejection fractions >55% versus 40% to 55% versus <40% // Am. J. Cardiol. 2009. N103. P. 845–851.
5. Костенко В. А., Скородумова Е. А., Федоров А. Н. и др. Ошибки диагностики острой сердечной недостаточности на догоспитальном этапе // Скорая медицинская помощь. 2015. № 2. С. 16–19. [Kostenko V. А., Skorodumova E. A., Fedorov A. N. et al. Oshibki diagnostiki ostroj serdechnoj nedostatochnosti na dogospitalnom etape. Skoraya medicinskaya pomoshh, 2015, N2, рр. 16–19 (In Russ)].
6. Качаев Е. В., Бойков А. А., Парфенов В. Е. и др. Анализ расхождений диагнозов скорой медицинской помощи с клиническими диагнозами: учебно-методическое пособие / ГБУ «Санкт-Петербургский научно-исследовательский институт скорой помощи имени И. И. Джанелидзе», ГБУ ВПО Северо-Западный государственный медицинский университет им. И. И. Мечникова Министерства здравоохранения Российской Федерации, ГБУ ВПО «Санкт-Петербургский государственный медицинский университет им. академика И. П. Павлова» Министерства здравоохранения Российской Федерации, СПб ГБУЗ «Городская станция скорой медицинской помощи», МБУЗ Станция скорой медицинской помощи». Комсомольск-на-Амуре: ООО «Фирма «Стикс»; СПб., 2012. 96 с. [Kachaev E. V., Bojkov A. A., Parfenov V. E. et al. Analiz rasxozhdenij diagnozov skoroj medicinskoj pomoshhi s klinicheskimi diagnozami: uchebno-metodicheskoe posobie / GBU «Sankt-Peterburgskij nauchno-issledovatelskij institut skoroj pomoshhi imeni I. I. Dzhanelidze», GBU VPO Severo-Zapadnyj gosudarstvennyj medicinskij universitet im. I. I. Mechnikova Ministerstva zdravooxraneniya Rossijskoj Federacii, GBU VPO «Sankt-Peterburgskij gosudarstvennyj medicinskij universitet im. akademika I. P. Pavlova» Ministerstva zdravooxraneniya Rossijskoj Federacii, SPB GBUZ «Gorodskaya stanciya skoroj medicinskoj pomoshhi», MBUZ Stanciya skoroj medicinskoj pomoshhi». Komsomolsk-na-Amure: OOO «Firma «Stiks»; St. Petersburg, 2012. 96 р. (In Russ)].
Review
For citations:
Skorodumova E.G., Kostenko V.A., Skorodumova E.A., Rysev A.V. PROBLEMS AND SPECIFICITY OF DIAGNOSTICS OF ACUTE HEART FAILURE IN PATIENTS WITH INTERMEDIATE EJECTION FRACTION AT THE НОSPITAL STAGE. EMERGENCY MEDICAL CARE. 2018;19(1):16-19. (In Russ.) https://doi.org/10.24884/2072-6716-2018-0-1-16-19