title: The practice of the clinical guidelines for the diagnosis and treatment of chronic heart failure applying in the city hospitals of Saint Petersburg
metadata.name: dc.contributor.author
metadata.value: Tregubov, Aleksey V.
metadata.lang: -
metadata.name: dc.contributor.author
metadata.value: Krasnova, Olga A.
metadata.lang: -
metadata.name: dc.contributor.author
metadata.value: Chernyakova, Aleksandra P.
metadata.lang: -
metadata.name: dc.date.accessioned
metadata.value: 2023-08-14T10:49:26Z
metadata.lang: -
metadata.name: dc.date.available
metadata.value: 2023-08-14T10:49:26Z
metadata.lang: -
metadata.name: dc.date.issued
metadata.value: 2023-03
metadata.lang: -
metadata.name: dc.identifier.citation
metadata.value: Tregubov A. V., Krasnova O. A., Chernyakova A. P. The practice of the clinical guidelines for the diagnosis and treatment of chronic heart failure applying in the city hospitals of Saint Petersburg. Vestnik of Saint Petersburg University. Medicine, 2023, vol. 18, issue 1, pp. 12–27. https://doi.org/10.21638/spbu11.2023.102 (In Russian)
metadata.lang: en_GB
metadata.name: dc.identifier.other
metadata.value: https://doi.org/10.21638/spbu11.2023.102
metadata.lang: -
metadata.name: dc.identifier.uri
metadata.value: http://hdl.handle.net/11701/43761
metadata.lang: -
metadata.name: dc.description.abstract
metadata.value: Chronic heart failure is one of the main causes of mortality in Russia. Improving the medical
  care system for patients with chronic heart failure is currently associated with the introduction
  of guidelines, the application of which has become mandatory in Russia since of 2022. Aim
  to study whether the prescriptions set out in the discharge records of the St Petersburg city
  hospitals correspond to the provisions of the current guidelines on the chronic heart failure
  diagnosis and treatment. The material for the study was the discharge records of 101 patients
  with chronic heart failure who were treated in the city hospitals of St Petersburg in 2022.
  Echocardiography was performed in all patients, while brain natriuretic peptides were not
  measured in either case. Drugs from various groups of the renin-angiotensin-aldosterone system
  blockers were recommended in 86.1 % of patients. Patients with reduced left ventricular
  ejection fraction most often received a Sacubitril/Valsartan (56.9 %). Beta-blockers in 84.2 %,
  and mineralocorticoid receptor antagonists were — in 94.1 % of cases. Therapy with the use of
  these three groups of drugs was received by 67.3 % of patients. Inhibitors of sodium-glucose
  co-transporter type 2 were recommended in 7.9 %, in 2 cases in addition to triple therapy.
  Loop diuretics were recommended in 88.1 % of cases. Therapy of patients with chronic heart
  failure who were treated in 2022 is more in line with the provisions of the current guidelines
  than in previous years, however, a number of problems remain unresolved.
metadata.lang: en_GB
metadata.name: dc.language.iso
metadata.value: ru
metadata.lang: en_GB
metadata.name: dc.publisher
metadata.value: St Petersburg State University
metadata.lang: en_GB
metadata.name: dc.relation.ispartofseries
metadata.value: Vestnik of St Petersburg University. Medicine;Volume 18; Issue 1
metadata.lang: -
metadata.name: dc.subject
metadata.value: chronic heart failure
metadata.lang: en_GB
metadata.name: dc.subject
metadata.value: clinical guidelines
metadata.lang: en_GB
metadata.name: dc.subject
metadata.value: pharmacoepidemiology
metadata.lang: en_GB
metadata.name: dc.subject
metadata.value: medical prescriptions
metadata.lang: en_GB
metadata.name: dc.subject
metadata.value: dose
metadata.lang: en_GB
metadata.name: dc.title
metadata.value: The practice of the clinical guidelines for the diagnosis and treatment of chronic heart failure applying in the city hospitals of Saint Petersburg
metadata.lang: en_GB
metadata.name: dc.type
metadata.value: Article
metadata.lang: en_GB
resources.filename: 02.pdf
resources.url: https://dspace.spbu.ru/bitstream/11701/43761/1/02.pdf
resources.format: Adobe PDF
resources.size: 939,64 kB