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Asian Pacific Journal of Nursing

Volume 9, Issue 2, 2022
Mcmed International
Asian Pacific Journal of Nursing
Issn
XXX-XXXX (Print), 2349 – 0683 (Online)
Frequency
bi-annual
Email
editorapjn@mcmed.us
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Abstract
Title
STUDY COMPARISON OF CHRONIC SYSTOLIC HEART FAILURE GUIDELINES INDUCED BY AMBULATORY CLINIC TRIALS
Author
BANDI VASAVI*, KANAKAM BHAVYA, PURUSHOTHAMAN M, SORAKAYAL NAYOMI, ELURI THIRANYA
Email
vasavibandi5400@gmail.com
keyword
Beta-blockers, Guidelines, Systolic heart failure
Abstract
Chronic systolic heart failure has been managed according to guidelines published to reduce mortality and morbidity among patients. At community family medicine residency programs and multidisciplinary heart failure specialty clinics, quality assessments of cardiac failure medical therapy evaluated compliance with ACC/AHA heart failure guidelines, such as medication titration to recommended target doses and titration to target doses. We reviewed all medications covered by the guidelines, including ACEIs, beta-blockers, ARBs, and others, during a retrospective chart review. A significant reduction in systolic blood pressure was observed in patients in specialty clinics, as was a reduction in ejection fraction. There was a significant increase in beta-blocker prescriptions among specialty clinic patients (95 vs 85 per cent, p0.05). A very low percentage of both patient populations achieved the target dose of beta-blockers (17 vs. 25 %, p = 0.27). Family medicine clinic patients were more likely than other clinics to reach target doses of ACEIs and ARBs (69 % compared with 46 %). Heart failure specialty clinics or community family medicine residency programs prescribed ACEIs, ARBs, and betablockers to the majority of their patients. Nevertheless, practitioners should keep achieving target doses in mind
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