Background The Ho-Chi-Minh-city Heart Institute in Vietnam took part in the Optimize Heart Failure (OHF) Care Program, designed to improve outcomes following heart failure (HF) hospitalization by increasing patient awareness and optimizing HF treatment. Methods HF patients hospitalized with left ventricular ejection-fraction (LVEF) <50% were included. Patients received guideline-recommended HF treatment and education. Clinical signs, treatments and outcomes were assessed at admission, discharge, 2 and 6 months (M2, M6). Patients' knowledge and practice were assessed at M6 by telephone survey. Results 257 patients were included. Between admission and M2 and M6, heart rate decreased significantly, and clinical symptoms improved significantly. LVEF increased significantly from admission to M6. 85% to 99% of patients received education. At M6, 45% to 78% of patients acquired knowledge and adhered to practice regarding diet, exercise, weight control, and detection of worsening symptoms. High use of renin-angiotensin-aldosterone-system inhibitors (91%), mineralocorticoid-receptor-antagonists (77%) and diuretics (85%) was noted at discharge. Beta-blocker and ivabradine use was less frequent at discharge but increased significantly at M6 (from 33% to 51% and from 9% to 20%, respectively, p < 0.001). There were no in-hospital deaths. Readmission rates at 30 and 60 days after discharge were 8.3% and 12.5%, respectively. Mortality rates at 30 days, 60 days and 6 months were 1.2%, 2.5% and 6.4%, respectively. Conclusions The OHF Care Program could be implemented in Vietnam without difficulty and was associated with high usage of guideline-recommended drug therapy. Although education was delivered, patient knowledge and practice could be further improved at M6 after discharge.
Background: Sleep apnea syndrome is the disease of ceasing the breath when sleeping. The incidence was 5% in the population, more often in female than male. More than 50% of SAS patients have hypertension, diabetes mellitus, coronary syndrome or even sudden death. In Viet Nam there were still a few studies about SAS. Objective: To evaluate the prevalence of cardiovascular risk in SAS patients. Also the correlation between AHI and BMI, SBP, DBP, fasting glucose, Cholesterol, Triglyceride, LDL-C, HDL-C. Materials and Methods: Clinical data of 30 SAS patients admitted to hospital were analysed and compared to 30 well-healthy person, without cardiovascular risk. We evaluate the incidence of cardiovascular risk in the SAS patients. We also find the correlations between AHI and age, BMI, systolic blood pressure, diasystolic blood pressure, fasting glucose, Cholesterol, Triglyceride, LDL-C, HDL-C. Results: 1. The prevalence of cardiovascular risk in SAS patients: lipid disorder 27.59%, hypertension 18.97%, obesity 20.69%, smoking 13.79%, sedentary lifestyle 8.62%, diabetis mellitus 10,34%. 2. There were some positive correlations between AHI and systolic blood pressure r=0.37, p<0.05, p<0.05; Cholesterol r=0.32, p<0.05; BMI r=0.41, p<0.05. Conclusion: Basing on the correlation, cardiovascular risk should be concerned in SAS.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.
hi@scite.ai
10624 S. Eastern Ave., Ste. A-614
Henderson, NV 89052, USA
Copyright © 2024 scite LLC. All rights reserved.
Made with 💙 for researchers
Part of the Research Solutions Family.