Tratamento medicamentoso da insuficiência cardíaca em hospital terciário de São Paulo

Abstract

In this sample the majority of the patients were treated according to modern recommendations and tolerated well ACE inhibitors, however 1/3 did not receive ACE inhibitors in the recommended doses. Treatment based on betablockers or angiotensin II inhibitors were not routinely employed.

Perfil epidemiológico, clínico e terapêutico da insuficiência cardíaca em hospital terciário

“…These findings are in agreement with the results of several studies 13,14,27 and with the recommendations of the guidelines 1,8,18 for the treatment of HF in Brazil.…”

“…In the present study, the mean age of the sample was 61 ± 15 years, ranging from 13 to 87 years, which coincides with Framingham's findings. Regarding the distribution by sex, it was observed that 54.2% of the patients were males, which is in accordance with the data in the study by Rassi et al 12 and Barretto et al 7,13 .…”

“…The main guidelines for the management of HF 1,8,19,26 recommend, as the classic treatment, the sue of diuretics, ACEI or ARB and beta-blockers, but the etiology of HF and its intensity seem to influence the prescription of these drugs 13 .…”

Insuficiência cardíaca

“…Recentemente, procuramos verificar como esta medicação vinha sendo prescrita para pacientes com IC no InCor 34 . Constatamos que a maioria dos pacientes estava recebendo a medicação nas doses preconizadas pelos grandes estudos ( fig.…”

“…Hoje o tratamento é melhor fundamentado. Entretanto, muitos médicos ainda não utilizam corretamente os esquemas preconizados, especialmente os generalistas 34,[65][66][67] .…”