Analysis of 610 cases inpatients with chronic heart failure

摘要

Abstract Objective: To analyze the clinical characteristics and medical treatment of hospitalized patients with chronic heart failure, and provide medication for the patients. Methods: According to medical records of inpatients, demographic information, etiology, clinical features and treatment information were collected. Results: A total of 610 cases with heart failure from our hospital between July 2010 and June 2016 were analyzed. The average age of all the patients was 63. Males accounted for 50.49%.There were 82.7% patients with NYHA functional classification at III-IV. 31.3% patients with coronary artery disease, 28.4% with rheumatic heart diseases and 21.8% with expansion of heart disease. 27.4 percent of the patients with the left ventricular ejection fraction lower than 40%.There were 78.9% patients received aldosterone antagonist treatment, 63.4% received ACEI / ARB, 62.1% received digoxin, 59.8% received beta blockers, and 75.4% patients received decoction, 80.8% received Chinese patent medicine. Conclusion: The study have shown that high utilization of Traditional Chinese medicine is to highlight the advantages of the combination of Traditional Chinese and Western medicine in the treatment of heart failure. The usage of spironolactone, ACEI / ARB, beta blockers in our hospital was lower than the guideline ratio, higher than that of the national average. However, the use of diureticis is lower than that of national average, which may relate to the use of damp-clearing herbs. Clinicians should pay attention to the high utilization rate of digoxin. Patients with the left ventricular ejection fraction > 50% accounted for 61.1%, which required more attention should be paied to the diagnosis and treatment of patients with heart failure of the ejection fraction remains.