Article
Cardiac & Cardiovascular Systems
Ferdaous Yangui, Amany Touil, Saoussen Antit, Lilia Zakhama, Mohamed Ridha Charfi
Summary: The study found a high prevalence of COPD among smoking patients with IHD, but most patients were undiagnosed. Patients with COPD had significantly more comorbidities and severe conditions compared to those without COPD.
RESPIRATORY MEDICINE
(2021)
Article
Medicine, General & Internal
Jose L. Llisterri-Caro, Sergio Cinza-Sanjurjo, Vicente Martin-Sanchez, Gustavo C. Rodriguez-Roca, Rafael M. Mico-Perez, Antonio Segura-Fragoso, Sonsoles Velilla-Zancada, Jose Polo-Garcia, Alfonso Barquilla-Garcia, Luis Rodriguez Padial, Miguel A. Prieto-Diaz
Summary: The study revealed that the prevalence of chronic heart failure in primary care patients is 3.1%, increasing with age and cardiovascular risk factors. Women are more likely to have CHF with preserved ejection fraction, while there is no gender difference in CHF with reduced ejection fraction. There is room for improvement in the treatment of HF with reduced ejection fraction.
JOURNAL OF CLINICAL MEDICINE
(2021)
Article
Medicine, General & Internal
Liying Dai, Tashi Dorje, Jan Gootjes, Amit Shah, Lawrence Dembo, Jamie Rankin, Graham Hillis, Suzanne Robinson, John J. Atherton, Angela Jacques, Christopher M. Reid, Andrew Maiorana
Summary: This study aims to evaluate the effectiveness of a multifaceted intervention to support adherence to heart failure management guidelines in primary care. A randomised controlled trial will be conducted with 200 participants, assessing the prescription of five guideline-recommended treatments and various secondary outcomes. The results will be disseminated through peer-reviewed publications and conferences.
Article
Cardiac & Cardiovascular Systems
Jesper Jensen, Mikael Kjaer Poulsen, Per Warrer Petersen, Bo Gerdes, Kasper Rossing, Morten Schou
Summary: Heart failure (HF) is a growing concern worldwide, and the burden is expected to increase with aging populations. This study investigated HF patients in primary care clinics in Denmark and found that HF with reduced ejection fraction (HFrEF) is the most common phenotype, followed by recovered HFrEF. Fundamental treatments such as ACE inhibitors and beta-blockers were underutilized, particularly in older patients and those with HFmrEF or HFpEF. Initiatives to improve the use of recommended therapies are needed to enhance the care of HF patients.
Article
Cardiac & Cardiovascular Systems
Faye Forsyth, James Brimicombe, Joseph Cheriyan, Duncan Edwards, F. D. Richard Hobbs, Navazh Jalaludeen, Jonathan Mant, Mark Pilling, Rebekah Schiff, Clare J. Taylor, M. Justin Zaman, Christi Deaton
Summary: The study found that identifying HFpEF patients in primary care is challenging and greater awareness of the condition and specialist support are needed. The use of diagnostic algorithms and scores can provide systematic approaches to diagnosis, but may be challenging to apply in older, multi-morbid patients, requiring pragmatic decisions.
Article
Cardiac & Cardiovascular Systems
Faye Forsyth, James Brimicombe, Joseph Cheriyan, Duncan Edwards, F. D. Richard Hobbs, Navazh Jalaludeen, Jonathan Mant, Mark Pilling, Rebekah Schiff, Clare J. Taylor, M. Justin Zaman, Christi Deaton
Summary: Identification of HFpEF patients in primary care is challenging, requiring increased awareness and establishment of clear diagnostic pathways. The use of diagnostic algorithms and scores can provide systematic approaches to diagnosis, but may be challenging to apply in older multi-morbid patients.
Article
Critical Care Medicine
Suurya Krishnan, Wan C. Tan, Raquel Farias, Shawn D. Aaron, Andrea Benedetti, Kenneth R. Chapman, Paul Hernandez, Francois Maltais, Darcy D. Marciniuk, Denis E. O. 'Donnell, Don D. Sin, Brandie Walker, Jean Bourbeau
Summary: In community settings, individuals with mild to moderate or worse COPD and PRISm findings have a higher prevalence and incidence of cardiovascular disease (CVD) compared to those with normal spirometry findings. However, adding impaired spirometry findings to existing CVD risk scores does not improve the prediction of CVD.
Article
Cardiac & Cardiovascular Systems
Kelvin Okoth, Francesca Crowe, Tom Marshall, G. Neil Thomas, Krishnarajah Nirantharakumar, Nicola J. Adderley
Summary: This study investigates the trends in incidence and prevalence of cardiovascular disease (CVD) in young adults in the UK. The results show an overall downward trend in incidence and prevalence for ischaemic heart disease (IHD) and angina, but an upward trend for coronary revascularization, stroke/transient ischaemic attack (TIA), and heart failure (HF). The trends for myocardial infarction (MI) were stable in men and increased in women. The study highlights the worsening trends in CVD among young adults and calls for further investigation and public health intervention.
EUROPEAN JOURNAL OF PREVENTIVE CARDIOLOGY
(2022)
Article
Primary Health Care
Clare J. Taylor, Jose M. Ordonez-Mena, Sarah L. Lay-Flurrie, Clare R. Goyder, Kathryn S. Taylor, Nicholas R. Jones, Andrea K. Roalfe, F. D. Richard Hobbs
Summary: This study evaluated the performance of natriuretic peptide (NP) testing in the diagnosis of chronic heart failure (HF). The results showed differences in the sensitivity, specificity, positive predictive value, and negative predictive value of NP testing at the referral thresholds recommended by the European Society of Cardiology (ESC) and the National Institute for Health and Care Excellence (NICE). The higher NICE threshold can reduce misdiagnosis in primary care, while the lower ESC threshold requires more diagnostic evaluations.
BRITISH JOURNAL OF GENERAL PRACTICE
(2023)
Review
Critical Care Medicine
Janet Yamada, Jeffrey Lam Shin Cheung, Myriam Gagne, Carolyn Spiegel-Feld, Shawn D. Aaron, Mark FitzGerald, Andrea S. Gershon, Samir Gupta
Summary: This study analyzed the barriers and enablers to lung function testing for asthma and COPD in primary care. The findings showed that these barriers spanned multiple theoretical domains. Therefore, a theory-based, multifaceted intervention should be developed and tested to improve the utilization of diagnostic testing.
Article
Medicine, General & Internal
Clare MacRae, Megan McMinn, Stewart W. R. Mercer, David Henderson, David A. A. McAllister, Iris Ho, Emily Jefferson, Daniel R. Morales, Jane Lyons, Ronan A. Lyons, Chris Dibben, Bruce Guthrie
Summary: This study demonstrates the significant impact of varying the conditions considered when measuring multimorbidity prevalence. There is a need for standardization in order to facilitate comparability across studies and accurately represent different population subgroups.
Article
Respiratory System
Hannah R. Whittaker, Chloe Bloom, Ann Morgan, Deborah Jarvis, Steven J. Kiddle, Jennifer K. Quint
Summary: This study examined the association between accelerated lung function decline and cardiovascular disease outcomes and mortality in COPD patients, finding that the risk of CVD and mortality was not significantly associated with accelerated FEV1 decline, but rather with dyspnoea severity, exacerbation frequency, and other factors.
EUROPEAN RESPIRATORY JOURNAL
(2021)
Article
Critical Care Medicine
Ernest Shen, Janet S. Lee, Richard A. Mularski, Phillip Crawford, Alan S. Go, Sue H. Sung, Grace H. Tabada, Michael K. Gould, Huong Q. Nguyen
Summary: Distinct comorbidity profiles can be identified in COPD patients and are associated with subsequent acute and post-acute care utilization.
Article
Cardiac & Cardiovascular Systems
Andrea K. Roalfe, Sarah L. Lay-Flurrie, Jose M. Ordonez-Mena, Clare R. Goyder, Nicholas R. Jones, F. D. Richard Hobbs, Clare J. Taylor
Summary: This study reported contemporary trends in NP testing and HF diagnosis rates in adult patients in England from 2004-18. It found that NP testing in primary care has increased over time, with most patients with HF still not having an NP test recorded prior to diagnosis.
EUROPEAN HEART JOURNAL
(2022)
Article
Health Care Sciences & Services
Annika Haertel, Maximilian Peters, Karel Kostev
Summary: The study aimed to estimate the prevalence of spirometry testing among patients with asthma and COPD in general practices in Germany. The findings showed that the proportion of spirometry testing was relatively low among patients followed in general practices, but higher in female patients, treated patients, and patients with both asthma and COPD.