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[Heart failure in the practice of primary health care in Kemerovo].

AIM
To study quality of therapy of chronic heart failure (CHF) patients in primary health care institutions of Kemerovo city.


MATERIAL AND METHODS
Records for 200 outpatients with CHF admitted to cardiological departments of Kemerovo hospitals were analysed. The treatment quality was assessed by special sheets reflecting treatment of CHF patients.


RESULTS
CHF most frequently resulted from ischemic heart disease and arterial hypertenion (67.6 and 18.9% patients, respectively). Among medicines, ACE inhibitors in subnormal doses were used most frequently (70.9%), less often were administered disaggregants (52.4%), beta-adrenoblockers in low doses (50.4%), diuretic drugs (43.3%), cardiac glycosides (16.5%) and aldosteron antagonists (28.6%). Calcium antagonists were prescribed to 19.7%, metabolic medication--to 22.1%, nitrates --to 37.8% patients.


CONCLUSION
As a rule, CHF treatment in outpatient clinics of Kemerovo was made according to national standards except underestimation of beta-adrenoblockers, cardiac glycosides and too frequent administration of calcium antagonists and some metabolic drugs.