Factors contributing to the hospitalization of patients with congestive heart failure

Bibliographic Data

ID11021603
AuthorsMong-Hwa Chin (0000-0003-1924-5641, Brigham and Women's Hospital), M H Chin, L Goldman (0000-0002-2420-1582)
Year1997
Volume87
Issue4
Pages643-648
Publication date1997-04-01
Peer ReviewedYes
Open AccessNo
TypeARTICLE
VenueAmerican Journal of Public Health (JOURNAL)
Journal identifiersISSN: 0090-0036 • E-ISSN: 1541-0048
PublisherAmerican Public Health Association (PUBLISHER • US)
DOI10.2105/ajph.87.4.643
PMID9146445
OpenAlexW2138453938
LanguageEN
Citations received5
References cited19

OBJECTIVES: This study identifies acute precipitants of hospitalization and evaluates utilization of angiotension-converting enzyme inhibitors in patients admitted with congestive heart failure. METHODS: Cross-sectional chart-review study was done of 435 patients admitted nonelectively from February 1993 to February 1994 to an urban university hospital with a complaint of shortness of breath or fatigue and evidence of congestive heart failure. RESULTS: The most common identifiable abnormalities associated with clinical deterioration prior to admission were acute anginal chest pain (33%), respiratory infection (16%), uncontrolled hypertension with initial systolic blood pressure > or = 180 mm Hg (15%), atrial arrhythmia with heart rate > or = 120 (8%), and noncompliance with medications (15%) or diet (6%); in 34% of patients, no clear cause could be identified. After exclusion of those who were already on a different vasodilator or who had relative contraindications, 18 (32%) of the patients with ejection fractions

Angiotensin-converting enzyme · Atrial fibrillation · Blood pressure · Cardiology · Ejection fraction · Heart failure · Intensive care medicine · Emergency Medicine · Heart Failure Treatment and Management · Internal Medicine · Medical Case Reports and Studies · Medication Adherence and Compliance · Medicine

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