title: Characteristics of Saudi patients with congestive heart failure and adherence to management guidelines in a tertiary hospital in Riyadh.
abstract: OBJECTIVE
  There is limited data available on the characteristics of local Saudi patients diagnosed with congestive heart failure (CHF) and on their adherence to guidelines for managing the disease. This study aimed to fill this gap.
  
  
  METHODS
  Retrospective study of patients treated at King Abdulaziz Medical City from 20022008.
  
  
  METHODS
  The records were reviewed of subjects admitted secondary to heart failure (defined as systolic heart failure [ejection fraction < 55%] and/or heart failure with preserved ejection fraction diagnosed either clinically and/or by echocardiogram and/or cardiac catheterization) or who visited the outpatient department for the same complaint.
  
  
  RESULTS
  Of 392 CHF cases, the mean age was 67.8 (12.8) years and the majority were males (53.1%). Hypertension was the predominant comorbid illness, accounting for 84.9% of cases, followed by diabetes mellitus type 2 and hyperlipidemia. Almost three-fourths (73.7%) of the subjects had mild to severe left ventricular dysfunction, with 68.5% of the cases having right ischemic cardiomyopathy. Spironolactone, exercise and vaccination were the the least least adhered to recommendations (30.0%, 20.5% and 15.2%, respectively).
  
  
  CONCLUSIONS
  The study highlights the need for proper education of patients and caregivers to increase compliance to medications. Physicians are also encouraged to undergo continuing medical education and training courses to properly implement current recommendations in the management of heart failure. Further studies are needed on a larger scale in order to formulate an effective management scheme that will address the current challenges faced by both clinicians and CHF patients.
authors: King Abdulaziz Medical City, Riyadh 11426 PO Box 22490, Saudi Arabia. drqahtani@yahoo.com
authors: Mohammad
authors: M
authors: Alqahtani
authors: Thari
authors: T
authors: Alanazi
authors: Salih
authors: S
authors: Binsalih
authors: Naji
authors: N
authors: Aljohani
authors: Mohammed
authors: M
authors: Alshammari
authors: Ali
authors: A
authors: Ashagag
authors: Mohammed
authors: M
authors: Abdullah
authors: Sara
authors: S
authors: Buabbas
authors: Manar
authors: M
authors: Abdulbaqi
mesh_terms: D017677:Age Distribution; D000368:Aged; D006328:Cardiac Catheterization; D019468:Disease Management; D004452:Echocardiography; D005080:Exercise Test; D005260:Female; D005500:Follow-Up Studies; D019983:Guideline Adherence; D006333:Heart Failure / Q000453:epidemiology / Q000503:physiopathology / Q000628:therapy*; D006801:Humans; D008297:Male; D009017:Morbidity / Q000639:trends; D011379:Prognosis; D012189:Retrospective Studies; D012529:Saudi Arabia; D017678:Sex Distribution; D013318:Stroke Volume; D062606:Tertiary Care Centers
references: Lancet. 2011 Jul 2;378(9785):31-40
references: 21705069
references: Interact Cardiovasc Thorac Surg. 2011 Dec;13(6):611-8
references: 21920933
references: JAMA. 2011 Oct 19;306(15):1669-78
references: 22009099
references: Heart. 2011 Jun;97(11):876-86
references: 21173198
references: Congest Heart Fail. 2009 May-Jun;15(3):117-22
references: 19522960
references: Heart. 2003 Jun;89(6):585-6
references: 12748201
references: PLoS One. 2010 Aug 13;5(8):e12159
references: 20730053
references: Sultan Qaboos Univ Med J. 2011 May;11(2):230-5
references: 21969895
references: Eur J Clin Invest. 2010 Dec;40(12):1063-6
references: 20624169
references: DICP. 1991 Jan;25(1):90-3
references: 2008790
references: Int J Pharm Pract. 2011 Apr;19(2):123-8
references: 21385243
references: Am J Cardiol. 2011 Nov 1;108(9):1289-96
references: 22000627
references: Saudi Med J. 2010 Nov;31(11):1278-9; author reply 1279-80
references: 21063666
references: Pol Arch Med Wewn. 2009 Sep;119(9):569-73
references: 19776702
references: Eur J Heart Fail. 2001 Jun;3(3):301-5
references: 11378000
references: Circulation. 2009 Jan 27;119(3):480-6
references: 19171871
references: J Am Coll Cardiol. 2011 Sep 13;58(12):1208-10
references: 21903051
references: BMC Med. 2011 Jun 20;9:76
references: 21689399
references: Saudi J Kidney Dis Transpl. 2011 Sep;22(5):941-8
references: 21912023