title: [Curative effects on standardized management of community patients with coronary heart disease complicated with chronic heart failure].
abstract: OBJECTIVE
  To explore the effects on the standardized management of patients with coronary atherosclerotic heart disease complicated with chronic heart failure.
  
  
  METHODS
  A total of 823 patients discharged from our department were randomly enrolled. Among 734 patients with follow-up consents, they were divided into management and control groups (n = 440, 294). The management group received standardized out-of-hospital management, regular health education and follow-ups of telephone and outpatient visits.
  
  
  RESULTS
  Compared with the control group, the management group had lower rates of all-cause mortality, cardiac death and readmission due to cardiovascular events (CVE) declining by 26.5%, 32.2% and 57.0% respectively. Over a 4-year period, the annular survival rate of management group was 92%, 85%, 83% and 82% while that of control group 95%, 89%, 82% and 75% respectively. Patient compliance of digoxin and diuretics in the control group was inferior to that in the management group.
  
  
  CONCLUSIONS
  Through standardized out-of-hospital management, the patients with coronary atherosclerotic heart disease plus chronic heart failure may achieve significant benefits through reducing the rates of all-cause mortality, cardiac death and readmission due to CVE and improving survival rate.
authors.affiliation: Affiliated Hangzhou Hospital of Nanjing Medical University, Hangzhou First People's Hospital, Hangzhou 310006, China.
authors.forename: Li-na
authors.initials: LN
authors.lastname: Sun
authors.forename: Ning-fu
authors.initials: NF
authors.lastname: Wang
authors.forename: Yi-gang
authors.initials: YG
authors.lastname: Zhong
authors.forename: Hong
authors.initials: H
authors.lastname: Li
authors.forename: Shi-zun
authors.initials: SZ
authors.lastname: Guo
authors.forename: Zhan-lin
authors.initials: ZL
authors.lastname: Zhou
authors.forename: Guo-xin
authors.initials: GX
authors.lastname: Tong
authors.forename: Jian
authors.initials: J
authors.lastname: Lin
authors.forename: Guo-an
authors.initials: GA
authors.lastname: Sheng
authors.forename: Yi-bo
authors.initials: YB
authors.lastname: Wang
authors.forename: Peng
authors.initials: P
authors.lastname: Xu
authors.forename: Yu
authors.initials: Y
authors.lastname: Liu
authors.forename: Jian-wei
authors.initials: JW
authors.lastname: Zou
mesh_terms: D000359:Aftercare; D000368:Aged; D000369:Aged, 80 and over; D002908:Chronic Disease; D003324:Coronary Artery Disease / Q000150:complications / Q000628:therapy*; D019468:Disease Management; D005260:Female; D006333:Heart Failure / Q000150:complications / Q000628:therapy*; D006801:Humans; D008297:Male; D008875:Middle Aged; D011446:Prospective Studies; D016896:Treatment Outcome