HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS		QUICK SEARCH:   [advanced] Author: Keyword(s): Year:  Vol:  Page:

This Article Full Text (PDF) Submit a response View Shopping Cart Alert me when this article is cited Alert me when eLetters are posted Alert me if a correction is posted Services Similar articles in this journal Similar articles in Web of Science Similar articles in PubMed Alert me to new issues of the journal Download to citation manager Citing Articles Citing Articles via HighWire Citing Articles via Web of Science (99) Citing Articles via Google Scholar Google Scholar Articles by Chin, M H Articles by Goldman, L Search for Related Content PubMed PubMed Citation Articles by Chin, M H Articles by Goldman, L

Factors contributing to the hospitalization of patients with congestive heart failure.

M H Chin and L Goldman

Department of Medicine, Brigham and Women's Hospital, Boston, Mass, USA.

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 < or = 0.35 measured prior to admission were not taking an angiotensin-converting enzyme inhibitor on presentation to the hospital. CONCLUSIONS: Interventions to improve compliance, the control of hypertension, and the appropriate use of angiotensin-converting enzyme inhibitors may prevent many hospitalizations of heart-failure patients.

This article has been cited by other articles:

				B. Riegel, D. K. Moser, S. D. Anker, L. J. Appel, S. B. Dunbar, K. L. Grady, M. Z. Gurvitz, E. P. Havranek, C. S. Lee, J. Lindenfeld, et al. State of the Science: Promoting Self-Care in Persons With Heart Failure: A Scientific Statement From the American Heart Association Circulation, September 22, 2009; 120(12): 1141 - 1163. [Full Text] [PDF]

				N. M. Hawkins, M. C. Petrie, P. S. Jhund, G. W. Chalmers, F. G. Dunn, and J. J.V. McMurray Heart failure and chronic obstructive pulmonary disease: diagnostic pitfalls and epidemiology Eur J Heart Fail, February 1, 2009; 11(2): 130 - 139. [Abstract] [Full Text] [PDF]

				G. C. Fonarow, W. T. Abraham, N. M. Albert, W. G. Stough, M. Gheorghiade, B. H. Greenberg, C. M. O'Connor, K. Pieper, J. L. Sun, C. W. Yancy, et al. Factors Identified as Precipitating Hospital Admissions for Heart Failure and Clinical Outcomes: Findings From OPTIMIZE-HF Arch Intern Med, April 28, 2008; 168(8): 847 - 854. [Abstract] [Full Text] [PDF]

				R. T. Tsuyuki, F. M. Shrive, P. D. Galbraith, M. L. Knudtson, M. M. Graham, and for the APPROACH Investigators Revascularization in patients with heart failure. Can. Med. Assoc. J., August 15, 2006; 175(4): 361 - 365. [Abstract] [Full Text] [PDF]

				L. W. Stevenson, T. H. Le Jemtel, E. U. Alt, L. W. Stevenson, T. H. Le Jemtel, and E. U. Alt Hemodynamic Goals Are Relevant Circulation, February 21, 2006; 113(7): 1020 - 1033. [Full Text] [PDF]

				G. A. Wellenius, T. F. Bateson, M. A. Mittleman, and J. Schwartz Particulate Air Pollution and the Rate of Hospitalization for Congestive Heart Failure among Medicare Beneficiaries in Pittsburgh, Pennsylvania Am. J. Epidemiol., June 1, 2005; 161(11): 1030 - 1036. [Abstract] [Full Text] [PDF]

				A. Stromberg The crucial role of patient education in heart failure Eur J Heart Fail, March 16, 2005; 7(3): 363 - 369. [Abstract] [Full Text] [PDF]

				T. M. Ng, J. A Stoner, and T. D Sears Influence of gender on the titration of medications for chronic heart failure Ann. Pharmacother., February 1, 2005; 39(2): 386 - 386. [Full Text] [PDF]

				M. H.L. van der Wal, T. Jaarsma, and D. J. van Veldhuisen Non-compliance in patients with heart failure; how can we manage it? Eur J Heart Fail, January 1, 2005; 7(1): 5 - 17. [Abstract] [Full Text] [PDF]

				R. F. DeBusk, N. H. Miller, K. M. Parker, A. Bandura, H. C. Kraemer, D. J. Cher, J. A. West, M. B. Fowler, and G. Greenwald Care Management for Low-Risk Patients with Heart Failure: A Randomized, Controlled Trial Ann Intern Med, October 19, 2004; 141(8): 606 - 613. [Abstract] [Full Text] [PDF]

				C. Opasich, S. De Feo, G.A. Ambrosio, P. Bellis, A. Di Lenarda, G. Di Tano, D. Fico, L. Gonzini, R. Lavecchia, C. Tomasi, et al. The 'real' woman with heart failure. Impact of sex on current in-hospital management of heart failure by cardiologists and internists Eur J Heart Fail, October 1, 2004; 6(6): 769 - 779. [Abstract] [Full Text] [PDF]

				N F Murphy, C R Simpson, F A McAlister, S Stewart, K MacIntyre, M Kirkpatrick, J Chalmers, A Redpath, S Capewell, and J J V McMurray National survey of the prevalence, incidence, primary care burden, and treatment of heart failure in Scotland Heart, October 1, 2004; 90(10): 1129 - 1136. [Abstract] [Full Text] [PDF]

				M. Klapholz, M. Maurer, A. M. Lowe, F. Messineo, J. S. Meisner, J. Mitchell, J. Kalman, R. A. Phillips, R. Steingart, E. J. Brown Jr, et al. Hospitalization for heart failure in the presence of a normal left ventricular ejection fraction: Results of the New York heart failure registry J. Am. Coll. Cardiol., April 21, 2004; 43(8): 1432 - 1438. [Abstract] [Full Text] [PDF]

				J. B. Braunstein, G. F. Anderson, G. Gerstenblith, W. Weller, M. Niefeld, R. Herbert, and A. W. Wu Noncardiac comorbidity increases preventable hospitalizations and mortality among medicare beneficiaries with chronic heart failure J. Am. Coll. Cardiol., October 1, 2003; 42(7): 1226 - 1233. [Abstract] [Full Text] [PDF]

				S. De Geest, L. Scheurweghs, I. Reynders, W. Pelemans, W. Droogne, J. Van Cleemput, M. Leventhal, and J. Vanhaecke Differences in psychosocial and behavioral profiles between heart failure patients admitted to cardiology and geriatric wards Eur J Heart Fail, August 1, 2003; 5(4): 557 - 567. [Abstract] [Full Text] [PDF]

				D. D. Sin, F. Fitzgerald, J. D. Parker, G. E. Newton, A. G. Logan, J. S. Floras, and T. D. Bradley Relationship of Systolic BP to Obstructive Sleep Apnea in Patients With Heart Failure Chest, May 1, 2003; 123(5): 1536 - 1543. [Abstract] [Full Text] [PDF]

				M. Sullivan, G. Simon, J. Spertus, and J. Russo Depression-Related Costs in Heart Failure Care Arch Intern Med, September 9, 2002; 162(16): 1860 - 1866. [Abstract] [Full Text] [PDF]

				D. K. Moser and D. L. Mann Improving Outcomes in Heart Failure: It's Not Unusual Beyond Usual Care Circulation, June 18, 2002; 105(24): 2810 - 2812. [Full Text] [PDF]

				A. Mosterd and A.W. Hoes Reducing hospitalizations for heart failure Eur. Heart J., June 1, 2002; 23(11): 842 - 845. [Full Text] [PDF]

				M. R. Cowie, K. F. Fox, D. A. Wood, C. Metcalfe, S. G. Thompson, A. J. S. Coats, P. A. Poole-Wilson, and G. C. Sutton Hospitalization of patients with heart failure. A population-based study Eur. Heart J., June 1, 2002; 23(11): 877 - 885. [Abstract] [Full Text] [PDF]

				E. K. Kasper, G. Gerstenblith, G. Hefter, E. Van Anden, J. A. Brinker, D. R. Thiemann, M. Terrin, S. Forman, and S. H. Gottlieb A randomized trial of the efficacy of multidisciplinary care in heart failure outpatients at high risk of hospital readmission J. Am. Coll. Cardiol., February 6, 2002; 39(3): 471 - 480. [Abstract] [Full Text] [PDF]

				R. T. Tsuyuki, R. S. McKelvie, J. M. O. Arnold, A. Avezum Jr, A. C. P. Barretto, A. C. C. Carvalho, D. L. Isaac, A. D. Kitching, L. S. Piegas, K. K. Teo, et al. Acute Precipitants of Congestive Heart Failure Exacerbations Arch Intern Med, October 22, 2001; 161(19): 2337 - 2342. [Abstract] [Full Text] [PDF]

				L. Blue, E. Lang, J. J V McMurray, A. P Davie, T. A McDonagh, D. R Murdoch, M. C Petrie, E. Connolly, J. Norrie, C. E Round, et al. Randomised controlled trial of specialist nurse intervention in heart failure BMJ, September 29, 2001; 323(7315): 715 - 718. [Abstract] [Full Text] [PDF]

				L. E. Egede and Y. Miohel Perceived Difficulty of Diabetes Treatment in Primary Care: Does it Differ by Patient Ethnicity? The Diabetes Educator, September 1, 2001; 27(5): 678 - 684. [Abstract] [PDF]

				M. B. Fowler, M. Vera-Llonch, G. Oster, M. R. Bristow, J. N. Cohn, W. S. Colucci, E. M. Gilbert, M. A. Lukas, M. J. Lacey, R. Richner, et al. Influence of carvedilol on hospitalizations in heart failure: incidence, resource utilization and costs J. Am. Coll. Cardiol., May 1, 2001; 37(6): 1692 - 1699. [Abstract] [Full Text] [PDF]

				T. Simon, M. Mary-Krause, C. Funck-Brentano, and P. Jaillon Sex Differences in the Prognosis of Congestive Heart Failure : Results From the Cardiac Insufficiency Bisoprolol Study (CIBIS II) Circulation, January 23, 2001; 103(3): 375 - 380. [Abstract] [Full Text] [PDF]

				A. Stromberg, J. Martensson, B. Fridlund, and U. Dahlstrom Nurse-led heart failure clinics in Sweden Eur J Heart Fail, January 1, 2001; 3(1): 139 - 144. [Abstract] [Full Text] [PDF]

				K. L. Grady, K. Dracup, G. Kennedy, D. K. Moser, M. Piano, L. W. Stevenson, and J. B. Young Team Management of Patients With Heart Failure : A Statement for Healthcare Professionals From the Cardiovascular Nursing Council of the American Heart Association Circulation, November 7, 2000; 102(19): 2443 - 2456. [Full Text] [PDF]

				A Cohen-Solal, M Desnos, F Delahaye, J.P Emeriau, and G Hanania A national survey of heart failure in French hospitals Eur. Heart J., May 1, 2000; 21(9): 763 - 769. [Abstract] [PDF]

				W. A. Gattis, V. Hasselblad, D. J. Whellan, and C. M. O'Connor Reduction in Heart Failure Events by the Addition of a Clinical Pharmacist to the Heart Failure Management Team: Results of the Pharmacist in Heart Failure Assessment Recommendation and Monitoring (PHARM) Study Arch Intern Med, September 13, 1999; 159(16): 1939 - 1945. [Abstract] [Full Text] [PDF]

				E. E. WALSH, A. R. FALSEY, and P. A. HENNESSEY Respiratory Syncytial and Other Virus Infections in Persons with Chronic Cardiopulmonary Disease Am. J. Respir. Crit. Care Med., September 1, 1999; 160(3): 791 - 795. [Abstract] [Full Text]

				H. Ni, D. Nauman, D. Burgess, K. Wise, K. Crispell, and R. E. Hershberger Factors Influencing Knowledge of and Adherence to Self-care Among Patients With Heart Failure Arch Intern Med, July 26, 1999; 159(14): 1613 - 1619. [Abstract] [Full Text] [PDF]

				F. Boulay, F. Berthier, O. Sisteron, Y. Gendreike, and P. Gibelin Seasonal Variation in Chronic Heart Failure Hospitalizations and Mortality in France Circulation, July 20, 1999; 100(3): 280 - 286. [Abstract] [Full Text] [PDF]

				M. C. Petrie, N. F. Dawson, D. R. Murdoch, A. P. Davie, and J. J. V. McMurray Failure of Women's Hearts Circulation, May 4, 1999; 99(17): 2334 - 2341. [Full Text] [PDF]

				J J V MCMURRAY and S STEWART Nurse led, multidisciplinary intervention in chronic heart failure Heart, November 1, 1998; 80(5): 430 - 431. [Full Text]