Centre for Policy on Ageing



Recognising heart failure in elderly patients with stable chronic obstructive pulmonary disease in primary care — cross sectional diagnostic study
Author(s)	Frans H Rutten, Karel G M Moons, Maarten-Jan M Cramer
Journal title	British Medical Journal, vol 331, no 7529, 10 December 2005
Pages	pp 1379-1382
Source	http://www.bmj.com
Keywords	Heart disease ; Diagnosis ; General practice ; Cross sectional surveys ; Netherlands.
Annotation	51 primary care practices in the Netherlands participated in this study of 1,186 patients aged 65+ with chronic obstructive pulmonary disease (COPD) diagnosed by their general practitioner (GP) who did not have a diagnosis of heart failure confirmed by a cardiologist. 405 patients underwent systematic diagnostic investigation, which resulted in 83 receiving a new diagnosis of concomitant heart failure. Independent clinical variables for concomitant heart failure were a history of ischaemic heart disease, high body mass index (BMI), laterally displaced apex beat, and raised heart rate. The addition of natriuretic peptide measurements and electrocardiography further increase the accuracy of the diagnosis. (RH).
Accession Number	CPA-060106203 A
Classmark	CQH: LK7: L5: 3KB: 76H *
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...from the Ageinfo database published by Centre for Policy on Ageing.