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Validity of clinical diagnosis of heart failure in primary health care
Abstract
Validity of heart failure (HF) diagnosis was studied in 88 patients (37 men and 51 women), aged 45-74 (mean 61) years, in whom HF diagnosis had been newly made by primary health care physicians. Boston criteria for HF and a supplementary classification, based on information from clinical examinations and a 6-month follow-up, were used to define HF diagnosis as 'definite', 'possible' or 'unlikely'. Twenty-eight (32%) patients (21 men and seven women) had 'definite' HF and 46 (52%) (28 men and 18 women) had either 'definite' or 'possible' HF by both classifications. In 30 (34%) patients (six men and 24 women) HF diagnosis was 'unlikely' by both classifications. In conclusion, false-positive diagnosis of HF was common in primary health care, and HF diagnosis was more difficult in women than in men. Obesity, unrecognized symptomatic myocardial ischaemia without HF and pulmonary diseases were the most important conditions leading to false-positive HF diagnosis.
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Cited by
Epidemiology and risk profile of heart failure
Bui, A. L., Horwich, T. B., & Fonarow, G. C. (2011) · Nature Reviews Cardiology · doi:10.1038/nrcardio.2010.165 · Cited by 2,077
Davies, M., Hobbs, F., Davis, R., Kenkre, J., Roalfe, A., Hare, R., Wosornu, D., & Lancashire, R. (2001) · The Lancet · doi:10.1016/s0140-6736(01)05620-3 · Cited by 657
Ledwidge, M., Gallagher, J., Conlon, C., Tallon, E., O’Connell, E., Dawkins, I., Watson, C., O’Hanlon, R., Bermingham, M., Patle, A., et al. (2013) · JAMA · doi:10.1001/jama.2013.7588 · Cited by 664
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Fuat, A., Hungin, A. P. S., & Murphy, J. J. (2003) · BMJ · doi:10.1136/bmj.326.7382.196 · Cited by 284
Role of echocardiography in the evaluation of syncope: a prospective study
Sarasin, F. P., Junod, A.-F., Carballo, D., Slama, S., Unger, P.-F., & Louis-Simonet, M. (2002) · Heart · doi:10.1136/heart.88.4.363 · Cited by 120
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Metadata
- Authors
- REMES, J., MlETTINEN, H., REUNANEN, A., & PYÖRÄLÄ, K.
- Venue
- European Heart Journal
- Publisher
- Oxford University Press (OUP)
- Published
- 1991-03
- Volume
- 12
- Issue
- 3
- Pages
- 315-321
- ISSN
- 0195-668X (ISSN-L)
- 1522-9645
- OpenAlex
- W1826927157
- Cited by
- 538
- References
- 0
- FWCI
- 3.74
- Type
- journal article
- Language
- en
- Open access
- closed
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