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BMC Cardiovascular Disorders

, 11:68

First Online: 17 November 2011Received: 29 January 2011Accepted: 17 November 2011DOI: 10.1186-1471-2261-11-68

Cite this article as: Shoukat, S., Gowani, S.A., Taqui, A.M. et al. BMC Cardiovasc Disord 2011 11: 68. doi:10.1186-1471-2261-11-68

Abstract

BackgroundThe aims of this study were to evaluate the awareness of and attitudes towards the 2005 European Society of Cardiology ESC guidelines for Heart Failure HF of the cardiologists in Pakistan and assess barriers to adherence to guidelines.

MethodsA cross-sectional survey was conducted in person from March to July 2009 to all cardiologists practicing in 4 major cities in Pakistan Karachi, Lahore, Quetta and Peshawar. A validated, semi-structured questionnaire assessing ESC 2005 Guidelines for HF was used to obtain information from cardiologists. It included questions about awareness and relevance of HF guidelines See Additional File 1. Respondents- management choices were compared with those of an expert panel based on the guidelines for three fictitious patient cases. Cardiologists were also asked about major barriers to adherence to guidelines.

ResultsA total of 372 cardiologists were approached; 305 consented to participate overall response rate, 82.0%. The survey showed a very high awareness of CHF guidelines; 97.4% aware of any guideline. About 13.8% considered ESC guidelines as relevant or very relevant for guiding treatment decisions while 92.8% chose AHA guidelines in relevance. 87.2% of respondents perceived that they adhered to the HF guidelines. For the patient cases, the proportions of respondents who made recommendations that completely matched those of the guidelines were 7% Scenario 1, 0% Scenario 2 and 20% Scenario 3. Respondents considered patient compliance 59% and cost-health economics 50% as major barriers to guideline implementation.

ConclusionWe found important self reported departures from recommended HF management guidelines among cardiologists of Pakistan.

KeywordsHeart failure cardiologist guidelines awareness Electronic supplementary materialThe online version of this article doi:10.1186-1471-2261-11-68 contains supplementary material, which is available to authorized users.

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Autor: Sana Shoukat - Saqib A Gowani - Ather M Taqui - Rameez Ul Hassan - Zain A Bhutta - Anum I Malik - Sajjad A Sherjeel -

Fuente: https://link.springer.com/







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