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Clinical and research medicine: Coronary heart disease
e0368 Evaluation of the effect on the management of patients suffering from coronary atherosclerotic heart disease combined with chronic heart failure
  1. Wang Ningfu,
  2. Zhong Yigang,
  3. Li Hong,
  4. Guo Shizhueng,
  5. Zhou Zhangling
  1. Department of Cardiology, The First People's Hospital, Hangzhou and Affilliated Hangzhou Hospital, Nanjing Medical University, Hangzhou, China

Abstract

Objective To study the effect on the management of patients suffering from coronary atherosclerotic heart disease combined with chronic heart failure.

Method 1109 patients who discharged from our department were enrolled randomly. These patients were ranked as the manage group and control group. Patients in manage group accepted standardised management out of hospital, regular health education, and were followed up in the form of telephone and outpatient visit.

Result Compared with the control group, the manage group showed the lower rate of all cause of death, cardiac death and readmission due to cardiovascular events (CVE), declined by 32.0%, 36.5% and 58.4% respectively. All cause of death, cardiac death and readmission due to CVE in manage group had significantly negative correlation with the years of death. But there was no ascendency in reducing the rate of stroke and myocardial infarction.

Conclusion Through standardised management out of hospital, patients who were suffering from coronary atherosclerotic heart disease combined with chronic heart failure got significant benefit in reducing the rate of all cause of death, cardiac death and readmission due to CVE, and survival rate of patients was improved.

  • Coronary atherosclerotic heart disease (CAD)
  • chronic heart disease (CHF)
  • management

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