EXPERIENCE OF CREATION AND THE FIRST RESULTS OF THE RUSSIAN HOSPITAL REGISTER OF CHRONIC HEART FAILURE (RUS-HFR) IN THREE SUBJECTS OF THE RUSSIAN FEDERATION

Objective. Analysis based on RUssian hoSpital Heart Failure Registry (RUS-HFR) etiology of systolic CHF, cause of hospitalization of these patients and compliance their therapy with international recommendations in 3 subjects of the RF. Design and methods. The RUS-HFR is a prospective, multicentre, observational study conducted in 3 Cardiology Centers (St. Petersburg - the central coordinator of the project, Samara, Orenburg). Inclusion criteria were CHF NYHA I-IV functional classes, LVEF<40 %, age 18-75 years, the absence of current myocardial infarction and pulmonary embolism. Results. From October 2012 to Jun 2013, 251 patients were enrolled, the mean age of the patients was 60 years and 79 % were men. Main etiologies were ischemic heart disease and hypertension. Ratio causes of hospitalization, its duration varied depending on the profile and capabilities of hospitals. conclusion. Compared with 10 years ago in Russia, in general a «portrait» of a patient with systolic heart failure has not changed, however, increased the proportion of patients undergoing cardiac surgery, and the percentage of patients receiving RAS blockers, P-AB, MRAs today compares with European registers. The greatest number of inconsistencies recommendations for mandatory drug therapy is detected in patients with CHF functional class II. Diuretic therapy is not prescribed for clinically expressed HF in 20-35 % of cases. High-tech methods of treatment in CHF patients (NYHA II-IV) in hospitals participating RUS-HFR recommend not often enough. «Planned» hospitalization (requiring correction of drug therapy) is 12-36 % of cases, and their duration was significantly higher than in the EU and USA.

хроническая сердечная недостаточность, регистр, эпидемиология, терапия, chronic heart failure, register, epidemiology, therapy. Cтатья поступила в редакцию 10.01.14, принята к печати 15.01.14

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