Abstract
Background: Screening echocardiograms are not indicated. Our aim is to evaluate the impact of screening echocardiograms on improving clinical management among older adults. Methods: We performed screening echocardiograms for all consecutive patients and defined incident systolic heart failure (HF) as an ejection fraction of less than 50% among patients without a previous HF diagnosis. We reviewed medical record data to determine if the new cases where Stage B or C. We obtained prescribed medications and vital signs from the electronic health record to determine absolute changes before and after the echocardiogram. Results: We performed an echocardiogram in 6,417 patients with a mean age of 71.4±6. The echocardiogram identified 292 seniors with new cases of systolic HF (5.34%; 95% CI: 4.7-5.9) and 239 were stage B HF. The increase in the use of ace-inhibitor, beta blocker when comparing the pre and post echocardiogram periods was highest in those with Stage C and those with ejection fraction lower than 40%. Systolic blood pressure (SBP) decreased from 140±19 to 136±15 (P<0.01) and low density lipoprotein (LDL) from 105±36 to 97±33 (P<0.01). Conclusions: Performing echocardiograms in senior-focused value-based primary care improves evidence-based cardiovascular treatment and short-Term clinical outcomes, including lowering SBP and LDL.
| Original language | English (US) |
|---|---|
| Pages (from-to) | 236-243 |
| Number of pages | 8 |
| Journal | Cardiovascular Diagnosis and Therapy |
| Volume | 7 |
| Issue number | 3 |
| DOIs | |
| State | Published - Jun 1 2017 |
Fingerprint
Keywords
- Echocardiogram
- Elderly
- Heart failure (HF)
- Screening
ASJC Scopus subject areas
- Cardiology and Cardiovascular Medicine
Cite this
Screening echocardiograms in a senior focused value based primary care improves systolic heart failure detection & clinical management. / Ghany, Reyan; Tamariz, Leonardo; Chen, Gordon; Ghany, Alina; Forbes, Emancia; Tajiri, Thiago; Palacio, Ana M.
In: Cardiovascular Diagnosis and Therapy, Vol. 7, No. 3, 01.06.2017, p. 236-243.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Screening echocardiograms in a senior focused value based primary care improves systolic heart failure detection & clinical management
AU - Ghany, Reyan
AU - Tamariz, Leonardo
AU - Chen, Gordon
AU - Ghany, Alina
AU - Forbes, Emancia
AU - Tajiri, Thiago
AU - Palacio, Ana M
PY - 2017/6/1
Y1 - 2017/6/1
N2 - Background: Screening echocardiograms are not indicated. Our aim is to evaluate the impact of screening echocardiograms on improving clinical management among older adults. Methods: We performed screening echocardiograms for all consecutive patients and defined incident systolic heart failure (HF) as an ejection fraction of less than 50% among patients without a previous HF diagnosis. We reviewed medical record data to determine if the new cases where Stage B or C. We obtained prescribed medications and vital signs from the electronic health record to determine absolute changes before and after the echocardiogram. Results: We performed an echocardiogram in 6,417 patients with a mean age of 71.4±6. The echocardiogram identified 292 seniors with new cases of systolic HF (5.34%; 95% CI: 4.7-5.9) and 239 were stage B HF. The increase in the use of ace-inhibitor, beta blocker when comparing the pre and post echocardiogram periods was highest in those with Stage C and those with ejection fraction lower than 40%. Systolic blood pressure (SBP) decreased from 140±19 to 136±15 (P<0.01) and low density lipoprotein (LDL) from 105±36 to 97±33 (P<0.01). Conclusions: Performing echocardiograms in senior-focused value-based primary care improves evidence-based cardiovascular treatment and short-Term clinical outcomes, including lowering SBP and LDL.
AB - Background: Screening echocardiograms are not indicated. Our aim is to evaluate the impact of screening echocardiograms on improving clinical management among older adults. Methods: We performed screening echocardiograms for all consecutive patients and defined incident systolic heart failure (HF) as an ejection fraction of less than 50% among patients without a previous HF diagnosis. We reviewed medical record data to determine if the new cases where Stage B or C. We obtained prescribed medications and vital signs from the electronic health record to determine absolute changes before and after the echocardiogram. Results: We performed an echocardiogram in 6,417 patients with a mean age of 71.4±6. The echocardiogram identified 292 seniors with new cases of systolic HF (5.34%; 95% CI: 4.7-5.9) and 239 were stage B HF. The increase in the use of ace-inhibitor, beta blocker when comparing the pre and post echocardiogram periods was highest in those with Stage C and those with ejection fraction lower than 40%. Systolic blood pressure (SBP) decreased from 140±19 to 136±15 (P<0.01) and low density lipoprotein (LDL) from 105±36 to 97±33 (P<0.01). Conclusions: Performing echocardiograms in senior-focused value-based primary care improves evidence-based cardiovascular treatment and short-Term clinical outcomes, including lowering SBP and LDL.
KW - Echocardiogram
KW - Elderly
KW - Heart failure (HF)
KW - Screening
UR - http://www.scopus.com/inward/record.url?scp=85019846272&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85019846272&partnerID=8YFLogxK
U2 - 10.21037/cdt.2017.03.09
DO - 10.21037/cdt.2017.03.09
M3 - Article
VL - 7
SP - 236
EP - 243
JO - Cardiovascular Diagnosis and Therapy
JF - Cardiovascular Diagnosis and Therapy
SN - 2223-3652
IS - 3
ER -