Patients are waiting up to a year for a diagnosis with many ending up in hospital with heart failure, warned investigators.
, researchers shared results from the REVOLUTION-HF study involving almost 8000 people who consulted outpatient primary and secondary care over a 5-year period.
"It's a scandal that patients are coming to the GP with signs and symptoms of heart failure, they get tested for natriuretic peptides, and nothing happens," said co-author Antoni Bayes-Genis, MD, PhD, Heart Institute director, Hospital Universitari Germans Trias i Pujol Catedràtic, Barcelona, Spain. There are several"misconceptions" about heart failure, said Ileana L. Piña, MD, MPH, the Robert Stein Chair for Quality and Safety, Sidney Kimmel Medical College, Thomas Jefferson University, Philadelphia, who was not involved in the study.
There are several strengths of the current study, Piña said, including the fact that 50% of the study population were women, and they were older than a typical trial population. Nevertheless, the results were"eye-opening but not surprising" and, in the end,"disappointing." Individuals were excluded if they had an inpatient admission, echocardiography, or heart failure diagnosis between presentation and the NT-proBNP measurement.
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