ISSN 1016-5169 | E-ISSN 1308-4488
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Awareness and Expectations of Primary Care Clinicians in Chronic Heart Failure Management [Turk Kardiyol Dern Ars]
Turk Kardiyol Dern Ars. 2024; 52(5): 344-351 | DOI: 10.5543/tkda.2024.41152

Awareness and Expectations of Primary Care Clinicians in Chronic Heart Failure Management

Zeki Gündüz1, Furkan Gençer2, Ahmet Berk Duman2, Abdulcebbar Şipal2, Müjdat Aktaş3, Onur Argan4, Serdar Bozyel2
1Körfez Yeniyalı Family Health Center, Kocaeli, Türkiye
2Department of Cardiology, Health Sciences University, Kocaeli City Hospital, Kocaeli, Türkiye
3Department of Cardiology, Health Sciences University, Ankara City Hospital, Ankara, Türkiye
4Department of Cardiology, Balıkesir University, Medicine of Faculty, Balıkesir, Türkiye


OBJECTIVE
Chronic heart failure (CHF) management requires a multidisciplinary approach, and it’s very important for primary care physicians (PCC) to cooperate with cardiology physicians in this process. In this study, we tried to reveal the awareness and expectations of PCC about CHF management.


METHODS
The study was designed as a descriptive survey in a single region and included 549 PCC. Data were collected through a survey study.


RESULTS
A total of 389 PCC participated in our study. Of these, 137 (35.2%) stated that they had an average of more than 40 CHF patients registered with them, and 331 (85.1%) stated that they had identified them thanks to their medical treatment. The symptoms that physicians most frequently question in CHF patients are shortness of breath (27.5%), swelling in the ankle (27%), orthopnea (23.9%) and palpitations (20.5%). The physical examination findings that they question most frequently are peripheral edema (% 29.2), tachycardia (18.5%), crepitus in the lungs (16.8%), and irregular pulse (15.2%). 203 (55.9%) of PCC stated that measurements of natriuretic peptides could be implemented in their institutions if the necessary training and opportunity were provided. Most physicians (46.8%) stated that they should be given priority in referring CHF patients; 172 of them (44.2%) stated that they received in-service training regarding CHF and 278 of them (71.5%) stated that their training was not at a sufficient level.


CONCLUSION
It is clear that better results can be obtained in the management of CHF as the education level and professional experience of PHCs increases. It seems that PCC need training on CHF and need to improve the quality of communication with cardiologist’s.

Keywords: Primary care physicians, primary care services, cardiology, chronic heart failure

How to cite this article
Zeki Gündüz, Furkan Gençer, Ahmet Berk Duman, Abdulcebbar Şipal, Müjdat Aktaş, Onur Argan, Serdar Bozyel. Awareness and Expectations of Primary Care Clinicians in Chronic Heart Failure Management. Turk Kardiyol Dern Ars. 2024; 52(5): 344-351

Corresponding Author: Serdar Bozyel, Türkiye
Manuscript Language: Turkish


Journal Metrics

Journal Citation Indicator: 0.18
CiteScore: 1.1
Source Normalized Impact
per Paper:
0.22
SCImago Journal Rank: 0.348

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