Diagnostic approach to heart failure in Türkiye.

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dc.authoridhttps://orcid.org/0000-0003-0224-1433
dc.authoridhttps://orcid.org/0000-0002-7828-9487
dc.authoridhttps://orcid.org/0000-0002-2227-6177
dc.authoridhttps://orcid.org/0000-0003-3416-5965
dc.authoridhttps://orcid.org/0000-0002-4027-9873
dc.authoridhttps://orcid.org/0000-0002-8169-8628
dc.authoridhttps://orcid.org/0000-0002-9798-9796
dc.authoridhttps://orcid.org/0000-0001-6947-2821
dc.authoridhttps://orcid.org/0000-0003-0825-1851
dc.authoridhttps://orcid.org/0000-0001-8104-6198
dc.authoridhttps://orcid.org/0000-0002-3935-0222
dc.authoridhttps://orcid.org/0000-0001-7552-8967
dc.authoridhttps://orcid.org/0000-0002-7068-1599
dc.authoridhttps://orcid.org/0000-0002-9417-7610
dc.contributor.authorUral, Dilek
dc.contributor.authorAsarcikli, Lale Dinç
dc.contributor.authorÇöllüoğlu, İnci Tuğçe
dc.contributor.authorŞahin, Anıl
dc.contributor.authorÇavuşoğlu, Yüksel
dc.contributor.authorYilmaz, Mehmet Birhan
dc.contributor.authorNalbantgil, Sanem
dc.contributor.authorAta, Naim
dc.contributor.authorÜlgü, Mustafa Mahir
dc.contributor.authorBirinci, Şuayip
dc.contributor.authorMurat, Selda
dc.contributor.authorDemir, Emre
dc.contributor.authorKanik, Emine Arzu
dc.contributor.authorÇelik, Ahmet
dc.date.accessioned2025-02-28T07:57:23Z
dc.date.available2025-02-28T07:57:23Z
dc.date.issued2024-05-07
dc.departmentFakülteler, Tıp Fakültesi, Dahili Tıp Bilimleri Bölümü
dc.description.abstractBackground/aim: Final diagnosis of heart failure (HF) relies on a combination clinical findings, laboratory and imaging tests. The aim of this study was to review the diagnostic approach to HF in Türkiye. Materials and methods: This study is a subanalysis of the nationwide TRends-HF study, based on anonymized data from National Electronic Database between January 1, 2016, and December 31, 2022. Variables including date of birth, sex, socioeconomic development index, place of initial HF diagnosis, comorbidities, investigations, and diagnostic procedures were reported. Laboratory variables, including complete blood count, natriuretic peptides (NP), estimated glomerular filtration rate, uric acid, electrolytes, albumin, lipid profile, ferritin and hemoglobin A1c levels, and other imaging techniques (coronary angiogram [CAG], transthoracic echocardiography [TTE], chest X-ray [CXR], etc.) during the initial diagnosis and/or follow-up of HF patients, were obtained from the National Electronic Database. The diagnostic test usage rates were analyzed according to years, geographical regions, and socioeconomic regions of Türkiye. Results: The study population consisted of 2,722,151 HF patients (51.7% female, mean age 68.33 ± 14.01 years). All HF patients had at least one electrocardiogram and one TTE examination, and all underwent routine biochemical tests at least once during the follow-up period. CXR utilization rate was 93.7%, while CAG utilization rate was 17.9%. Coronary computed tomographic angiography and cardiac magnetic resonance imaging were performed in only 1.8% and 0.3% of patients, respectively. Among all Turkish HF patients, 16.3% had at least one NP measurement. The highest rate of NP use was observed in the Central Anatolia Region (21.0%), while the lowest rate was in the Aegean Region (11.7%). NP measurement during HF diagnosis revealed a rising trend over time (12.3% in 2016 vs. 26.3% in 2021). Conclusion: The widespread use of TTE at the beginning of the diagnosis and during follow-up is important for providing quality care to HF patients in Türkiye. However, detailed laboratory tests and advanced imaging methods are not utilized sufficiently, which could lead to issues in patient management.
dc.identifier.citationUral, D., Asarcikli, L. D., Çöllüoğlu, İ. T., Şahin, A., Çavuşoğlu, Y., Yilmaz, M. B., Nalbantgil, S., Ata, N., Ülgü, M. M., Birinci, Ş., Murat, S., Demir, E., Kanik, E. A., & Çelik, A. (2024). Diagnostic approach to heart failure in Türkiye. Turkish journal of medical sciences, 54(7), 1461–1469. https://doi.org/10.55730/1300-0144.5932
dc.identifier.doi10.55730/1300-0144.5932
dc.identifier.endpage1469
dc.identifier.issn1300-0144
dc.identifier.issn1303-6165
dc.identifier.issue7
dc.identifier.pmid39735484
dc.identifier.scopusqualityQ1
dc.identifier.startpage1461
dc.identifier.urihttps://doi.org/10.55730/1300-0144.5932
dc.identifier.urihttps://hdl.handle.net/20.500.14619/15095
dc.identifier.volume54
dc.identifier.wosWOS:001381273000006
dc.identifier.wosqualityQ2
dc.indekslendigikaynakPubMed
dc.indekslendigikaynakScopus
dc.indekslendigikaynakWeb of Science
dc.language.isoen
dc.publisherTUBITAK
dc.relation.ispartofTurkish Journal of Medical Sciences
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/closedAccess
dc.subjectHeart failure
dc.subjectdiagnostic tools
dc.subjectnationwide study
dc.subjectnatriuretic peptides
dc.titleDiagnostic approach to heart failure in Türkiye.
dc.typeArticle

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