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Screening echocardiograms in a senior focused value based primary care improves systolic heart failure detection and clinical management

  
@article{CDT14085,
	author = {Reyan Ghany and Leonardo Tamariz and Gordon Chen and Alina Ghany and Emancia Forbes and Thiago Tajiri and Ana Palacio},
	title = {Screening echocardiograms in a senior focused value based primary care improves systolic heart failure detection and clinical management},
	journal = {Cardiovascular Diagnosis and Therapy},
	volume = {7},
	number = {3},
	year = {2017},
	keywords = {},
	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},
	issn = {2223-3660},	url = {http://cdt.amegroups.com/article/view/14085}
}