TY - JOUR AU - Ghany, Reyan AU - Tamariz, Leonardo AU - Chen, Gordon AU - Ghany, Alina AU - Forbes, Emancia AU - Tajiri, Thiago AU - Palacio, Ana PY - 2017 TI - Screening echocardiograms in a senior focused value based primary care improves systolic heart failure detection and clinical management JF - Cardiovascular Diagnosis and Therapy; Vol 7, No 3 (June 16, 2017): Cardiovascular Diagnosis and Therapy Y2 - 2017 KW - 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 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. UR - https://cdt.amegroups.org/article/view/14085