Skip to main content
main-content
Top

Tip

Swipe om te navigeren naar een ander artikel

Gepubliceerd in: Huisarts en wetenschap 5/2017

01-05-2017 | Beschouwing

Vroegdetectie en tijdige behandeling van hartfalen zijn zinvol

Auteurs: Evelien van Riet, Frans Rutten

Gepubliceerd in: Huisarts en wetenschap | Uitgave 5/2017

Log in om toegang te krijgen
share
DELEN

Deel dit onderdeel of sectie (kopieer de link)

  • Optie A:
    Klik op de rechtermuisknop op de link en selecteer de optie “linkadres kopiëren”
  • Optie B:
    Deel de link per e-mail

Samenvatting

Van Riet EES, Rutten FH. Vroegdetectie en tijdige behandeling van hartfalen zijn zinvol. Huisarts Wet 2017;60(5):217-9.
Hartfalen is een belangrijk medisch probleem dat vooral bij ouderen voorkomt en leidt tot verlies van functionaliteit en kwaliteit van leven, een grote kans op sterfte en hoge kosten voor de gezondheidszorg. Hartfalen komt frequent voor, maar wordt vaak niet herkend. Zowel de huisarts als de patiënt zelf verklaart kortademigheid en verminderde inspanningstolerantie dikwijls door ‘deconditionering’ of aandoeningen zoals COPD. In dit artikel zoeken wij een antwoord op de vraag of vroegdetectie en tijdige behandeling van hartfalen bij ouderen met kortademigheid zinvol en haalbaar zijn. Wij concluderen dat dit zo is, mits er aan een aantal voorwaarden wordt voldaan. Huisartsen zullen aandacht moeten hebben voor het implementeren van diagnostische en farmacologische kennis over hartfalen in de dagelijkse praktijk. Goede samenwerking tussen huisartsenpraktijk en hartfalenpolikliniek is belangrijk voor een geïntegreerde eerste- en tweedelijnshartfalenzorg.
Literatuur
2.
go back to reference Van Riet EES, Hoes AW, Wagenaar KP, Limburg A, Landman MAJ, Rutten F. Epidemiology of heart failure: the prevalence of heart failure and ventricular dysfunction in older adults over time. A systematic review. Eur J Heart Fail 2016;18:242–52. CrossRefPubMed Van Riet EES, Hoes AW, Wagenaar KP, Limburg A, Landman MAJ, Rutten F. Epidemiology of heart failure: the prevalence of heart failure and ventricular dysfunction in older adults over time. A systematic review. Eur J Heart Fail 2016;18:242–52. CrossRefPubMed
3.
go back to reference Schocken DD, Benjamin EJ, Fonarow GC, Krumholz HM, Levy D, Mensah GA, et al. Prevention of heart failure: a scientific statement from the American Heart Association Councils on Epidemiology and Prevention, Clinical Cardiology, Cardiovascular Nursing, and High Blood Pressure Research; Quality of Care and Outcomes Research Interdisciplinary Working Group; and Functional Genomics and Translational Biology Interdisciplinary Working Group. Circulation 2008;117:2544–65. CrossRefPubMed Schocken DD, Benjamin EJ, Fonarow GC, Krumholz HM, Levy D, Mensah GA, et al. Prevention of heart failure: a scientific statement from the American Heart Association Councils on Epidemiology and Prevention, Clinical Cardiology, Cardiovascular Nursing, and High Blood Pressure Research; Quality of Care and Outcomes Research Interdisciplinary Working Group; and Functional Genomics and Translational Biology Interdisciplinary Working Group. Circulation 2008;117:2544–65. CrossRefPubMed
4.
go back to reference McMurray JJ, Adamopoulos S, Anker SD, Auricchio A, Bohm M, Dickstein K, et al. ESC Guidelines for the diagnosis and treatment of acute and chronic heart failure 2012: The Task Force for the Diagnosis and Treatment of Acute and Chronic Heart Failure 2012 of the European Society of Cardiology. Developed in collaboration with the Heart Failure Association (HFA) of the ESC. Eur J Heart Fail 2012;14:803–69. CrossRefPubMed McMurray JJ, Adamopoulos S, Anker SD, Auricchio A, Bohm M, Dickstein K, et al. ESC Guidelines for the diagnosis and treatment of acute and chronic heart failure 2012: The Task Force for the Diagnosis and Treatment of Acute and Chronic Heart Failure 2012 of the European Society of Cardiology. Developed in collaboration with the Heart Failure Association (HFA) of the ESC. Eur J Heart Fail 2012;14:803–69. CrossRefPubMed
5.
go back to reference Van Riet EES, Hoes AW, Limburg A, Landman MAJ, Van der Hoeven H, Rutten FH. Niet-herkend hartfalen bij ouderen met kortademigheid. Huisarts Wet 2015;58:354–7. CrossRef Van Riet EES, Hoes AW, Limburg A, Landman MAJ, Van der Hoeven H, Rutten FH. Niet-herkend hartfalen bij ouderen met kortademigheid. Huisarts Wet 2015;58:354–7. CrossRef
6.
go back to reference Rutten FH, Cramer MJ, Grobbee DE, Sachs AP, Kirkels JH, Lammers JW, Hoes AW. Unrecognized heart failure in elderly patients with stable chronic obstructive pulmonary disease. Eur Heart J 2005;26:1887–94. CrossRefPubMed Rutten FH, Cramer MJ, Grobbee DE, Sachs AP, Kirkels JH, Lammers JW, Hoes AW. Unrecognized heart failure in elderly patients with stable chronic obstructive pulmonary disease. Eur Heart J 2005;26:1887–94. CrossRefPubMed
7.
go back to reference Anguita Sanchez M, Crespo Leiro MG, De Teresa Galvan E, Jimenez Navarro M, Alonso-Pulpon L, Muniz Garcia J. Prevalence of heart failure in the Spanish general population aged over 45 years. The PRICE Study. Rev Esp Cardiol 2008;61:1041–9. CrossRefPubMed Anguita Sanchez M, Crespo Leiro MG, De Teresa Galvan E, Jimenez Navarro M, Alonso-Pulpon L, Muniz Garcia J. Prevalence of heart failure in the Spanish general population aged over 45 years. The PRICE Study. Rev Esp Cardiol 2008;61:1041–9. CrossRefPubMed
8.
go back to reference Ceia F, Fonseca C, Mota T, Morais H, Matias F, De Sousa A, Oliveira A. Prevalence of chronic heart failure in Southwestern Europe: the EPICA study. Eur J Heart Fail 2002;4:531–9. CrossRefPubMed Ceia F, Fonseca C, Mota T, Morais H, Matias F, De Sousa A, Oliveira A. Prevalence of chronic heart failure in Southwestern Europe: the EPICA study. Eur J Heart Fail 2002;4:531–9. CrossRefPubMed
9.
go back to reference Kelder JC, Cramer MJ, Van Wijngaarden J, Van Tooren R, Mosterd A, Moons KG, et al. The diagnostic value of physical examination and additional testing in primary care patients with suspected heart failure. Circulation 2011;124:2865–73. CrossRefPubMed Kelder JC, Cramer MJ, Van Wijngaarden J, Van Tooren R, Mosterd A, Moons KG, et al. The diagnostic value of physical examination and additional testing in primary care patients with suspected heart failure. Circulation 2011;124:2865–73. CrossRefPubMed
10.
go back to reference Rutten FH, Moons KG, Cramer MJ, Grobbee DE, Zuithoff NP, Lammers JW, Hoes AW. Recognising heart failure in elderly patients with stable chronic obstructive pulmonary disease in primary care: cross sectional diagnostic study. BMJ 2005;331:137–9. CrossRef Rutten FH, Moons KG, Cramer MJ, Grobbee DE, Zuithoff NP, Lammers JW, Hoes AW. Recognising heart failure in elderly patients with stable chronic obstructive pulmonary disease in primary care: cross sectional diagnostic study. BMJ 2005;331:137–9. CrossRef
11.
go back to reference Boonman-de Winter LJ, Rutten FH, Cramer MJ, Landman MJ, Zuithoff NP, Liem AH, Hoes AW. Efficiently screening heart failure in patients with type 2 diabetes. Eur J Heart Fail 2015;17:187–95. CrossRefPubMed Boonman-de Winter LJ, Rutten FH, Cramer MJ, Landman MJ, Zuithoff NP, Liem AH, Hoes AW. Efficiently screening heart failure in patients with type 2 diabetes. Eur J Heart Fail 2015;17:187–95. CrossRefPubMed
12.
go back to reference Van Riet EE, Hoes AW, Limburg A, Landman MA, Kemperman H, Rutten FH. Extended prediction rule to optimize early detection of heart failure in older persons with non-acute shortness of breath: a cross-sectional study. BMJ Open 2016;15:6. Van Riet EE, Hoes AW, Limburg A, Landman MA, Kemperman H, Rutten FH. Extended prediction rule to optimize early detection of heart failure in older persons with non-acute shortness of breath: a cross-sectional study. BMJ Open 2016;15:6.
13.
go back to reference Hoes AW, Voors AA, Rutten FH, Van Lieshout J, Janssen PGH, Walma EP. NHG-Standaard Hartfalen. Huisarts Wet 2010;53:368–89. Hoes AW, Voors AA, Rutten FH, Van Lieshout J, Janssen PGH, Walma EP. NHG-Standaard Hartfalen. Huisarts Wet 2010;53:368–89.
14.
go back to reference Van Mourik Y, Rutten FH, Moons KG, Bertens LC, Hoes AW, Reitsma JB. Prevalence and underlying causes of dyspnoea in older people: a systematic review. Age Ageing 2014;43:319–26. CrossRefPubMed Van Mourik Y, Rutten FH, Moons KG, Bertens LC, Hoes AW, Reitsma JB. Prevalence and underlying causes of dyspnoea in older people: a systematic review. Age Ageing 2014;43:319–26. CrossRefPubMed
15.
go back to reference Masson S, Latini R, Anand IS, Barlera S, Angelici L, Vago T, et al. Prognostic value of changes in N-terminal pro-brain natriuretic peptide in Val-HeFT (Valsartan Heart Failure Trial). J Am Coll Cardiol 2008;52:997–1003. CrossRefPubMed Masson S, Latini R, Anand IS, Barlera S, Angelici L, Vago T, et al. Prognostic value of changes in N-terminal pro-brain natriuretic peptide in Val-HeFT (Valsartan Heart Failure Trial). J Am Coll Cardiol 2008;52:997–1003. CrossRefPubMed
16.
go back to reference Wong M, Staszewsky L, Latini R, Barlera S, Volpi A, Chiang YT, et al. Valsartan benefits left ventricular structure and function in heart failure: Val-HeFT echocardiographic study. J Am Coll Cardiol 2002;40:970–5. CrossRefPubMed Wong M, Staszewsky L, Latini R, Barlera S, Volpi A, Chiang YT, et al. Valsartan benefits left ventricular structure and function in heart failure: Val-HeFT echocardiographic study. J Am Coll Cardiol 2002;40:970–5. CrossRefPubMed
17.
go back to reference Bongers FJ, Schellevis FG, Bakx C, Van den Bosch WJ, Van der Zee J. Treatment of heart failure in Dutch general practice. BMC Fam Pract 2006;7:4–0. CrossRef Bongers FJ, Schellevis FG, Bakx C, Van den Bosch WJ, Van der Zee J. Treatment of heart failure in Dutch general practice. BMC Fam Pract 2006;7:4–0. CrossRef
18.
go back to reference Bosch M, Wensing M, Bakx JC, Van der Weijden T, Hoes AW, Grol RP. Current treatment of chronic heart failure in primary care; still room for improvement. J Eval Clin Pract 2010;16:644–50. PubMed Bosch M, Wensing M, Bakx JC, Van der Weijden T, Hoes AW, Grol RP. Current treatment of chronic heart failure in primary care; still room for improvement. J Eval Clin Pract 2010;16:644–50. PubMed
19.
go back to reference Luttik ML, Jaarsma T, Van Geel PP, Brons M, Hillege HL, Hoes AW, et al. Long-term follow-up in optimally treated and stable heart failure patients: primary care vs. heart failure clinic. Results of the COACH-2 study. Eur J Heart Fail 2014;16:1241–8. CrossRefPubMed Luttik ML, Jaarsma T, Van Geel PP, Brons M, Hillege HL, Hoes AW, et al. Long-term follow-up in optimally treated and stable heart failure patients: primary care vs. heart failure clinic. Results of the COACH-2 study. Eur J Heart Fail 2014;16:1241–8. CrossRefPubMed
20.
go back to reference Schou M, Gustafsson F, Videbaek L, Tuxen C, Keller N, Handberg J, et al. Extended heart failure clinic follow-up in low-risk patients: a randomized clinical trial (NortStar). Eur Heart J 2013;34:432–42. CrossRefPubMed Schou M, Gustafsson F, Videbaek L, Tuxen C, Keller N, Handberg J, et al. Extended heart failure clinic follow-up in low-risk patients: a randomized clinical trial (NortStar). Eur Heart J 2013;34:432–42. CrossRefPubMed
21.
go back to reference Van Riet EE, Hoes AW, Limburg A, Landman MA, Zuithoff PN, Rutten FH. Effect of training general practitioners in drug treatment of newly detected heart failure patients with reduced or preserved ejection fraction: a cluster randomized trial. Int J Cardiol 2016;217:174–82. CrossRefPubMed Van Riet EE, Hoes AW, Limburg A, Landman MA, Zuithoff PN, Rutten FH. Effect of training general practitioners in drug treatment of newly detected heart failure patients with reduced or preserved ejection fraction: a cluster randomized trial. Int J Cardiol 2016;217:174–82. CrossRefPubMed
22.
go back to reference Lodewijks-Van de Bolt CL, Baur, Winkens R, et al. The Dutch experience of open acces echocardiography. Neth Heart J 2007;15:342–7. CrossRef Lodewijks-Van de Bolt CL, Baur, Winkens R, et al. The Dutch experience of open acces echocardiography. Neth Heart J 2007;15:342–7. CrossRef
23.
go back to reference Sulaiman ND, Barton CA, Liaw ST, Harris CA, Sawyer SM, Abramson MJ, et al. Do small group workshops and locally adapted guidelines improve asthma patients' health outcomes? A cluster randomized controlled trial. Fam Pract 2010;27:246–54. CrossRefPubMed Sulaiman ND, Barton CA, Liaw ST, Harris CA, Sawyer SM, Abramson MJ, et al. Do small group workshops and locally adapted guidelines improve asthma patients' health outcomes? A cluster randomized controlled trial. Fam Pract 2010;27:246–54. CrossRefPubMed
24.
go back to reference Van Bruggen R, Gorter K, Stolk R, Klungel O, Rutten G. Clinical inertia in general practice: widespread and related to the outcome of diabetes care. Fam Pract 2009;26:428–36. CrossRefPubMed Van Bruggen R, Gorter K, Stolk R, Klungel O, Rutten G. Clinical inertia in general practice: widespread and related to the outcome of diabetes care. Fam Pract 2009;26:428–36. CrossRefPubMed
25.
go back to reference Byrnes PD. Why haven't I changed that? Therapeutic inertia in general practice. Aust Fan Physician 2011;40;24–8. Byrnes PD. Why haven't I changed that? Therapeutic inertia in general practice. Aust Fan Physician 2011;40;24–8.
Metagegevens
Titel
Vroegdetectie en tijdige behandeling van hartfalen zijn zinvol
Auteurs
Evelien van Riet
Frans Rutten
Publicatiedatum
01-05-2017
Uitgeverij
Bohn Stafleu van Loghum
Gepubliceerd in
Huisarts en wetenschap / Uitgave 5/2017
Print ISSN: 0018-7070
Elektronisch ISSN: 1876-5912
DOI
https://doi.org/10.1007/s12445-017-0139-z