Özet:

SuleymanDemirel University TIP FACULTY JOURNAL: March 2005; 12(1) Differences between cardiologists and internal diseases specialists in compliance with the guidelines for heart failure Ercan Varol , Mehmet Özaydın , Banu Kale Köroğlu, Abdullah Doğan, Ahmet Altınbaş Summary Today there are many guidelines that address the diagnosis and treatment of chronic heart failure. It is unknown at what level these guidelines were followed in the clinical application and the effect of this on the patient's prognosis. This study was conducted to investigate how far cardiologists and internal diseases at a state hospital level applied the recommendations in the heart failure guidelines. The treatment protocols of 256 patients diagnosed with heart failure were examined at the Isparta State Hospital (Clinic of Cardiology 148, Clinic of Internal Diseases 108 patients). Cardiologists used angiotensin conversion enzyme inhibitors (ACEi) (with 79 percent, with 69, p<0.05 percent) and spironolactone (with 52 percent, with p<0.05 percent) more than internal diseases experts. On the contrary, internal diseases experts used more aspirin (with 45 percent, with 26 percent, p<0.05). Our findings show that compliance with the treatment protocols in the cardiac failure guide is insufficient. The differences between cardiologists and internal medicine physicians in adherence to heart failure guidelines There are now a number of guidelines outlining the diagnosis and management of patients with chronic heart failure. The extend to which these guidelines are used and the effects on patient outcomes are not well known. This study was done to examine the implementation of a heart failure guideline among cardiologists and internal medicine physicians in a state hospital setting. Treatment protocols of 256 patients (cardiology :148 patients and internal medicine : 108 patients) hospitalized for heart failure treatment in Isparta State Hospital were examined. Cardiologists had used more ACEi (%79 vs.%69, p<0. 05) and spironolactone (57% vs. 22%, p<0.05) than internal medicine physicians. On the other hand internal medicine physicians had used more aspirin (55% vs. 26%, p<0.05) than cardiologists. Our findings has demonstrated that implementation of treatment protocols in heart failure guideline remains inadequate. Key words: heart failure, guidelines

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