100 Pharmacological treatment of chronic heart failure in the region of Marrakech: where are we compared to the recommendations?

Introductionheart failure (HF) is a frequent pathology which profited from important therapeutic progress. The respect of the international recommendations is essential in order to optimize its managment.The objective of this study was to evaluate the adequacy of our practice with the international recommendations concerning the pharmacologic management of chronic HF.Patients and methodsIt is about an observational prospective study over six months including of the patients followed in cardiologic consultation for chronic HF. The data collected the demographic elements (old, sex…) elements concerning HF (class NYHA, etiology, number of decompensation during the previous year…) and data concerning the pharmacological treatment prescribed (molecules, doses, tolerance of the treatment, the control of the side effects by the electric and biological complementary examinations.). The adequacy of this treatment compared to the French recommendations of 2007 was evaluated by a cardiologist senior who was not responsible for the follow-up of the patient.ResultsHundred two patients were included (42 women and 60 men with a sex ratio of 1.15). The Middle Age was of 56.9 +−26.1 years. All the patients (100%) were treated by the diuretic, 78% of the cases were under converting enzyme inhibitors (ACE),85% of the patients were under bétabloquants (BB), 75% of the patients were put under the triad diuretic-ACE-BB. The digitaliques had been prescribed at 21,4% of the patients who presented a chronic cardiac failure in arrhythmia. The recommended target doses was noted in 35,7% for ACE inhibitors, 25% for BB and 14,3 for diuretics.ConclusionOur study reveals an insufficient adequacy of our practice with the international recommendations. Improving the management of Hf based on the knowledge of the various therapeutic classes recommended in the HF and their target doses. The creation of a unit of HF seems essential then