The patient with heart failure (HF) is a frequent scenario in primary care consultations. The presence of subclinical congestion is a predictor of rehospitalization and adverse events in these patients. The assessment of congestion is complex due to the low sensitivity of classic symptoms and signs, which leads to underdiagnosis, delayed initiation of treatment and a greater likelihood of complications.
View Article and Find Full Text PDFFrom primary care we work on the prevention and treatment of cardiovascular risk in our patients. The physical examination, the electrocardiogram and the analysis are the classic parameters and continue being the most efficient way to estimate the presence and control of cardiovascular factors and target organ damage, to optimize the cardiovascular risk stratification. The use of ultrasound by the primary care doctor to complete the clinical information is a reality that helps to strengthen the diagnostic suspicion, monitorize the clinical evolution and even decide the best therapeutic plan.
View Article and Find Full Text PDFObjective: Provide consensus recommendations for the optimal management of fixed-dose combination therapies (FCT) in patients with cardiovascular risk factors (CVRF) in primary care (PC).
Material And Methods: A modified Delphi technique was used. A scientific committee wrote 80 statements addressing controversial issues regarding adherence and the use of FCT in patients with CVRF.