Dujardin J J, Hanania G, Mialet G, Bounhoure J-P, Gallois H
Collège national des cardiologues des hôpitaux généraux.
Arch Mal Coeur Vaiss. 2002 Feb;95 Spec 4(5 Spec 4):7-10.
The French epidemiological data on cardiac insufficiency in the hospital environment are scarce. A register collecting 1772 patients was produced by the services of the National College of General Hospital Cardiologists (C.N.C.H.G.) during two periods: autumn 1999 (November) and spring 2000 (June). It involved completing a form for each of the first 20 patients with cardiac failure hospitalized over a month. 1011 and 761 observations from 59 and 47 centres (that is 17 and 16 observations per centre) were collected during the autumn and spring periods respectively. In France, in the general hospital centres (CHG) cardiology services during the year 2000, the characteristics and the medical treatment of hospitalized patients with cardiac failure are very similar to those presented in 1998 by A. Cohen-Solal in the name of the working group "Cardiomyopathy and Cardiac Insuficiency of the French Society of Cardiology". The hospitalized patient with cardiac failure is very old, usually male, has an ischaemic cardiopathy in one in two cases, and is at stage II and III on the New York Heart Association (NYHA) scale in 83% of cases. There is practically always an electrocardiographic anomaly. Loop diuretics are prescribed nine times out of ten, digitalis one in three, anagiotensin converting enzyme inhibitors are underused being prescribed two out of three times, but an increase in the prescription of anti-aldosterone and betablockers is found. The majority of patients improve during their stay, 7.8% dying and this mortality is influenced by age, ejection fraction (FE), functional NYHA class, causal cardiopathy, and the existence of severe renal failure. The data collected by the cardiology services of the C.N.C.H.G. are representative of the profile of the population affected and are important to know in order to improve the management of these patients.
法国医院环境中心力衰竭的流行病学数据匮乏。法国综合医院心脏病专家全国学会（C.N.C.H.G.）的相关部门在两个时间段收集了一份包含1772名患者的登记资料：1999年秋季（11月）和2000年春季（6月）。这涉及为每个月内首批住院的20例心力衰竭患者填写一份表格。秋季和春季分别收集了来自59个和47个中心的1011份和761份观察资料（即每个中心17份和16份观察资料）。在法国，2000年综合医院中心（CHG）心脏病科服务中，心力衰竭住院患者的特征及药物治疗情况与1998年A. 科恩 - 索拉尔以法国心脏病学会“心肌病与心力衰竭”工作组名义所呈现的情况非常相似。心力衰竭住院患者年龄很大，通常为男性，每两例中有一例患有缺血性心脏病，83%的病例在纽约心脏协会（NYHA）分级中处于II级和III级。几乎总有心电图异常。十分之九的患者会使用袢利尿剂，三分之一的患者会使用洋地黄，血管紧张素转换酶抑制剂使用不足，每三次中使用两次，但抗醛固酮药物和β受体阻滞剂的处方量有所增加。大多数患者在住院期间病情好转，7.8%的患者死亡，这种死亡率受年龄、射血分数（FE）、NYHA功能分级、病因性心脏病以及严重肾衰竭的存在情况影响。C.N.C.H.G.心脏病科服务收集的数据代表了受影响人群的特征，对于了解如何改善这些患者的管理很重要。
