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10.1002/ehf2.13016

http://scihub22266oqcxt.onion/10.1002/ehf2.13016
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32997438!7537025!32997438
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suck abstract from ncbi


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pmid32997438      ESC+Heart+Fail 2020 ; 7 (6): 4420-4423
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  • Impact of lockdown on patients with congestive heart failure during the coronavirus disease 2019 pandemic #MMPMID32997438
  • Chague F; Boulin M; Eicher JC; Bichat F; Saint Jalmes M; Cransac-Miet A; Soudry-Faure A; Danchin N; Cottin Y; Zeller M
  • ESC Heart Fail 2020[Dec]; 7 (6): 4420-4423 PMID32997438show ga
  • AIMS: Cardiovascular co-morbidities like congestive heart failure (CHF) alter the course of coronavirus disease 2019. Factors associated with the outbreak and lockdown can exacerbate CHF. METHODS AND RESULTS: We analysed the answers of 124 randomly selected CHF outpatients (mean age 71.0 +/- 14.0 years, 60.5% male) interviewed by phone during the sixth and seventh weeks of the lockdown. Most patients were treated for New York Heart Association class II (38.7%) and reduced ejection fraction HF (70.2%). Psychological distress (Kessler 6 score >/= 5) was common (18.5%), and 21.8% felt worse than before the lockdown. Few patients (n = 10) adjusted their intake of HF medications, always on medical prescription. Decreased physical activity was common (41.9%) and more frequent in women (P = 0.025) and urban dwellers (P = 0.009). Almost half of respondents (46.0%) declared increased screen time, but only few declared more alcohol intake (4.0%). Weight gain was common (27.4%), and 44.4% of current smokers increased tobacco consumption. Adherence to recommended salt or fluid intake restrictions was reduced in 14.5%. Increase in HF symptoms was commonly reported (21.8%) and tended to be higher in women than in men (P = 0.074). Of the 23 patients who had a phone teleconsultation during the pandemic, 16 had initially planned an in-person consultation that they switched for teleconsultation. CONCLUSIONS: During the lockdown, psychological distress and decreased well-being were common in CHF outpatients, and there was an increase in unhealthy lifestyle behaviours. These changes may negatively impact short-term and long-term prognoses. Medication adherence was maintained, and limitations in access to care were partly counterbalanced by use of telehealth.
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