[ XXXX : a view from primary care].

@entity1 @entity712 @entity101 @entity6 @entity301 @entity340
OBJECTIVE: Our aim was to find out the situation of @entity712 ( @entity712 ) in primary care. DESIGN: Cross-sectional multicentre study. SETTING: Four primary health care centres and a hospital in an urban area of Barcelona. @entity1 : From a registered population of 35,212 inhabitants older than 45 years, we studied all @entity1 (333) diagnosed with @entity712 in 2006 in primary care. MEASUREMENTS: A standardised questionnaire was used to record demographic, clinical and treatment data. RESULTS: There were 61.4% females. Mean age was 74.5 (standard deviation [SD]: 10) for @entity1 and 79 (SD: 9.8) for @entity1 . A total of 46% of @entity1 had @entity712 for <5 years. The comorbidity diagnosis and at the beginning of the study were: @entity101 65.4% and 73%, @entity6 33.6% and 40%, dyslipaemia 40% and 53%, @entity301 30% and 27%, and @entity340 23.7% and 27%, respectively. A total of 64% of @entity1 had registered New York Heart Association functional class (48% class II, 30% III and 6.6% IV). Blood pressure was controlled in 36% @entity1 and 20.5% @entity1 (P=0.002); 75.4% had an electrocardiogram, 57% X-ray; 58% of @entity1 and 46% of @entity1 (P=0.02) had echocardiography. The most prescribed drugs were diuretics 85.3%, the least, beta blockers 27%. CONCLUSIONS: @entity1 with @entity712 in primary care are elderly females with a lot of comorbidities. We must be concerned by the suboptimal use of basic investigations (electrocardiogram and X-ray) and beta blocker treatments.
