Archives of the Turkish Society of Cardiology
Snapshot evaluation of heart failure in Turkey: Baseline characteristics of SELFIE-TR [Turk Kardiyol Dern Ars]
Turk Kardiyol Dern Ars. 2019; 47(3): 198-206 | DOI: 10.5543/tkda.2019.66877

Snapshot evaluation of heart failure in Turkey: Baseline characteristics of SELFIE-TR

Mehmet Birhan Yılmaz1, Ahmet Çelik2, Yüksel Çavuşoğlu3, Lütfü Bekar4, Ersel Onrat5, Mehmet Eren6, Merih Kutlu7, Kenan Yalta8, Ahmet Temizhan9, Barış Kılıçaslan10, Hasan Güngör11, Mahmut Açıkel9, Mesut Demir12, Ramazan Akdemir13, Mehdi Zoghi14, Lale Tokgözoğlu15
1Department of Cardiology, Faculty of Medicine, Dokuz Eylül University, İzmir
2Department of Cardiology, Faculty of Medicine, Mersin University, Mersin
3Department of Cardiology, Faculty of Medicine, Eskişehir Osmangazi University, Eskişehir
4Department of Cardiology, Faculty of Medicine, Hitit University, Çorum
5Department of Cardiology, Faculty of Medicine, Kocatepe University, Afyon
6Cardiology Clinic, Siyami Ersek Education and Research Hospital, Istanbul
7Department of Cardiology, Faculty of Medicine, Karadeniz Teknik University, Trabzon
8Department of Cardiology, Faculty of Medicine, Trakya University, Edirne
9Cardiology Clinic, Türkiye Yuksek Ihtisas Education and Research Hospital, Ankara
10Cardiology Clinic, Tepecik Education and Research Hospital, Izmir
11Department of Cardiology, Faculty of Medicine, Adnan Menderes University, Aydın
12Department of Cardiology, Faculty of Medicine, Çukurova University, Adana
13Department of Cardiology, Faculty of Medicine, Sakarya University, Sakarya
14Department of Cardiology, Faculty of Medicine, Ege University, Izmir
15Department of Cardiology, Faculty of Medicine, Hacettepe University, Ankara


OBJECTIVE
Heart failure (HF) is an important health issue of the 21st century and the prevalence in Turkey has been reported as 2.9%. A national profile, frequency data, characteristics of different phenotypes, and risk factors have not yet been well established. The Snapshot Evaluation of Heart Failure Patients in Turkey (SELFIE-TR) was an analysis of a representative sample of HF patients from Turkey.

METHODS
A total of 23 centers with at least 2 cardiologists from the 12 NUTS-1 regions of Turkey were invited to participate in the research. The contributing centers shared the data of a consecutive enrollment of HF patients, as confirmed by an investigator, on a pre-selected day of each week for the month of October or November of 2015.

RESULTS
The mean age of the entire cohort was 63.3±13.3 years (male/female ratio: 751/303, 71.3%/28.7%). There were 712 acute HF patients and 342 chronic HF patients. The total number of HF patients with reduced ejection fraction (HFrEF), heart failure with mid-range ejection fraction, and heart failure with preserved ejection fraction was 801 (75%), 176 (16.7%), and 77 (7.3%), respectively. The patients with chronic HF were younger than those with acute HF (61.1±13.3 years vs 67.9±12.1 years; p<0.001). Among the whole cohort, hypertension was observed in 46%, diabetes mellitus was present in 27.5%, chronic obstructive pulmonary disease was present in 12.8%, and previous myocardial infarction was noted in 45.2%. In patients with HFrEF, the use of an angiotensin-converting enzyme inhibitor or angiotensin receptor blocker, a beta blocker, or a mineralocorticoid receptor antagonist was noted in 74.7%, 89.7%, and 60.9%, respectively.

CONCLUSION
The SELFIE-TR findings provide important insight, since it is the first study to make a snapshot of HF patients in our country. These data may help to create standardized prevention and treatment strategies.

Keywords: Phenotypes, heart failure; profile.

How to cite this article
Mehmet Birhan Yılmaz, Ahmet Çelik, Yüksel Çavuşoğlu, Lütfü Bekar, Ersel Onrat, Mehmet Eren, Merih Kutlu, Kenan Yalta, Ahmet Temizhan, Barış Kılıçaslan, Hasan Güngör, Mahmut Açıkel, Mesut Demir, Ramazan Akdemir, Mehdi Zoghi, Lale Tokgözoğlu. Snapshot evaluation of heart failure in Turkey: Baseline characteristics of SELFIE-TR. Turk Kardiyol Dern Ars. 2019; 47(3): 198-206

Corresponding Author: Mehmet Birhan Yılmaz, Türkiye
© Copyright 2019 Archives of the Turkish Society of Cardiology
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