ISSN 1016-5169 | E-ISSN 1308-4488
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Heart Failure Awareness Survey in a Turkish Population: HFAS-TR [Turk Kardiyol Dern Ars]
Turk Kardiyol Dern Ars. 2024; 52(5): 337-343 | DOI: 10.5543/tkda.2024.49280

Heart Failure Awareness Survey in a Turkish Population: HFAS-TR

Dilay Karabulut1, Şeyda Günay2, Sena Sert Şekerci3, Ertan Aydın4, Kerem Köz5, Fahrettin Katkat6, İbrahim Saraç7, Fahri Er8, Önder Öztürk9, Veysel Oktay10, Yasemin Doğan11, Umut Kocabaş12, Cansu Öztürk9, Onur Aslan13, Ayşegül Ülgen Kunak14, Serhat Çalışkan15, Cennet Yıldız1, Tolga Çakmak5, Murat Özmen7, Özge Çetinarslan16, Yusuf Ziya Şener17, Tuba Ekin18, Mevlüt Demir19, Hasan Kudat20, Mehmet Fidan2, Özkan Kayhan21, Sinan İnci22, Umut Karabulut23, Lütfü Bekar24, Mehmet Fatih Yılmaz3, Ferit Böyük25, Ahmet Öz6, Tarık Kıvrak26, Emrah Erdoğan27, Saadet Aydın28, Tunay Şentürk2, Sidar Şiyar Aydın7, Selvi Öztaş29, Mehmet Kış30, Remziye Doğan31, Eren Ozan Bakır28, Rabia Çoldur27, İbrahim Duygu32, İbrahim Oğuz33, Süleyman Çağan Efe34, Ramazan Düz27, Oktay Ergene30, Mehdi Zoghi32
1Department of Cardiology, Bakırköy Dr. Sadi Konuk Training and Research Hospital, İstanbul, Türkiye
2Department of Cardiology, Uludağ University Faculty of Medicine, Bursa, Türkiye
3Clinics of Cardiology, Siyami Ersek Cardiovascular and Thoracic Surgery Training and Research Hospital, İstanbul, Türkiye
4Department of Cardiology, Giresun Training and Research Hospital, Giresun, Türkiye
5Clinics of Cardiology, Balıkesir Atatürk City Hospital, Balıkesir, Türkiye
6Department of Cardiology, İstanbul Training and Research Hospital, İstanbul, Türkiye
7Clinics of Cardiology, Erzurum City Hospital, Erzurum, Türkiye
8Department of Cardiology, Ağrı Training and Research Hospital, Ağrı, Türkiye
9Department of Cardiology, Gazi Yaşargil Training and Research Hospital, Diyarbakır, Türkiye
10Department of Cardiology, İstanbul University-Cerrahpaşa, Institute of Cardiology, İstanbul, Türkiye
11Department of Cardiology, Kayseri City Hospital, Türkiye
12Department of Cardiology, Başkent University İzmir Hospital, İzmir, Türkiye
13Department of Cardiology, Mersin City Hospital, Türkiye
14Department of Cardiology, Private Medstar Topçular Hospital, Antalya, Türkiye
15Department of Cardiology, Bahçelievler State Hospital, İstanbul, Türkiye
16Department of Cardiology, İstanbul Private Liv Hospital, İstanbul, Türkiye
17Department of Cardiology, Beypazarı State of Hospital, Ankara, Türkiye
18Department of Cardiology, Kırşehir Training and Research Hospital, Kırşehir, Türkiye
19Clinics of Cardiology, Kütahya University of Health Sciences Faculty of Medicine, Kütahya, Türkiye
20Department of Cardiology, İstanbul University Faculty of Medicine, İstanbul, Türkiye
21Department of Cardiology, Antalya Kepez State Hospital, Antalya, Türkiye
22Department of Cardiology, Aksaray University Faculty of Medicine, Aksaray, Türkiye
23Department of Cardiology, Acıbadem Yeşilköy International Hospital, İstanbul, Türkiye
24Department of Cardiology, Hitit University Faculty of Medicine, Çorum, Türkiye
25Department of Cardiology, Yedikule Chest Diseases and Thoracic Surgery Training and Research Hospital, İstanbul, Türkiye
26Department of Cardiology, Elazığ University Faculty of Medicine, Elazığ, Türkiye
27Department of Cardiology, Centenary University Faculty of Medicine, Van, Türkiye
28Department of Cardiology Bakırçay University Çiğli Training and Research Hospital, İzmir, Türkiye
29Department of Cardiology, Bursa City Hospital, Bursa, Türkiye
30Department of Cardiology Dokuz Eylul University Faculty of Medicine, İzmir, Türkiye
31Department of Cardiology, Hisar Intercontinental Private Hospital, İstanbul, Türkiye
32Department of Cardiology Ege University Faculty of Medicine, İzmir, Türkiye
33Department of Cardiology, Denizli State Hospital, Denizli, Türkiye
34Department of Cardiology, Kartal Kosuyolu Heart Disease Training and Research Hospital, İstanbul Türkiye


OBJECTIVE
Heart failure is a leading cause of death and the most common diagnosis leading to hospitalization. Its awareness is lower than that of other cardiovascular diseases, both in the general population and among patients with heart failure (HF). This study aimed to establish the current level of knowledge about HF in patients with HF with reduced ejection fraction (HFrEF) and mildly reduced ejection fraction (HFmrEF) in Türkiye.


METHODS
This questionnaire-based survey study is multicenter, conducted across 34 centers from December 2021 to July 2022. We performed a survey consisting of two sets of questions focusing on individual characteristics of the patients and HF-related knowledge.


RESULTS
The study included a total of 2,307 outpatient HF patients, comprising 70.5% males and 29.5% females with a mean age of 64.58 ± 13 (56-74) years and a mean body mass index value of 32.5 ± 10 kg/m2. HFrEF and HFmrEF were determined in 74.7% and 25.3% of patients, respectively. Thirty percent of the patients were unaware that they had HF. While 28.7% of the patients thought that they had sufficient information about HF, 71.3% believed they lacked adequate knowledge. In the study, 25.2% of the participants identified dyspnea, 22% identified tiredness, and 25.4% identified leg edema as the most common symptoms of HF. Only 27.4% of patients recognized all three typical symptoms of HF.


CONCLUSION
We found that the study population’s knowledge about HF symptoms and the nature of the disease was poor. Educational and awareness activities are necessary to optimize outcomes and benefits.

Keywords: Awareness, ejection fraction, heart failure, knowledge

How to cite this article
Dilay Karabulut, Şeyda Günay, Sena Sert Şekerci, Ertan Aydın, Kerem Köz, Fahrettin Katkat, İbrahim Saraç, Fahri Er, Önder Öztürk, Veysel Oktay, Yasemin Doğan, Umut Kocabaş, Cansu Öztürk, Onur Aslan, Ayşegül Ülgen Kunak, Serhat Çalışkan, Cennet Yıldız, Tolga Çakmak, Murat Özmen, Özge Çetinarslan, Yusuf Ziya Şener, Tuba Ekin, Mevlüt Demir, Hasan Kudat, Mehmet Fidan, Özkan Kayhan, Sinan İnci, Umut Karabulut, Lütfü Bekar, Mehmet Fatih Yılmaz, Ferit Böyük, Ahmet Öz, Tarık Kıvrak, Emrah Erdoğan, Saadet Aydın, Tunay Şentürk, Sidar Şiyar Aydın, Selvi Öztaş, Mehmet Kış, Remziye Doğan, Eren Ozan Bakır, Rabia Çoldur, İbrahim Duygu, İbrahim Oğuz, Süleyman Çağan Efe, Ramazan Düz, Oktay Ergene, Mehdi Zoghi. Heart Failure Awareness Survey in a Turkish Population: HFAS-TR. Turk Kardiyol Dern Ars. 2024; 52(5): 337-343
Manuscript Language: English


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