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Misdiagnosis of Heart Failure: A Systematic Review of the Literature by Chun Wai Wong; Jacopo Tafuro; Ziyad Azam; Duwarakan Satchithananda; Simon Duckett; Diane Barker; Ashish Patwala; Fozia Z. Ahmed; Christian Mallen; Chun Shing Kwok is a Medicine article available to read on EtoBox.

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## Background: Heart failure (hf) is a chronic disease associated with a significant burden to patients, families, and health services. the diagnosis of hf can be easily missed owing to similar symptoms with other conditions especially respiratory diseases. ## Methods and results: We conducted a systematic review to determine the rates of hf and cardiomyopathy misdiagnosis and explored the potential causes. the included studies were narratively synthesized. ten studies were identified including a total of 223,859 patients. there was a lack of definition of hf misdiagnosis in the studies and inconsistent diagnostic criteria were used. the rates of hf misdiagnosis ranged from 16.1% in hospital setting to 68.5% when general practitioner referred patients to specialist setting. the most common cause for misdiagnosis was chronic obstructive pulmonary disease (copd). one study using a copd cohort showed that hf was unrecognized in 20.5% of patients and 8.1% had misdiagnosis of hf as copd. another study suggests that anemia and chronic kidney disease are associated with an increase in the odds of unrecognized left ventricular systolic dysfunction. other comorbidities such as obesity, old

Who reads Misdiagnosis of Heart Failure: A Systematic Review of the Literature?

Author

Chun Wai Wong; Jacopo Tafuro; Ziyad Azam; Duwarakan Satchithananda; Simon Duckett; Diane Barker; Ashish Patwala; Fozia Z. Ahmed; Christian Mallen; Chun Shing Kwok

Publisher

Elsevier BV

Published

2021

Language

EN

Field

Medicine (Health Sciences)