Outpatient follow-up of patients with chronic heart failure by a general practitioner in primary health care. Guidelines

Outpatient follow-up in primary care is one of the resources for reducing mortality from diseases of the circulatory system and increasing life expectancy. These guidelines contain a description of current issues related to the organization of outpatient follow-up of patients with chronic heart failure by a general practitioner.
The guidelines are intended for district internists, general practitioners (family doctors), district internists of the shop medical district, as well as for secondary medical personnel working with these doctors, for paramedics of paramedic-obstetric stations (paramedic health centers) in case they are assigned the functions of the attending physician.
The guidelines can be used by public health physicians, heads of primary health care facilities and their divisions.

1. Galyavich AS, Tereshchenko SN, Uskach TM, et al. 2024 Clinical practice guidelines for Chronic heart failure. Russian Journal of Cardiology. 2024;29(11):6162. (In Russ.) 2024;29(11):6162. doi:10.15829/1560-4071-2024-6162. EDN: WKIDLJ

2. Guidelines for outpatient cardiology. Edited by Yu. N. Belenkov, R. G. Oganov. Moscow: GEOTAR-Media, 2007. (In Russ.) ISBN: 5-9704-0308-3

3. Therapeutic Handbook of the University of Washington. 2nd Russian edition. Edited by C. Carey, H. Lee and K. Weltier. Translated from English. edited by D. V. Samoilov and M. A. Osipov, M., Praktika, 2000. 879 p. (In Russ.)

4. Cardiology: A guide for doctors. Edited by R.G. Oganov, I.G. Fomina. M.: Medicine, 2004. 848 p.: ill. (In Russ.) ISBN: 5-225-04098-5.

5. Fomin IV. Arterial hypertension in the Russian Federation — the last 10 years. What’s next? Serdze, 2007;6(3):1-6. (In Russ.)

6. Sitnikova MYu, Lyasnikova EA, Yurchenko AV, et al. The results of the Russian Hospital Registry of Chronic heart failure in 3 regions of the Russian Federation. Kardiologija. 2015;10:5-13. (In Russ.) doi:10.18565/cardio.2015.10.5-13.

7. Polyakov DS. Chronic heart failure in the Russian Federation: what has changed in 20 years of observation? The results of the EPOCH — CHF study. Kardiologija. 2021;61(4):4-14. (In Russ.) doi:10.18087/cardio.2021.4.n1628.

8. Boytsov SA, Pogosova NV, Ansheles AA, et al. Cardiovascular prevention 2022. Russian national guidelines. Russian Journal of Cardiology. 2023;28(5):5452. (In Russ.) doi:10.15829/1560-4071-2023-5452. EDN EUDWYG.

9. Drapkina OM, Drozdova LYu, Kalinina AM, et al. Organization of preventive medical examination and medical examination of certain groups of the adult population. Methodological recommendations. 2nd edition: "NMITS TPM" of the Ministry of Health of the Russian Federation, 2020. 232 p. (In Russ.) ISBN: 978-5- 6043991-1-8.

10. Drapkina OM, Boytsov SA, Golukhova EZ, et al. Follow-up of patients with atrial fibrillation and flutter by a general practitioner in primary health care. Methodological recommendations. Primary health care. 2024;1(1):134-78. (In Russ.) doi:10.15829/10.15829/3034-4123-2024-24. EDN IXJDOK.

11. Drapkina OM, Boytsov SA, Ershova AI, et al. Follow-up of patients with metabolic disorders of lipoproteins and other lipidemias by a general practitioner in primary health care. Methodological recommendations. Cardiovascular therapy and prevention. 2024;23(12):4285. (In Russ.) doi:10.15829/1728-8800-2024-4285. EDN LDSYMS.

12. Belenkov YuN, Mareev VY. Principles of rational treatment of chronic heart failure. Moscow: Media Medica; 2000. 266 p. (In Russ.)

13. Lipkin DP, Scriven AJ, Crake T, Poole-Wilson PA. Six minute walking test for assessing exercise capacity in chronic heart failure. Br Med J (Clin Res Ed). 1986;292(6521):653-5. doi:10.1136/bmj.292.6521.653.

14. Lukina YuV, Kutishenko NP, Martsevich SYu, et al. Development and validation of new questionnaires in medicine using the example of the scale of adherence to drug therapy. Rational Pharmacotherapy in Cardiology. 2021;17(4):576-83. (In Russ.) doi:10.20996/1819-6446-2021-08-02.

15. Mareev VYu, Garganeeva AA, Ageev FT, et al. Expert opinion on the use of diuretics in chronic heart failure. Society of Specialists in Heart Failure. Kardiologija. 2020;60(12):14-27. (In Russ.) doi:10.18087/cardio.2020.12.n1427.

16. Verbrugge FH, Grieten L, Mullens W. Management of the Cardiorenal Syndrome in Decompensated Heart Failure. Cardiorenal Medicine. 2014;4(3-4):176-88. doi:10.1159/000366168.

17. 2023 ESC Guidelines for the management of cardiovascular disease in patients with diabetes: Developed by the task force on the management of cardiovascular disease in patients with diabetes of the European Society of Cardiology. European Heart Journal. 2023;44(39):4043-140. doi:10.1093/eurheartj/ehad192.

18. Agarwal R, Filippatos G, Pitt B, et al. Cardiovascular and kidney outcomes with finerenone in patients with type 2 diabetes and chronic kidney disease: the FIDELITY pooled analysis. Eur Heart J. 2022;43(6):474-84. doi:10.1093/eurheartj/ehab777.

19. McDonagh TA, Metra M, Adamo M, et al. 2023 Focused Update of the 2021 ESC Guidelines for the diagnosis and treatment of acute and chronic heart failure. Eur Heart J. 2023;44(37):3627-39. doi:10.1093/eurheartj/ehad195.

20. Filippatos G, Anker SD, Pitt B, et al. Finerenone and Heart Failure Outcomes by Kidney Function/Albuminuria in Chronic Kidney Disease and Diabetes. JACC Heart Fail. 2022;10(11):860-70. doi:10.1016/j.jchf.2022.07.013.

21. Filippatos G, Anker SD, Agarwal R, et al. Finerenone Reduces Risk of Incident Heart Failure in Patients With Chronic Kidney Disease and Type 2 Diabetes: Analyses From the FIGARO-DKD Trial. Circulation. 2022;145(6):437-47. doi:10.1161/CIRCULATIONAHA.121.057983.

22. Drapkina OM, Kontseva AV, Kalinina AM, et al. Comorbidity of patients with chronic non-communicable diseases in the practice of a general practitioner. The Eurasian leadership. Cardiovascular therapy and prevention. 2024;23(3):3996. (In Russ.) doi:10.15829/1728-8800-2024-3996. EDN AVZLPJ.

23. Ageev FT, Blankova ZN, Svirida ON, et al. An algorithm for the organization of care for patients with chronic heart failure. Five steps to success. Cardiological Bulletin. 2024;19(3):6-15. (In Russ.) doi:10.17116/Cardiobulletin2024190316.

24. Boytsov SA, Ageev FT, Blankova ZN, et al. Guidelines for nurses in the office of patients with chronic heart failure. Cardiovascular therapy and prevention. 2021;20(1):2754. (In Russ.) doi:10.15829/1728-8800-2021-2754.

25. Avdeev SN, Alyeva MKh, Baranov AA, et al. Vaccinoprophylaxis of pneumococcal infection in children and adults. Methodological recommendations. Preventive medicine. 2023;26(9-2):3-23. (In Russ.) doi:10.17116/profmed2023260923.

26. Ridda I, Yin JK, King C, et al. The Importance of Pertussis in Older Adults: A Growing Case for Reviewing Vaccination Strategy in the Elderly. Vaccine. 2012;30(48):6745-52. doi:10.1016/j.vaccine.2012.08.079.

27. Kostinov MP. Adult vaccination — from strategy to tactics. A guide for doctors. M.: MDV Group, 2020. 248 p. (In Russ.)