Klinisch redeneren: diagnostiek van hartfalen bij COPD-patiënt in de eerste lijn

Q: What is the clinical evidence from this study?

Study design: Case Report. Population: COPD and heart failure (n=1). Intervention: Systematic clinical reasoning.

Q: What does this research mean for the field?

Systematic clinical reasoning enables the successful identification of concurrent heart failure with preserved ejection fraction in COPD patients presenting with persistent dyspnea, mitigating the risk of underdiagnosis due to symptom overlap. Novelty: ClaimNovelty.INCREMENTAL. Consensus alignment: ConsensusAlignment.NEUTRAL.

V. VAN OORSCHOT; Bert Vaes

doi:10.47671/tvg.81.24.158

May 13, 2025Tijdschrift voor Geneeskunde

Klinisch redeneren: diagnostiek van hartfalen bij COPD-patiënt in de eerste lijn

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Study Design

Type

Case Report (n=1)

Structured PICO

P

Population

76-year-old man with severe COPD presenting with worsening dyspnoea and cough

I

Intervention

Diagnostic evaluation using systematic clinical reasoning (including echocardiography) and treatment with loop diuretics, empagliflozin, and spironolactone

O

Outcome

Diagnosis of heart failure with preserved ejection fraction (HFpEF) and symptom improvement

Limitations

Diagnosis complicated by symptom overlap and the limitations of NT-proBNP and echocardiography
Medication interactions between β₂-agonists and β-blockers

Implication

Systematic clinical reasoning is essential for general practitioners to accurately diagnose heart failure in COPD patients due to significant symptom overlap.

Abstract

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Cite This Study

OORSCHOT et al. (2025) conducted a case report in COPD and heart failure (n=1). Systematic clinical reasoning was evaluated.

synapsesocial.com/papers/6a122b19e407b266963455a4 https://doi.org/10.47671/tvg.81.24.158

Topics

Heart failure

HFrEF treatment

Heart failure hospitalization

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Klinisch redeneren: diagnostiek van hartfalen bij COPD-patiënt in de eerste lijn

Study Design

Structured PICO

Limitations

Implication

Abstract

Discussion

Cite This Study

Topics

Klinisch redeneren: diagnostiek van hartfalen bij COPD-patiënt in de eerste lijn

Study Design

Structured PICO

Limitations

Implication

Abstract

Discussion

Cite This Study

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Topics

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