Heart failure: clinical problem and management issues
| Autor: | John M, Nicklas, Barry E, Bleske, Richard, Van Harrison, Robert V, Hogikyan, Yeong, Kwok, William E, Chavey |
|---|---|
| Rok vydání: | 2013 |
| Předmět: |
Complementary Therapies
Heart Failure Cardiac Catheterization Primary Health Care Adrenergic beta-Antagonists Health Behavior Angiotensin-Converting Enzyme Inhibitors Cardiovascular Agents Stroke Volume Comorbidity Defibrillators Implantable Electrocardiography Patient Education as Topic Natriuretic Peptide Brain Humans Cardiac Surgical Procedures Life Style Mineralocorticoid Receptor Antagonists Randomized Controlled Trials as Topic |
| Zdroj: | Primary care. 40(1) |
| ISSN: | 1558-299X |
| Popis: | Heart failure (HF) often presents as dyspnea either with exertion and/or recumbency. Patients also experience dependent swelling and fatigue. Measurement of the left ventricular ejection fraction (LVEF) identifies HF patients who may respond to pharmacologic therapy and/or electrophysiologic device implantation. Angiotension converting enzyme inhibitors, beta blockers, and aldosterone inhibitors can significantly lower the mortality and morbidity of HF in patients with an LVEF less than 35%. Cardiac defibrillators and biventricular pacemakers can also improve outcomes in selected patients with a decreased LVEF. The authors provide a guide for therapeutic decisions based on the inclusion criteria of the major clinical trials. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|