ACC/AHA guidelines for the evaluation and management of chronic heart failure in the adult: executive summary

Hunt, Sharon A.; Baker, David W.; Chin, Marshall H.; Cinquegrani, Michael; Feldman, Arthur M.; Francis, Gary S.; Ganiats, Théodore G.; Goldstein, Sidney; Gregoratos, Gabriel; Jessup, Mariell; Noble, RalphA.; Packer, Milton; Silver, Marc A.; Stevenson, Lynne Warner; Gibbons, Raymond J.; Antman, Elliott M.; Alpert, Joseph S.; Faxon, David P.; Fuster, Valentı́n; Jacobs, Alice K.; Hiratzka, Loren F.; Russell, Richard O.; Smith, Sidney C.

doi:10.1016/s0735-1097(01)01683-7

Cited by 1,268 publications

(275 citation statements)

References 42 publications

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“…Antihypertensive therapy should be administered to hypertensive patients with thoracic aortic diseases to achieve a goal of less than 140/90 mm Hg (patients without diabetes) or less than 130/80 mm Hg (patients with diabetes or chronic renal disease) to reduce the risk of stroke, myocardial infarction, heart failure, and cardiovascular death. [107][108][109][110][111] (Level of Evidence: B) 2. Beta adrenergic-blocking drugs should be administered to all patients with Marfan syndrome and aortic aneurysm to reduce the rate of aortic dilatation unless contraindicated.…”

Section: Recommendations For Blood Pressure Controlmentioning

confidence: 99%

2010 ACCF/AHA/AATS/ACR/ASA/SCA/SCAI/SIR/STS/SVM Guidelines for the Diagnosis and Management of Patients With Thoracic Aortic Disease: Executive Summary

Hiratzka

Bakris

Beckman

et al. 2010

Cathet Cardio Intervent

280

105

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Section: Recommendations For Blood Pressure Controlmentioning

confidence: 99%

2010 ACCF/AHA/AATS/ACR/ASA/SCA/SCAI/SIR/STS/SVM Guidelines for the Diagnosis and Management of Patients With Thoracic Aortic Disease: Executive Summary

Hiratzka

Bakris

Beckman

et al. 2010

Cathet Cardio Intervent

280

105

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“…To avoid and/or minimize life-threatening exacerbations and maintain quality of life, persons with heart failure must receive and make regular and appropriate use of recommended treatments and adopt life style changes. US Federal health guidelines suggest that clinicians counsel CHF patients to adhere to drug regimens and a very low sodium diet to avoid fluid retention (Hunt et al, 2002). They should also teach patients to regularly monitor early markers of fluid retention that herald a deterioration, including increases in weight, swelling and shortness of breath, and appropriately respond to these markers.…”

Section: Introductionmentioning

confidence: 99%

“…Many of the programs which have shown improvements in patient outcomes have required substantial investments in multi-disciplinary staff time which may prove to be unsustainable and infeasible in practices withlimited resources (Naylor, Brooten, & Jones, 1994;Rich, Beckham, & Wittenberg, 1995;Foranow et al, 1997;Hunt et al, 2002). Newer, less cumbersome programs involving nurse or pharmacist management have shown decreases in hospitalizations and improved quality of life (Blue et al, 2001;Krumholz et al, 2002;Varma, McElnay, Hughes, Passmore, & Varma, 1999;West et al, 1997), but withthe exception of one study (Stewart & Horowitz, 2002), there has been no clear improvement in survival.…”

Section: Introductionmentioning

confidence: 99%

A story of maladies, misconceptions and mishaps: effective management of heart failure

Horowitz¹,

Rein²,

Leventhal³

2004

Social Science & Medicine

242

283

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Congestive heart failure (CHF) is a common chronic disease with effective therapy, yet interventions to improve outcomes have met with limited success. Though problems in selfmanagement are suspected causes for deterioration, few efforts have been made to understand how self-management could be improved to enhance the lives of affected patients. We conducted semistructured interviews of 19 patients with CHF treated at an urban United States hospital to elucidate their knowledge and beliefs about CHF and to understand what underlies their self-care routines. A comparison of the themes generated from these interviews with the common-sense model for self-management of illness threats, clarifies how patients' perceptions and understanding of CHF affected their behaviors. Patients had an acute model of CHF. They did not connect chronic symptoms with a chronic disease, CHF, and did not recognize that these symptoms worsened over time from their baseline of moderate, chronic distress, to a severe state that required urgent care. As a consequence, they often did not manage symptoms on a routine basis and did not, therefore, prevent or minimize exacerbations. When they worsened, many patients reported barriers to reaching their physicians and most reported seeking care primarily in an emergency room.These in depth responses elucidate how the interplay between acute and chronic models of a chronic illness effect self-management behaviors. These factors play a previously not understood role in patient's efforts to understand and manage the ever-present but symptomatically variable chronic illness that is CHF. These new concepts illustrate the tools that may be needed to effectively manage this serious and disabling illness, and suggest possible ways to enhance the self-management process and ultimately improve patients' lives.

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“…[1,2] Acutely decompensated heart failure syndrome (AHFS) is a common emergency department (ED) presentation in patients with hemodialysis-dependent renal failure (HDRF). In the Acute Decompensated Heart Failure National Registry (ADHERE), 8.9% of the patients had HDRF, and another 26.9% had severe decreased glomerular filtration rate (15-29 mL/min/m 2 ).…”

Section: Background and Significancementioning

confidence: 99%

BNP-Mediated Vasodilatation for Dialysis-Dependent Patient with Acute Heart Failure Syndrome in the Emergency Department

et al. 2008

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ACC/AHA guidelines for the evaluation and management of chronic heart failure in the adult: executive summary

Cited by 1,268 publications

References 42 publications

2010 ACCF/AHA/AATS/ACR/ASA/SCA/SCAI/SIR/STS/SVM Guidelines for the Diagnosis and Management of Patients With Thoracic Aortic Disease: Executive Summary

2010 ACCF/AHA/AATS/ACR/ASA/SCA/SCAI/SIR/STS/SVM Guidelines for the Diagnosis and Management of Patients With Thoracic Aortic Disease: Executive Summary

A story of maladies, misconceptions and mishaps: effective management of heart failure

BNP-Mediated Vasodilatation for Dialysis-Dependent Patient with Acute Heart Failure Syndrome in the Emergency Department

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