Reduced Salt Intake for Heart Failure

Mahtani, Kamal R; Heneghan, Carl; Onakpoya, Igho; Tierney, Stephanie; Aronson, Jeffrey K; Roberts, Nia; Fdr., Hobbs; Nunan, David

doi:10.1001/jamainternmed.2018.4673

Cited by 79 publications

(56 citation statements)

References 35 publications

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“…It is recommended that all patients with established CHF (regardless of left ventricular ejection fraction) should be enrolled in an exercise-based cardiac rehabilitation programme with a multi-faceted approach 3,48-51 ( Table 5) [52][53][54][55][56][57][58][59][60][61][62][63][64][65][66][67] . This may also apply to patients with cardiac implantable electronic or ventricular assistant devices.…”

Section: Chfmentioning

confidence: 99%

Secondary prevention through comprehensive cardiovascular rehabilitation: From knowledge to implementation. 2020 update. A position paper from the Secondary Prevention and Rehabilitation Section of the European Association of Preventive Cardiology

Ambrosetti

Abreu

Corrà

et al. 2020

European Journal of Preventive Cardiology

559

604

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Secondary prevention through comprehensive cardiac rehabilitation has been recognized as the most cost-effective intervention to ensure favourable outcomes across a wide spectrum of cardiovascular disease, reducing cardiovascular mortality, morbidity and disability, and to increase quality of life. The delivery of a comprehensive and ‘modern’ cardiac rehabilitation programme is mandatory both in the residential and the out-patient setting to ensure expected outcomes. The present position paper aims to update the practical recommendations on the core components and goals of cardiac rehabilitation intervention in different cardiovascular conditions, in order to assist the whole cardiac rehabilitation staff in the design and development of the programmes, and to support healthcare providers, insurers, policy makers and patients in the recognition of the positive nature of cardiac rehabilitation. Starting from the previous position paper published in 2010, this updated document maintains a disease-oriented approach, presenting both well-established and more controversial aspects. Particularly for implementation of the exercise programme, advances in different training modalities were added and new challenging populations were considered. A general table applicable to all cardiovascular conditions and specific tables for each clinical condition have been created for routine practice.

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Section: Chfmentioning

confidence: 99%

Secondary prevention through comprehensive cardiovascular rehabilitation: From knowledge to implementation. 2020 update. A position paper from the Secondary Prevention and Rehabilitation Section of the European Association of Preventive Cardiology

Ambrosetti

Abreu

Corrà

et al. 2020

European Journal of Preventive Cardiology

559

604

View full text Add to dashboard Cite

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“…A recent systematic review identified nine trials involving 479 unique participants, none including more than 100 patients; results were inconclusive. Although there was a trend toward improvement in the clinical signs and symptoms of HF with reduced intake of dietary salt, no clinically relevant data on whether reduced dietary salt intake affected outcomes such as CV‐associated or all‐cause mortality, CV‐associated events, hospitalization, or length of hospital stay were found.…”

Section: Disease Management and Lifestylementioning

confidence: 99%

Clinical practice update on heart failure 2019: pharmacotherapy, procedures, devices and patient management. An expert consensus meeting report of the Heart Failure Association of the European Society of Cardiology

Seferović

Ponikowski

Anker

et al. 2019

European J of Heart Fail

550

422

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The European Society of Cardiology (ESC) has published a series of guidelines on heart failure (HF) over the last 25 years, most recently in 2016. Given the amount of new information that has become available since then, the Heart Failure Association (HFA) of the ESC recognized the need to review and summarise recent developments in a consensus document. Here we report from the HFA workshop that was held

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“…Despite this, there is inconsistent data regarding the association between sodium intake and mortality risk, particularly at lower levels of intake . Debate also continues about the role of dietary sodium restriction in patient groups, such as in those with heart failure . Much of the debate about this conflicting evidence centers around methodological concerns, particularly the role of measurement error, confounding, reverse causality, and for heart failure interactions with potent diuretics .…”

Section: Introductionmentioning

confidence: 99%

Science of Salt: A regularly updated systematic review of salt and health outcomes studies (April to October 2018)

McLean

Petersen

Arcand

et al. 2019

J of Clinical Hypertension

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The Science of Salt reviews identify, summarize, and critically appraise published studies on dietary salt and health outcomes according to pre‐specified methods. This review covers the period April 3 to October 30, 2018. Here, nineteen studies that fit pre‐specified criteria for review and summary are included. Three of these, one prospective cohort study, one randomized controlled trial, and a post hoc analysis of the Dietary Approaches to Stop Hypertension (DASH) sodium trial fulfilled the quality criteria for detailed critical appraisal, including risk of bias assessment, and commentary. Two trials demonstrated a positive association between salt intake and blood pressure. In a cohort of older Italians, increased risk of total mortality was observed with salt intake less than ~16 g/d (6300 mg sodium/d) at baseline; no association existed for incident cardiovascular disease (CVD) or CVD mortality. The paucity of published studies which met our criteria for methodological quality is of concern.

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Reduced Salt Intake for Heart Failure

Abstract: The editorial group responsible for this previously published document have withdrawn it from publication.

Cited by 79 publications

References 35 publications

Secondary prevention through comprehensive cardiovascular rehabilitation: From knowledge to implementation. 2020 update. A position paper from the Secondary Prevention and Rehabilitation Section of the European Association of Preventive Cardiology

Secondary prevention through comprehensive cardiovascular rehabilitation: From knowledge to implementation. 2020 update. A position paper from the Secondary Prevention and Rehabilitation Section of the European Association of Preventive Cardiology

Clinical practice update on heart failure 2019: pharmacotherapy, procedures, devices and patient management. An expert consensus meeting report of the Heart Failure Association of the European Society of Cardiology

Science of Salt: A regularly updated systematic review of salt and health outcomes studies (April to October 2018)

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