Heart Failure

Jul 1, 2005 Issue
Which Patients Benefit from CRT? [Practice Guidelines]

The American Heart Association has published a science advisory on selecting patients for cardiac resynchronization therapy (CRT).

Dec 1, 2004 Issue
Outpatient Treatment of Systolic Heart Failure [Article]

Optimal outpatient treatment of systolic heart failure has three goals that should be pursued simultaneously: (1) control of risk factors for the development and progression of heart failure, (2) treatment of heart failure, and (3) education of patients. Control of risk factors includes treating hyp...

Dec 1, 2004 Issue
Diagnosis of Heart Failure in Adults [Article]

Heart failure is a common, progressive, complex clinical syndrome with high morbidity and mortality. Coronary artery disease is its most common cause. The evaluation of symptomatic patients with suspected heart failure is directed at confirming the diagnosis, determining the cause, identifying conco...

Jun 1, 2004 Issue
Diastolic Heart Failure: The Challenges of Diagnosis and Treatment [Article]

Diastolic heart failure, a major cause of morbidity and mortality, is defined as symptoms of heart failure in a patient with preserved left ventricular function. It is characterized by a stiff left ventricle with decreased compliance and impaired relaxation, which leads to increased end diastolic pr...

Jan 1, 2004 Issue
Digitalis for Treatment of Congestive Heart Failure in Patients in Sinus Rhythm [Cochrane for Clinicians]

Adding digitalis to treatment with angiotensin-converting enzyme (ACE) inhibitors and diuretics will reduce hospitalization rates and improve clinical status in patients in normal sinus rhythm with left ventricular systolic dysfunction (LVSD) and symptoms of CHF on moderate or mild exertion (New Yor...

Nov 1, 2003 Issue
Combination Therapy with ACE Inhibitors and Angiotensin-Receptor Blockers in Heart Failure [Article]

Angiotensin-converting enzyme inhibitors and angiotensin-receptor blockers have different pharmacologic mechanisms for blocking the effect of the renin-angiotensin-aldosterone system on the cardiovascular system. Pharmacologically, the combination of these drug classes completely blocks the deleteri...

Sep 1, 2003 Issue
AHA Releases Statement on Exercise and Heart Failure [Practice Guidelines]

Although discomfort during exercise is a principal reason that patients with heart failure seek medical care, exercise training is safe and can benefit these patients, according to the American Heart Association (AHA).

Jan 1, 2002 Issue
Heart Failure [Clinical Evidence Handbook]

What are the effects of nondrug treatments in heart failure? What are the effects of drug and invasive treatments in heart failure? What are the effects of angiotensin-converting enzyme (ACE) inhibitors in people at high risk of heart failure? What are the effects of treatments for diastolic heart failure?

Oct 15, 2001 Issue
Spironolactone in Left-Sided Heart Failure: How Does It Fit In? [Article]

The familiar diuretic spironolactone has taken on new life as a treatment for left-sided congestive heart failure. Spironolactone has been shown to decrease mortality in such patients who are New York Heart Association class IV. It can be used in addition to agents such as angiotensin-converting enz...

Sep 15, 2001 Issue
Guideline for Management of Heart Failure Caused by Systolic Dysfunction: Part II. Treatment [Article]

Several large clinical trials conducted over the past decade have shown that pharmacologic interventions can dramatically reduce the morbidity and mortality associated with heart failure. These trials have modified and enhanced the therapeutic paradigm for heart failure and extended treatment goals ...

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