Download Heart Failure: Providing Optimal Care (American Heart by Mariell Jessup, Kathleen M. McCauley PDF
By Mariell Jessup, Kathleen M. McCauley
The target of this article is to synthesise the examine established scientific therapy options which were discovered to be superior within the medical administration of middle failure as a disorder. Incorporating strategies from state-of-the-art instructions, the textual content will comprehensively deal with either in-patient administration of acute exacerbations, and out-patient administration to enhance survival, caliber of existence, and practical status.The editors are energetic individuals of the yankee center organization and influential councils on medical cardiology and cardiovascular medication, and feature assembled a staff of individuals favorite within the box of middle failure and transplantation. they target, via this booklet, to translate the findings of contemporary study right into a useful scientific framework for physicians taking care of sufferers each day.
Read or Download Heart Failure: Providing Optimal Care (American Heart Association Monograph Series) PDF
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Extra resources for Heart Failure: Providing Optimal Care (American Heart Association Monograph Series)
Example text
74. Cohn JN, Archibald DG, Ziesche S, et al. Effect of vasodilator therapy on mortality in chronic congestive heart failure. N Engl J Med 1986;314:1547–1552. 75. SOLVD Investigators. Effect of enalapril on survival in patients with reduced left ventricular ejection fractions and congestive heart failure. N Engl J Med 1991;325:293–302. 76. SOLVD Investigators. Effect of enalapril on mortality and the development of heart failure in asymptomatic patients with reduced left ventricular ejection fractions.
Another group of patients received usual care. The rate of ACE inhibitor use prior to the intervention was 60%. After the start of the intervention period, ACE inhibitor use in the usual care group rose slightly to 75%. But ACE inhibitor use rose to 95% in the care-managed group, an increase more than double the expected temporal trend. We have used a similar model in our Heart Failure Disease Management Program at MetroHealth. Prior to establishing the program, we identified five targets for quality improvement (Table 3).
41. 42. 43. 44. 45. 46. HEART FAILURE: PROVIDING OPTIMAL CARE multidisciplinary intervention to prevent the readmission of elderly patients with congestive heart failure. N Engl J Med 1995;333:1190–1195. Costantini O, Huck K, Carlson MD, et al. Impact of a guideline-based disease management team on outcomes of hospitalized patients with congestive heart failure. Arch Intern Med 2001;161:177–182. Fonarow GC, Creaser JW, Livingston N. The clinic model of heart failure care. In: Moser DK, Riegel B, eds.