Document Detail


Advances in the non-drug, non-surgical, non-device management of chronic heart failure.
MedLine Citation:
PMID:  15820278     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
There have been many articles, reviews and editorials about the recent advances in pharmaceutical and device management of chronic heart failure in this and other journals over the last few years. What has been less praised are the significant advances we have made in understanding the best management of heart failure using other non-drug, non-surgical, non-device approaches. Approaches as diverse as nutrition, education, exercise, physiotherapy, psychotherapy and therapies for sleep-disordered breathing have shown considerable promise in improving the lot of our chronic heart failure (CHF) patients. Chronic heart failure is a common condition with a poor prognosis. It generates many debilitating symptoms for the sufferer. Non-pharmacologic treatment modalities play an important role alongside effective modern pharmaceutical, surgical and device therapies in relieving symptoms and improving prognosis. These treatments include those lifestyle measures that reduce the risk of underlying diseases such as coronary artery disease, diabetes, and hypertension lifestyle interventions of benefit in established CHF. Recent advances are reviewed including specialist nursing care, multi-disciplinary heart failure clinics, exercise rehabilitation, the treatment of sleep-disordered breathing, depression, obesity and cachexia. The day of the multi-disciplinary patient-centred CHF clinic has arrived and all sufferers deserve experienced management using all these approaches.
Authors:
Andrew J S Coats
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Publication Detail:
Type:  Editorial    
Journal Detail:
Title:  International journal of cardiology     Volume:  100     ISSN:  0167-5273     ISO Abbreviation:  Int. J. Cardiol.     Publication Date:  2005 Apr 
Date Detail:
Created Date:  2005-04-11     Completed Date:  2005-08-31     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  8200291     Medline TA:  Int J Cardiol     Country:  Ireland    
Other Details:
Languages:  eng     Pagination:  1-4     Citation Subset:  IM    
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MeSH Terms
Descriptor/Qualifier:
Comorbidity
Heart Failure / epidemiology,  therapy*
Humans
Life Style
Obesity / epidemiology
Sleep Apnea Syndromes / epidemiology,  therapy
Comments/Corrections
Comment In:
Int J Cardiol. 2006 Jun 7;110(1):96   [PMID:  16723290 ]

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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