2009 Focused Update: ACCF/AHA Guidelines for the Diagnosis and Management of Heart Failure in Adults

Jessup, Mariell; Abraham, William T.; Casey, Donald E.; Feldman, Arthur M.; Francis, Gary S.; Ganiats, Théodore G.; Konstam, Marvin A.; Mancini, Donna; Rahko, Peter S.; Silver, Marc A.; Stevenson, Lynne Warner; Yancy, Clyde W.

doi:10.1161/circulationaha.109.192064

Cited by 1,318 publications

(570 citation statements)

References 371 publications

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“…Sodium has been the primary nutrient of interest in heart failure management for >60 years because of its relationship with fluid retention, symptoms, and hospitalizations 1, 2. Nevertheless, nutrition in heart failure is recognized to extend beyond sodium3 and may be equally important for management as drugs and devices 4.…”

Section: Introductionmentioning

confidence: 99%

Micronutrient Deficiency Independently Predicts Time to Event in Patients With Heart Failure

Lennie

Andreae

Rayens

et al. 2018

JAHA

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BackgroundDietary micronutrient deficiencies have been shown to predict event‐free survival in other countries but have not been examined in patients with heart failure living in the United States. The purpose of this study was to determine whether number of dietary micronutrient deficiencies in patients with heart failure was associated with shorter event‐free survival, defined as a combined end point of all‐cause hospitalization and death.Methods and ResultsFour‐day food diaries were collected from 246 patients with heart failure (age: 61.5±12 years; 67% male; 73% white; 45% New York Heart Association [NYHA] class III/IV) and analyzed using Nutrition Data Systems for Research. Micronutrient deficiencies were determined according to methods recommended by the Institute of Medicine. Patients were followed for 1 year to collect data on all‐cause hospitalization or death. Patients were divided according to number of dietary micronutrient deficiencies at a cut point of ≥7 for the high deficiency category versus <7 for the no to moderate deficiency category. In the full sample, 29.8% of patients experienced hospitalization or death during the year, including 44.3% in the high‐deficiency group and 25.1% in the no/moderate group. The difference in survival distribution was significant (log rank, P=0.0065). In a Cox regression, micronutrient deficiency category predicted time to event with depression, NYHA classification, comorbidity burden, body mass index, calorie and sodium intake, and prescribed angiotensin‐converting enzyme inhibitors, diuretics, or β‐blockers included as covariates.ConclusionsThis study provides additional convincing evidence that diet quality of patients with heart failure plays an important role in heart failure outcomes.

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Section: Introductionmentioning

confidence: 99%

Micronutrient Deficiency Independently Predicts Time to Event in Patients With Heart Failure

Lennie

Andreae

Rayens

et al. 2018

JAHA

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“…Self-management adherence is defined as the ability to follow and engage in self-management behaviors recommended in heart failure treatment guidelines (e.g., monitor daily weight, follow a restricted sodium diet, take medication as prescribed, exercise regularly, and keep follow-up appointments) 24 . We have proposed the patient activation intervention PATCH (Patient AcTivated Care at Home Model) for this study based on components of Lorig’s chronic disease self-management model 25 , Hibbard’s patient activation theory 26, 27 , Bandura’s conceptualization of self-efficacy 28 , and Long and Weinert’s rural nursing theory 19 ( Figure 1).…”

Section: Conceptual Frameworkmentioning

confidence: 99%

Promoting self-management through adherence among heart failure patients discharged from rural hospitals: a study protocol

Young

Barnason

2014

F1000Res

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Background Heart failure is one of the most prevalent chronic conditions in adults, leading to prolonged morbidity, repeated hospitalizations, and placing tremendous economic burden on the healthcare system. Heart failure patients discharged from rural hospitals, or primarily critical access hospitals, have higher 30-day readmission and mortality rates compared to patients discharged from urban hospitals. Self-management improves heart failure patients’ health outcomes and reduces re-hospitalizations, but adherence to self-management guidelines is low. We propose a home based post-acute care service managed by advanced practice nurses to enhance patient activation and lead to the improvement of self-management adherence in heart failure patients discharged from rural hospitals. Objective This article describes the study design and research methods used to implement and evaluate the intervention. Method Our intervention is a 12-week patient activation (Patient AcTivated Care at Home [PATCH]) to improve self-management adherence. Patients were randomized into two parallel groups (12-week PATCH intervention + usual care vs. usual care only) to evaluate the effectiveness of this intervention. Outcomes were measured at baseline, 3 and 6 months. Discussion This study aimed to examine the effectiveness of a rural theory based, advance practice nurse led, activation enhancing intervention on the self-management adherence in heart failure patients residing in rural areas. Our expectation is to facilitate adherence to self-management behaviors in heart failure patients following discharge from rural hospitals and decrease complications and hospital readmissions, leading to the reduction of economic burden. Clinical Trial Registration Information: ClinicalTrials.gov; https://register.clinicaltrials.gov/ NCT01964053

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“…Current ACCF/AHA HF guidelines 6 , recommend ACE inhibitors for patients with current or prior symptoms of HF and reduced LVEF while beta‐blockers are recommended in stable patients (level A evidence). The addition of an aldosterone antagonist is recommended in patients with moderate to severe HF.…”

Section: Role Of Echocardiography In Therapeutic Interventionmentioning

confidence: 99%

“…Current guidelines emphasise the importance of early identification of HF patients for initiation of therapy, thereby containing health care costs 5 . Echocardiography, according to ACC/AHA guidelines is “the single most useful diagnostic test in the evaluation of patients with HF” 6 . This article addresses the utility of echocardiography in systolic HF, with discussion of traditional and newer techniques of assessment.…”

Section: Introductionmentioning

confidence: 99%

Echocardiographic evaluation of systolic heart failure

Thomas

2009

Australas J Ultrason Med

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Echocardiography is the most commonly used modality for evaluating left ventricular size and function in the context of systolic heart failure. Traditional techniques, though extensively used, have their limitations and more recently several newer technologies have emerged that are more reproducible, provide prognostic information, guide therapies and have an important role in monitoring progress. This review will evaluate the traditional and more novel techniques used and briefly provide an overview of the role of echocardiography in guiding and monitoring therapies in patients with systolic heart failure.

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2009 Focused Update: ACCF/AHA Guidelines for the Diagnosis and Management of Heart Failure in Adults

Cited by 1,318 publications

References 371 publications

Micronutrient Deficiency Independently Predicts Time to Event in Patients With Heart Failure

Micronutrient Deficiency Independently Predicts Time to Event in Patients With Heart Failure

Promoting self-management through adherence among heart failure patients discharged from rural hospitals: a study protocol

Echocardiographic evaluation of systolic heart failure

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