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Titolo:
MANAGEMENT OF HEART-FAILURE .2. COUNSELING, EDUCATION, AND LIFE-STYLEMODIFICATIONS
Autore:
DRACUP K; BAKER DW; DUNBAR SB; DACEY RA; BROOKS NH; JOHNSON JC; OKEN C; MASSIE BM;
Indirizzi:
UNIV CALIF LOS ANGELES,SCH NURSING,FACTOR BLDG,4-238,10833 LE CONTE AVE LOS ANGELES CA 90024 RAND CORP,HLTH SCI PROGRAM SANTA MONICA CA 00000 UNIV CALIF LOS ANGELES,HARBOR MED CTR,DIV GEN INTERNAL MED TORRANCE CA 90509 EMORY UNIV,NELL HODGSON WOODRUFF SCH NURSING ATLANTA GA 30322 MENDED HEARTS INC BOULDER CO 00000 CLIN PRACTICE GAIDELINE PANEL BOULDER CO 00000 UNIV PENN,DIV GERIATR MED PHILADELPHIA PA 00000 VET ADM MED CTR PHILADELPHIA PA 19104 UNIV CALIF SAN FRANCISCO,DEPT MED SAN FRANCISCO CA 00000
Titolo Testata:
JAMA, the journal of the American Medical Association
fascicolo: 18, volume: 272, anno: 1994,
pagine: 1442 - 1446
SICI:
0098-7484(1994)272:18<1442:MOH.CE>2.0.ZU;2-B
Fonte:
ISI
Lingua:
ENG
Soggetto:
IMPAIRED VENTRICULAR-FUNCTION; CARDIAC REHABILITATION; MYOCARDIAL-INFARCTION; EXERCISE PERFORMANCE; PATIENT EDUCATION; META-ANALYSIS; ABNORMALITIES; RESPONSES; SYMPTOMS; ALCOHOL;
Tipo documento:
Review
Natura:
Periodico
Settore Disciplinare:
Science Citation Index Expanded
Citazioni:
69
Recensione:
Indirizzi per estratti:
Citazione:
K. Dracup et al., "MANAGEMENT OF HEART-FAILURE .2. COUNSELING, EDUCATION, AND LIFE-STYLEMODIFICATIONS", JAMA, the journal of the American Medical Association, 272(18), 1994, pp. 1442-1446

Abstract

Objective-This article reviews the role of counseling, education, dietary modifications, and exercise for patients with heart failure due to left ventricular systolic dysfunction. Data Sources.-We reviewed studies published in English between 1966 and 1993 and referenced in MEDLINE or EMBASE. We used the search terms heart failure, congestive; congestive heart failure; heart failure; cardiac failure; and dilated cardiomyopathy in conjunction with terms for the specific areas of interest. Where data were lacking, we relied on opinions of panel members and peer reviewers. Study Selection and Data Synthesis.-Studies were reviewed to determine whether patients had heart failure due to systolic dysfunction (left ventricular ejection fraction, <0.35 to 0.40) and whether clinical outcomes were reported. Studies that reported only intermediate outcomes leg, hemodynamics) were not reviewed. Conclusion.-Counseling and education can improve patient outcomes and decrease unnecessary hospitalizations. Patients with mild to moderate heart failure should be restricted to 3 g/d of sodium initially. Those who are unresponsive to this dosage or who have more severe disease should be advised to consume 2 g/d or less. Patients should be strongly advised to drink no more than 30 mL/d of alcohol or, preferably, to abstain completely. Exercise training is safe and can improve exercise duration and symptoms. Adherence to the treatment plan should be stressed and monitored at each visit. Clinicians should inform patients of the seriousness of their disease and their prognosis, but they should emphasize thatpatients can continue to remain active and enjoy a reasonable qualityof life.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 24/11/20 alle ore 14:13:43