Paper Information

Title: 

BEST PRACTICE IN HEART FAILURE

Type: SPEECH
Author(s): GARAKYARAGHI MOHAMMAD*,GHARIPOUR MOJGAN
 
 *ISFAHAN CARDIOVASCULAR RESEARCH CENTER, ISFAHAN CARDIOVASCULAR RESEARCH INSTITUTE, ISFAHAN UNIVERSITY OF MEDICAL SCIENCES, ISFAHAN, IRAN
 
Name of Seminar: 2ND NATIONAL AND 1ST INTERNATIONAL CONFERENCE FOR BEST PRACTICES OF PRIMARY HEALTH CARE
Type of Seminar:  CONFERENCE
Sponsor:  NORTH KHORASAN UNIVERSITY OF MEDICAL SCIENCES
Date:  2012Volume 2
 
 
Abstract: 

BACKGROUND: HEART FAILURE HAS EMERGED AS A MAJOR PUBLIC HEALTH CHALLENGE. THE CONDITION IS COMMON, AFFECTING ABOUT 2% OF AMERICANS. DESPITE ADVANCES IN THERAPY, NEARLY HALF OF HEART FAILURE PATIENTS ARE DEAD WITHIN FIVE YEARS OF DIAGNOSIS. PATIENTS WITH HEART FAILURE ARE 3.5 TIMES AS LIKELY TO DIE, SPEND 6 TIMES AS MANY DAYS IN THE HOSPITAL, AND INCUR 4 TIMES THE HEALTH CARE COSTS COMPARED WITH PATIENTS OF THE SAME AGE AND SEX.
THE INCIDENCE AND PREDOMINANCE OF HEART FAILURE ARE INCREASING BECAUSE "BABY BOOMERS" ARE NOW TURNING AGE 65 AND THE ELDERLY POPULATION IS BECOMING LARGER. AMERICANS ARE ALSO LIVING LONGER, DUE IN LARGE PART TO MODERN TECHNOLOGICAL ADVANCES IN MEDICINE. INDIVIDUALS ARE NOW SURVIVING DISEASES AND ILLNESSES THAT ONCE WERE FATAL BECAUSE OF MORE EFFECTIVE MEDICINES AND DEVICES AND CUTTING-EDGE, LIFE-SAVING THERAPIES. INDIVIDUALS WHO SURVIVE HEART ATTACKS (MYOCARDIAL INFARCTIONS) ARE AT INCREASED RISK FOR DEVELOPING HEART FAILURE BECAUSE THE HEART MUSCLE HAS BECOME WEAKENED AND HAS DEVELOPED SCARRING FROM THE DAMAGE.
OPTIMAL TREATMENT OF HEART FAILURE REQUIRES CORRECT DIAGNOSIS, IDENTIFICATION OF POTENTIALLY REVERSIBLE CAUSES, APPROPRIATE USE OF MEDICATION, AND PATIENT EDUCATION ON SELF-CARE.
COMPONENTS OF MULTIDISCIPLINARY CHF CARE: BIOMEDICAL CARE, SELF-CARE EDUCATION AND SUPPORT, PSYCHOSOCIAL CARE, PALLIATIVE CARE.
MANAGEMENT AND OUTCOME: A LARGE BODY OF EVIDENCE NOW SUGGESTS THAT HEART FAILURE DISEASE MANAGEMENT PROGRAMS WILL PREVENT HOSPITALIZATIONS, DECREASE SYMPTOMS, AND IMPROVE QUALITY OF LIFE FOR PATIENTS WITH HEART FAILURE.

 
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