Congestive heart failure AHA recommendations Coordinating Care for Patients With Chronic HF

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Biventricular Pacing or Cardiac Resynchronization Therapy (CRT)
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ACC/AHA Guideline Recommendations

Initial and Serial Evaluation of the HF Patient
Hospitalized Patient
Patients With a Prior MI
Sudden Cardiac Death Prevention
Surgical/Percutaneous/Transcather Interventional Treatments of HF
Patients at high risk for developing heart failure (Stage A)
Patients with cardiac structural abnormalities or remodeling who have not developed heart failure symptoms (Stage B)
Patients with current or prior symptoms of heart failure (Stage C)
Patients with refractory end-stage heart failure (Stage D)
Coordinating Care for Patients With Chronic HF
Quality Metrics/Performance Measures

Implementation of Practice Guidelines

Congestive heart failure end-of-life considerations

Specific Groups:

Special Populations
Patients who have concomitant disorders
Obstructive Sleep Apnea in the Patient with CHF
NSTEMI with Heart Failure and Cardiogenic Shock

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Mahmoud Sakr, M.D. [2]

2013 ACCF/AHA Guideline/2009 ACC/AHA Focused Update and 2005 Guidelines for the Diagnosis and Management of Heart Failure in the Adult (DO NOT EDIT) [1][2]

Coordinating Care for Patients With Chronic HF (DO NOT EDIT) [1][2]

Class I
"1. Effective systems of care coordination with special attention to care transitions should be deployed for every patient with chronic HF that facilitate and ensure effective care that is designed to achieve GDMT and prevent hospitalization.[3][4][5][6][7] (Level of Evidence: B) "
"2. Every patient with HF should have a clear, detailed, and evidence-based plan of care that ensures the achievement of GDMT goals, effective management of comorbid conditions, timely follow-up with the healthcare team, appropriate dietary and physical activities, and compliance with Secondary Prevention Guidelines for cardiovascular disease. This plan of care should be updated regularly and made readily available to all members of each patient’s healthcare team.[8] (Level of Evidence: C) "
"3. Palliative and supportive care is effective for patients with symptomatic advanced HF to improve quality of life.[9][10][11] (Level of Evidence: B) "

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References

  1. 1.0 1.1 1.2 Yancy CW, Jessup M, Bozkurt B, Masoudi FA, Butler J, McBride PE; et al. (2013). "2013 ACCF/AHA Guideline for the Management of Heart Failure: A Report of the American College of Cardiology Foundation/American Heart Association Task Force on Practice Guidelines". J Am Coll Cardiol. doi:10.1016/j.jacc.2013.05.019. PMID 23747642.
  2. 2.0 2.1 2.2 Jessup M, Abraham WT, Casey DE, Feldman AM, Francis GS, Ganiats TG et al. (2009) 2009 focused update: ACCF/AHA Guidelines for the Diagnosis and Management of Heart Failure in Adults: a report of the American College of Cardiology Foundation/American Heart Association Task Force on Practice Guidelines: developed in collaboration with the International Society for Heart and Lung Transplantation. Circulation 119 (14):1977-2016.DOI:10.1161/CIRCULATIONAHA.109.192064 PMID:19324967
  3. Inglis SC, Clark RA, McAlister FA, Stewart S, Cleland JG (2011). "Which components of heart failure programmes are effective? A systematic review and meta-analysis of the outcomes of structured telephone support or telemonitoring as the primary component of chronic heart failure management in 8323 patients: Abridged Cochrane Review". Eur J Heart Fail. 13 (9): 1028–40. doi:10.1093/eurjhf/hfr039. PMID 21733889.
  4. McAlister FA, Stewart S, Ferrua S, McMurray JJ (2004). "Multidisciplinary strategies for the management of heart failure patients at high risk for admission: a systematic review of randomized trials". J Am Coll Cardiol. 44 (4): 810–9. doi:10.1016/j.jacc.2004.05.055. PMID 15312864.
  5. Naylor MD, Brooten DA, Campbell RL, Maislin G, McCauley KM, Schwartz JS (2004). "Transitional care of older adults hospitalized with heart failure: a randomized, controlled trial". J Am Geriatr Soc. 52 (5): 675–84. doi:10.1111/j.1532-5415.2004.52202.x. PMID 15086645. Review in: Evid Based Nurs. 2004 Oct;7(4):116
  6. Coleman EA, Boult C, American Geriatrics Society Health Care Systems Committee (2003). "Improving the quality of transitional care for persons with complex care needs". J Am Geriatr Soc. 51 (4): 556–7. PMID 12657079.
  7. Coleman EA, Mahoney E, Parry C (2005). "Assessing the quality of preparation for posthospital care from the patient's perspective: the care transitions measure". Med Care. 43 (3): 246–55. PMID 15725981.
  8. Smith SC, Benjamin EJ, Bonow RO, Braun LT, Creager MA, Franklin BA; et al. (2011). "AHA/ACCF secondary prevention and risk reduction therapy for patients with coronary and other atherosclerotic vascular disease: 2011 update: a guideline from the American Heart Association and American College of Cardiology Foundation endorsed by the World Heart Federation and the Preventive Cardiovascular Nurses Association". J Am Coll Cardiol. 58 (23): 2432–46. doi:10.1016/j.jacc.2011.10.824. PMID 22055990.
  9. Lorenz KA, Lynn J, Dy SM, Shugarman LR, Wilkinson A, Mularski RA; et al. (2008). "Evidence for improving palliative care at the end of life: a systematic review". Ann Intern Med. 148 (2): 147–59. PMID 18195339.
  10. Qaseem A, Snow V, Shekelle P, Casey DE, Cross JT, Owens DK; et al. (2008). "Evidence-based interventions to improve the palliative care of pain, dyspnea, and depression at the end of life: a clinical practice guideline from the American College of Physicians". Ann Intern Med. 148 (2): 141–6. PMID 18195338.
  11. Allen LA, Stevenson LW, Grady KL, Goldstein NE, Matlock DD, Arnold RM; et al. (2012). "Decision making in advanced heart failure: a scientific statement from the American Heart Association". Circulation. 125 (15): 1928–52. doi:10.1161/CIR.0b013e31824f2173. PMID 22392529.
  12. Hunt SA, Abraham WT, Chin MH, Feldman AM, Francis GS, Ganiats TG et al. (2005) ACC/AHA 2005 Guideline Update for the Diagnosis and Management of Chronic Heart Failure in the Adult: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines (Writing Committee to Update the 2001 Guidelines for the Evaluation and Management of Heart Failure): developed in collaboration with the American College of Chest Physicians and the International Society for Heart and Lung Transplantation: endorsed by the Heart Rhythm Society. Circulation 112 (12):e154-235. DOI:10.1161/CIRCULATIONAHA.105.167586PMID:16160202

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