Disease management programs in chronic heart failure

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چکیده

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[Disease management programs in heart failure: one step beyond pharmacology].

Despite pharmacological advances, both mortality and the incidence of hospital admissions are high for heart failure. As with many other chronic diseases, the findings of clinical trials are difficult to implement due to lack of adherence to treatment, frequent comorbidities not considered in clinical trials, and health systems’ typical focus on acute diseases. Public health systems usually pay...

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Heart failure disease management programs: not a class effect.

Heart failure (HF) remains a major public health problem that affects 5 million patients in the United States.1 HF is the leading cause of hospitalization for people 65 years of age and older, and rates of hospital readmission within 6 months range from 25% to 50%.1,2 The personal burden of HF includes debilitating symptoms, frequent rehospitalizations, and high rates of mortality.2 HF also pos...

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Heart failure disease management programs: a cost-effectiveness analysis.

BACKGROUND Heart failure (HF) disease management programs have shown impressive reductions in hospitalizations and mortality, but in studies limited to short time frames and high-risk patient populations. Current guidelines thus only recommend disease management targeted to high-risk patients with HF. METHODS This study applied a new technique to infer the degree to which clinical trials have...

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Chronic Heart Failure in Congenital Heart Disease

770 Part I: General Considerations Introduction The past 60 years have brought remarkable advancements in the diagnosis and treatment of congenital heart disease (CHD). Early diagnosis and improvements in cardiac surgery and interventional cardiology have resulted in unprecedented survival of patients with CHD, even those with the most complex lesions. Despite remarkable success in treatments, ...

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Chronic Heart Failure management program

Background Chronic Heart Failure (CHF) is one of the most remarkable health problems because of its prevalence (up tol 2% in west countries), morbidity and mortality. CHF is a disease of the elderly: approximately 80% of the patients hospitalized with CHF are more than 65 years old. CHF has a strong impact in terms of social and economic effects: very frequent hospital admissions and a signific...

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ژورنال

عنوان ژورنال: Wiener klinische Wochenschrift

سال: 2017

ISSN: 0043-5325,1613-7671

DOI: 10.1007/s00508-017-1265-0