background: physical symptoms are often associated with poor quality of life (qol) in patients with heart failure (hf). progressive impairment in the ability ofperforming routine physical activities of daily lifeand decrease inexercise tolerance is thought to lead to the worsening of physical symptoms. exercise and physical activity can improve functional capacity, and improve the symptoms asso...

Background: Congestive Heart Failure (CHF) is the most common diagnosis accounting for more healthcare costs than any diagnosis. CHF readmissions contribute significantly to this expenditure. Quality of care in heart failure is linked to process based performance measures. This study evaluated the relationship between adherence to performance metrics and 30 day readmission rates. Methods: This ...

Management of atrial tachyarrhythmias, especially atrial fibrillation (AF), in patients with congestive heart failure (CHF) remains a major challenge. It is widely recognized that CHF promotes AF and that AF worsens CHF. An individual with either condition who develops the other has higher morbidity and poorer prognosis. The prevalence of AF and CHF is expected to increase as the population age...

Nineteen patients with congestive heart failure were given a continuous infusion of glucagon 3 to 5 mg/hour. Those with acute processes improved, while only 1 of 12 with chronic CHF benefited. Urine output increased 495 m1/24 hours, BUN rose 4.9 mg percent, serum glucose increased 22.1 mg percent, and serum potassium decreased 0.35 mEq/liter. No induced arrhythmias were noted, even in the prese...

BACKGROUND The routine use of natiuretic peptides in severely dyspneic patients has recently been called into question. We hypothesized that the diagnostic utility of Amino Terminal pro Brain Natiuretic Peptide (NT-proBNP) is diminished in a complex elderly population. METHODS We studied 502 consecutive patients in whom NT-proBNP values were obtained to evaluate severe dyspnea in the emergenc...

Management of atrial tachyarrhythmias, especially atrial fibrillation (AF), in patients with congestive heart failure (CHF) remains a major challenge. It is widely recognized that CHF promotes AF and that AF worsens CHF. An individual with either condition who develops the other has higher morbidity and poorer prognosis. The prevalence of AF and CHF is expected to increase as the population age...

renal response to oral hydralazine therapy in severe heart failure. Circulation 56 (suppl III): 111-9, 1977 33. Birch AA, Boyce WH: Changing renal blood flow following sodium nitroprusside in patients undergoing nephrolithotomy. SUMMARY Hydralazine is known to improve cardiac function in patients with congestive heart failure (CHF), but its effects on renal function in CHF are less clear. Sodiu...

It is well-established that in patients with congestive heart failure (CHF), exercise is limited by fatigue and shortness of breath. The poor correlation between the fatigue and indices of central haemodynamic function might indicate that peripheral muscle alterations contribute to impaired exercise capacity. Intrinsic abnormalities of the skeletal muscles have been suggested as a possible expl...

The aim of the present study is to explore the role of capillary disorder in coronary ischemic congestive heart failure (CHF). CHF was induced in rats by aortic banding plus ischemia-reperfusion followed by aortic debanding. Coronary arteries were perfused with plastic polymer containing fluorescent dye. Multiple fluorescent images of casted heart sections and scanning electric microscope of co...

In a recent issue of the European Respiratory Journal, VAZIR et al. [1] demonstrated that spectral analysis of heart rate variations (HRV) may be useful as a ‘‘rule-out test’’ for sleep-disordered breathing (SDB) in patients with mild-to-moderate congestive heart failure (CHF). This is an interesting approach to the diagnosis of SDB in CHF patients without sleepiness. As CHF patients with Cheyn...