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تعداد آیتم قابل مشاهده باقیمانده : 3 مورد
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Clinical course of heart failure (HF) and associated intensity of care approaches[1]

Clinical course of heart failure (HF) and associated intensity of care approaches[1]
Clinical course of HF with associated types and intensities of available therapies. Black line (clinical course): patients tend to follow a progressive, albeit non-linear, decline in health-related quality of life; this course can be interrupted by sudden cardiac death caused by arrhythmia but more commonly ends in death from progressive pump failure. Gray line (traditional care): at disease onset, multiple oral drugs are prescribed for cardiac dysfunction or comorbidities (or both). As disease severity increases, the intensity of care may also increase, with intensification of diuretics, addition of an implantable cardioverter-defibrillator or cardiac resynchronization therapy for those eligible, and increasing interaction with the medical system through ambulatory visits and hospital admissions, until standard therapies begin to fail (transition to advanced, Stage D HF). Dotted line (palliative care): palliative therapies to control symptoms, improve quality of life, and enhance communication are relevant throughout the course of HF, not just in advanced disease, working together with traditional therapies designed to prolong survival. The critical transition into advanced HF from the medical perspective is often followed by a transition in goals of care from the patient and family perspective, when palliative therapies may become the dominant treatment paradigm (for the majority of patients, in whom transplantation and mechanical circulatory support are not an option).
Reference:
  1. Allen LA, Stevenson LW, Grady KL, et. al. Decision making in advanced heart failure: a scientific statement from the American Heart Association. Circulation 2012; 125:1928.
Reprinted with permission of the American Thoracic Society. Copyright © 2019 American Thoracic Society. Adapted from: Lanken PN, Terry PB, Delisser HM, et al. An official American Thoracic Society clinical policy statement: palliative care for patients with respiratory diseases and critical illnesses. Am J Respir Crit Care Med 2008; 177:912. The American Journal of Respiratory and Critical Care Medicine is an official journal of the American Thoracic Society.
Graphic 120122 Version 1.0

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