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Monday, April 23, 2012
  Clinical Accuracy Spoken Here  

HF: Role of Neurohormones

While a number of processes can accelerate the process of LV remodeling, significant evidence exists that the neurohormonal system plays an important role in these alterations which are ultimately responsible for the failing heart.

Significant neurohormonal systems include:

  • Natriuretic peptide system
  • Renin-Angiotensin-Aldosterone system
  • Sympathetic Nervous system
  • Vasopressin system

[Reference: Heart Failure: Module A, Pathophysiology]
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  Excellence in Case Mgmt  

HF: Self-Care Management

Self-care is an important, complex and essential component of successful HF management.

Two major components of self-care are maintenance and management.

Self-care maintenance refers to healthy life-style choices and treatment adherence.

Self-care management refers to decision making in response to signs and symptoms.

[Reference: HF: Module D, CM Rol]
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  Improving Patient Care...  

HF: Medical Management

Nearly all patients with HF due to LV systolic dysfunction should be routinely managed with a diuretic (for symptom management of volume overload), an Angiotensin-converting-enzyme inhibitor (ACEI) or Angiotensin II receptor blocker (ARB) and a B-Blocker (Beta-adrenergic antagonist).

According to findings published in the journal Circulation: Heart Failure, a meta-analysis showed improved breathing and exercise capacity among patients with moderate to severe chronic heart failure after taking testosterone supplements.

[Reference: HF: Module C, Treatment & Interventions]
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Tom RasmussenTom Rasmussen
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