Guide Establishing a Heart Failure Center: The Essential Guide

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Produced in collaboration with the Society of Chest Pain Centers, this book provides an understanding of the diverse medical needs and solutions, administrative processes, and regulatory issues necessary for successful management.

Table of Contents

In an environment of increasing financial consciousness, medical practice is changing drastically. Short stay care is premier among the new specialties that cater to the complex balance of optimizing patient outcomes while minimizing fiscal burdens. The observation unit has proven to be an excellent arena for the care of acute heart failure, replete with opportunities to improve both medical management and quality metrics.

Unique to the field, Short Stay Management of Acute Heart Failure, Second Edition is the only book of its kind, providing the medical, regulatory, and economic tools necessary to create and implement successful short stay management protocols and units for the care of the heart failure patient.

It is an essential guide for health care professionals and for hospitals and institutions wishing to be recognized as quality heart failure centers as accredited by the Society of Chest Pain Centers. William F. Currently, Dr.


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Peacock has served in numerous hospital positions and is currently the Chairman of the Emergency Preparedness Committee, and the Medical Director of Event medicine at the Cleveland Clinic. The Event Medicine program provides medical care for all of the major sports and entertainment stadiums in Cleveland, including the Cleveland Browns, Cleveland Indians, and Cleveland Cavaliers. JavaScript is currently disabled, this site works much better if you enable JavaScript in your browser.

Contemporary Cardiology Free Preview. Show next edition. Buy eBook. Regular exercise will strengthen the pumping ability of the heart.

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Avand Danesh :: Establishing a Heart Failure Center: The Essential Guide, 3rd Edition

Smoking increases your blood pressure and decreases levels of oxygen in the blood. As such, the third and final universal recommendation for lifestyle change is to quit smoking — or avoid it altogether if you are currently a non-smoker — which has the potential to significantly improve your health. If you want to quit smoking, speak with your doctor, as there are medications that can help with smoking cessation.

In addition to quitting cold turkey, there are nicotine replacement products—such as patches, gums, lozenges, nasal sprays, and inhalers — and non-nicotine based prescription medications, like varenicline Chantix and bupropion Zyban , that help.

What Is Heart Failure?

Also, make sure to avoid e-cigarettes or vaping. In fact, most health care professionals agree that they are not effective as smoking cessation aids. The CDC estimates that 47 percent of Americans have at least one risk factor for heart disease. Well-established risk factors for the development of heart disease include:. The lifestyle changes discussed above are key to managing most of the well-known risk factors for heart disease. The treatment of heart disease largely depends on the type of heart disease you have, as well as how far it has advanced. If you have been diagnosed with heart disease, you made need medications to manage the condition.

Angiotensin-converting enzyme ACE inhibitors widen, or dilate, your blood vessels. You may be given this class of medication if you have a history of high blood pressure, heart failure, diabetes, or heart attack. Noted side effects of ACE inhibitors are chronic cough and swelling of the neck, face, and tongue. As such, they work in a similar fashion.

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Beta-blockers slow down your heart rate, causing it to beat less forcefully. They are useful for treating high blood pressure, heart failure, and abnormal heart rhythms, along with preventing future heart attacks. Examples of beta-blockers include atenolol Tenormin , metoprolol Lopressor , and propranolol Inderal.


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  • If you have diabetes or asthma in addition to heart disease, you may not be a candidate for treatment with this class of medication, as it increases your blood sugar and can exacerbate asthma. This may be useful for the treatment of conditions such as high blood pressure, chest pain, and arrhythmias. You may be prescribed nitrates if you have chest pain or heart failure. Examples of nitrates include nitroglycerin Nitrostat , isosorbide dinitrate Isordil , and isosorbide mononitrate Monoket. Since the s, low doses of aspirin e.

    The Essential Guide to Heartworms

    Aspirin prevents blood clots and reduces both inflammation and your risk of death. For many years, a daily dose of aspirin has been considered an easy way to prevent a heart attack or stroke — two of the most dreaded complications of heart disease.

    There is no doubt that daily aspirin is beneficial for individuals who already have had a heart attack or stroke or who have undergone heart bypass surgery or stent placement. These individuals are considered to belong to the high-risk category of patients since they already have cardiovascular disease.

    In this subset of patients, low-dose aspirin is not currently recommended, which is a departure from recommendations in the past. It is now felt that the risks of taking daily aspirin outweigh the benefit of preventing a first heart attack or stroke.