Heart Failure: A Primer

被引：9
作者：
Lee, Christopher S. [1 ]
Auld, Jonathan
机构：
[1] Oregon Hlth & Sci Univ, Sch Nursing, Portland, OR 97239 USA
来源：
CRITICAL CARE NURSING CLINICS OF NORTH AMERICA | 2015年 / 27卷 / 04期
关键词：
Heart failure; Congestive heart failure; Pathophysiology; Self-management; EVENT-FREE SURVIVAL; QUALITY-OF-LIFE; UNITED-STATES; SELF-CARE; INFLAMMATORY CYTOKINES; DEPRESSIVE SYMPTOMS; FOLLOW-UP; DISEASE; RISK; PATHOPHYSIOLOGY;
D O I：
10.1016/j.cnc.2015.07.009
中图分类号：
R47 [护理学];
学科分类号：
1011 ;
摘要：
Heart failure is a complex and multisystem clinical syndrome that results from impaired ventricular contractility and/or relaxation. Hypertension, diabetes mellitus, and coronary artery disease are common antecedents to heart failure. The main pathogenic mechanisms involved in heart failure include sympathetic nervous and renin-angiotensin- aldosterone system activation, as well as inflammation. A detailed history and physical examination and additional diagnostic tests may be needed to diagnose heart failure. Most treatment strategies target neurohormonal systems. Non-pharmacologic interventions and effective engagement in self-care are also important in overall heart failure management. Therapeutic strategies are geared toward prolonging life and optimizing quality of life.
引用
收藏
页码：413 / +
页数：14
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