Heart failure with preserved systolic function: giving well-deserved attention to the "other" heart failure.
Heart failure with preserved systolic function is common in patients hospitalized with decompensated heart failure and is associated with postdischarge morbidity and costs similar to patients with heart failure and systolic dysfunction. It is common in the older people, and hypertension and cardiac ischemia are often etiological factors. Nurses must be able to recognize left ventricular diastolic abnormalities and understand treatment priorities and treatment options on the basis of structural cardiovascular disease; etiology and risk factors; and signs, symptoms, and hemodynamic parameters. Currently, clinical treatments are on the basis of individual randomized clinical trials; however, there are general principles that should be followed during hospitalization and as part of general practice. As in the treatment of systolic heart failure, nurses have active roles in ensuring accurate assessment; optimal care planning; implementation of clinical, psychosocial; and education interventions; and timely and accurate evaluation so that patients have the best chance for successful hospital and postdischarge outcomes.
Albert
Nancy M
NM
Division of Nursing and Kaufman Center for Heart Failure, Cleveland Clinic, Ohio 44195, USA. albertn@ccf.org
D000806:Angiotensin-Converting Enzyme Inhibitors / Q000627:therapeutic use; D002121:Calcium Channel Blockers / Q000627:therapeutic use; D002316:Cardiotonic Agents / Q000627:therapeutic use; D003422:Critical Care / Q000379:methods*; D003937:Diagnosis, Differential; D004232:Diuretics / Q000627:therapeutic use; D019317:Evidence-Based Medicine; D054144:Heart Failure, Diastolic / Q000175:diagnosis* / Q000453:epidemiology / Q000209:etiology / Q000628:therapy*; D017052:Hospital Mortality; D006801:Humans; D006973:Hypertension / Q000150:complications; D008019:Life Style; D000451:Mineralocorticoid Receptor Antagonists / Q000627:therapeutic use; D009203:Myocardial Infarction / Q000150:complications; D017202:Myocardial Ischemia / Q000150:complications; D024802:Nurse's Role; D009730:Nursing Assessment; D010347:Patient Care Planning; D018579:Patient Selection; D017410:Practice Guidelines as Topic; D012307:Risk Factors; D009626:Terminology as Topic; D014481:United States / Q000453:epidemiology
D000806:Angiotensin-Converting Enzyme Inhibitors; D002121:Calcium Channel Blockers; D002316:Cardiotonic Agents; D004232:Diuretics; D000451:Mineralocorticoid Receptor Antagonists