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{"work":{"id":62056267,"created_at":"2021-11-20T04:28:45.134-08:00","from_world_paper_id":184347741,"updated_at":"2024-11-25T16:35:57.337-08:00","_data":{"publisher":"Elsevier BV","grobid_abstract":"Heart failure (HF) is a common, progressive syndrome defined as the inability of the heart to deliver sufficient blood to meet the changing demands of tissues and organs. HF affects approximately 6 million people in the United States, with 670,000 people newly diagnosed each year. 1,2 The progressive nature of this syndrome, lack of clear diagnostic criteria or screening tools, and the heterogeneous nature of its root causes make HF a challenging management problem for cardiologists and generalists alike. Primary care physicians play an important role in the care of patients with HF from primary prevention to end-of-life care. Despite the availability of clinical guidelines","publication_date":"2012,,","publication_name":"Primary Care: Clinics in Office Practice","grobid_abstract_attachment_id":"74922390"},"document_type":"paper","pre_hit_view_count_baseline":null,"quality":"high","language":"en","title":"Effective Strategies to Improve the Management of Heart Failure","broadcastable":true,"draft":null,"has_indexable_attachment":true,"indexable":true}}["work"]; window.loswp.workCoauthors = [141117258]; window.loswp.locale = "en"; window.loswp.countryCode = "SG"; window.loswp.cwvAbTestBucket = ""; window.loswp.designVariant = "ds_vanilla"; window.loswp.fullPageMobileSutdModalVariant = "control"; window.loswp.useOptimizedScribd4genScript = false; window.loginModal = {}; window.loginModal.appleClientId = 'edu.academia.applesignon'; window.userInChina = "false";</script><script defer="" src="https://accounts.google.com/gsi/client"></script><div class="ds-loswp-container"><div class="ds-work-card--grid-container"><div class="ds-work-card--container js-loswp-work-card"><div class="ds-work-card--cover"><div class="ds-work-cover--wrapper"><div class="ds-work-cover--container"><button class="ds-work-cover--clickable js-swp-download-button" data-signup-modal="{"location":"swp-splash-paper-cover","attachmentId":74922390,"attachmentType":"pdf"}"><img alt="First page of “Effective Strategies to Improve the Management of Heart Failure”" class="ds-work-cover--cover-thumbnail" src="https://0.academia-photos.com/attachment_thumbnails/74922390/mini_magick20211120-26770-o8l6gr.png?1637411492" /><img alt="PDF Icon" class="ds-work-cover--file-icon" src="//a.academia-assets.com/images/single_work_splash/adobe_icon.svg" /><div class="ds-work-cover--hover-container"><span class="material-symbols-outlined" style="font-size: 20px" translate="no">download</span><p>Download Free PDF</p></div><div class="ds-work-cover--ribbon-container">Download Free PDF</div><div class="ds-work-cover--ribbon-triangle"></div></button></div></div></div><div class="ds-work-card--work-information"><h1 class="ds-work-card--work-title">Effective Strategies to Improve the Management of Heart Failure</h1><div class="ds-work-card--work-authors ds-work-card--detail"><a class="ds-work-card--author js-wsj-grid-card-author ds2-5-body-md ds2-5-body-link" data-author-id="141117258" href="https://independent.academia.edu/NeilFleming5"><img alt="Profile image of Neil Fleming" class="ds-work-card--author-avatar" src="//a.academia-assets.com/images/s65_no_pic.png" />Neil Fleming</a></div><div class="ds-work-card--detail"><p class="ds-work-card--detail ds2-5-body-sm">2012, Primary Care: Clinics in Office Practice</p><div class="ds-work-card--work-metadata"><div class="ds-work-card--work-metadata__stat"><span class="material-symbols-outlined" style="font-size: 20px" translate="no">visibility</span><p class="ds2-5-body-sm" id="work-metadata-view-count">…</p></div><div class="ds-work-card--work-metadata__stat"><span class="material-symbols-outlined" style="font-size: 20px" translate="no">description</span><p class="ds2-5-body-sm">21 pages</p></div><div class="ds-work-card--work-metadata__stat"><span class="material-symbols-outlined" style="font-size: 20px" translate="no">link</span><p class="ds2-5-body-sm">1 file</p></div></div><script>(async () => { const workId = 62056267; const worksViewsPath = "/v0/works/views?subdomain_param=api&work_ids%5B%5D=62056267"; const getWorkViews = async (workId) => { const response = await fetch(worksViewsPath); if (!response.ok) { throw new Error('Failed to load work views'); } const data = await response.json(); return data.views[workId]; }; // Get the view count for the work - we send this immediately rather than waiting for // the DOM to load, so it can be available as soon as possible (but without holding up // the backend or other resource requests, because it's a bit expensive and not critical). const viewCount = await getWorkViews(workId); const updateViewCount = (viewCount) => { try { const viewCountNumber = parseInt(viewCount, 10); if (viewCountNumber === 0) { // Remove the whole views element if there are zero views. document.getElementById('work-metadata-view-count')?.parentNode?.remove(); return; } const commaizedViewCount = viewCountNumber.toLocaleString(); const viewCountBody = document.getElementById('work-metadata-view-count'); if (!viewCountBody) { throw new Error('Failed to find work views element'); } viewCountBody.textContent = `${commaizedViewCount} views`; } catch (error) { // Remove the whole views element if there was some issue parsing. document.getElementById('work-metadata-view-count')?.parentNode?.remove(); throw new Error(`Failed to parse view count: ${viewCount}`, error); } }; // If the DOM is still loading, wait for it to be ready before updating the view count. if (document.readyState === "loading") { document.addEventListener('DOMContentLoaded', () => { updateViewCount(viewCount); }); // Otherwise, just update it immediately. } else { updateViewCount(viewCount); } })();</script></div><p class="ds-work-card--work-abstract ds-work-card--detail ds2-5-body-md">Heart failure (HF) is a common, progressive syndrome defined as the inability of the heart to deliver sufficient blood to meet the changing demands of tissues and organs. HF affects approximately 6 million people in the United States, with 670,000 people newly diagnosed each year. 1,2 The progressive nature of this syndrome, lack of clear diagnostic criteria or screening tools, and the heterogeneous nature of its root causes make HF a challenging management problem for cardiologists and generalists alike. Primary care physicians play an important role in the care of patients with HF from primary prevention to end-of-life care. Despite the availability of clinical guidelines</p><div class="ds-work-card--button-container"><button class="ds2-5-button js-swp-download-button" data-signup-modal="{"location":"continue-reading-button--work-card","attachmentId":74922390,"attachmentType":"pdf","workUrl":"https://www.academia.edu/62056267/Effective_Strategies_to_Improve_the_Management_of_Heart_Failure"}">See full PDF</button><button class="ds2-5-button ds2-5-button--secondary js-swp-download-button" data-signup-modal="{"location":"download-pdf-button--work-card","attachmentId":74922390,"attachmentType":"pdf","workUrl":"https://www.academia.edu/62056267/Effective_Strategies_to_Improve_the_Management_of_Heart_Failure"}"><span class="material-symbols-outlined" style="font-size: 20px" translate="no">download</span>Download PDF</button></div><div class="ds-signup-banner-trigger-container"><div class="ds-signup-banner-trigger ds-signup-banner-trigger-control"></div></div><div class="ds-signup-banner ds-signup-banner-control"><div id="ds-signup-banner-close-button"><button class="ds2-5-button ds2-5-button--secondary ds2-5-button--inverse"><span class="material-symbols-outlined" style="font-size: 20px" translate="no">close</span></button></div><div class="ds-signup-banner-ctas" data-impression-entity-id="62056267" data-impression-entity-type="2" data-impression-source="signup-banner"><img src="//a.academia-assets.com/images/academia-logo-capital-white.svg" /><h4 class="ds2-5-heading-serif-sm">Sign up for access to the world's latest research</h4><button class="ds2-5-button ds2-5-button--inverse ds2-5-button--full-width js-swp-download-button" data-signup-modal="{"location":"signup-banner"}">Sign up for free<span class="material-symbols-outlined" style="font-size: 20px" translate="no">arrow_forward</span></button></div><div class="ds-signup-banner-divider"></div><div class="ds-signup-banner-reasons"><div class="ds-signup-banner-reasons-item"><span class="material-symbols-outlined" style="font-size: 24px" translate="no">check</span><span>Get notified about relevant papers</span></div><div class="ds-signup-banner-reasons-item"><span class="material-symbols-outlined" style="font-size: 24px" translate="no">check</span><span>Save papers to use in your research</span></div><div class="ds-signup-banner-reasons-item"><span class="material-symbols-outlined" style="font-size: 24px" translate="no">check</span><span>Join the discussion with peers</span></div><div class="ds-signup-banner-reasons-item"><span class="material-symbols-outlined" style="font-size: 24px" translate="no">check</span><span>Track your impact</span></div></div></div><script>(() => { // Set up signup banner show/hide behavior: // 1. 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"</p><div class="ds-related-work--ctas"><button class="ds2-5-text-link ds2-5-text-link--inline js-swp-download-button" data-signup-modal="{"location":"wsj-grid-card-download-pdf-modal","work_title":"Recommendations to improve the management and the prognosis of patients with heart failure","attachmentId":66859874,"attachmentType":"pdf","work_url":"https://www.academia.edu/48044064/Recommendations_to_improve_the_management_and_the_prognosis_of_patients_with_heart_failure","alternativeTracking":true}"><span class="material-symbols-outlined" style="font-size: 18px" translate="no">download</span><span class="ds2-5-text-link__content">Download free PDF</span></button><a class="ds2-5-text-link ds2-5-text-link--inline js-wsj-grid-card-view-pdf" href="https://www.academia.edu/48044064/Recommendations_to_improve_the_management_and_the_prognosis_of_patients_with_heart_failure"><span class="ds2-5-text-link__content">View PDF</span><span class="material-symbols-outlined" style="font-size: 18px" translate="no">chevron_right</span></a></div></div><div class="ds-related-work--container js-wsj-grid-card" data-collection-position="1" data-entity-id="34602867" data-sort-order="default"><a class="ds-related-work--title js-wsj-grid-card-title ds2-5-body-md ds2-5-body-link" href="https://www.academia.edu/34602867/Clinical_Medicine_Heart_Failure_Diagnosis_Management_and_Utilization">Clinical Medicine Heart Failure: Diagnosis, Management and Utilization</a><div class="ds-related-work--metadata"><a class="js-wsj-grid-card-author ds2-5-body-sm ds2-5-body-link" data-author-id="68423253" href="https://independent.academia.edu/SaulBarriosGonzalez">Saul Barrios Gonzalez</a></div><p class="ds-related-work--abstract ds2-5-body-sm">Despite the advancement in medicine, management of heart failure (HF), which usually presents as a disease syndrome, has been a challenge to healthcare providers. This is reflected by the relatively higher rate of readmissions along with increased mortality and morbidity associated with HF. In this review article, we first provide a general overview of types of HF pathogenesis and diagnostic features of HF including the crucial role of exercise in determining the severity of heart failure, the efficacy of therapeutic strategies and the morbidity/mortality of HF. We then discuss the quality control measures to prevent the growing readmission rates for HF. We also attempt to elucidate published and ongoing clinical trials for HF in an effort to evaluate the standard and novel therapeutic approaches, including stem cell and gene therapies, to reduce the morbidity and mortality. Finally, we discuss the appropriate utilization/documentation and medical coding based on the severity of the HF alone and with minor and major co-morbidities. We consider that this review provides an extensive overview of the HF in terms of disease pathophysiology, management and documentation for the general readers, as well as for the clinicians/physicians/hospitalists.</p><div class="ds-related-work--ctas"><button class="ds2-5-text-link ds2-5-text-link--inline js-swp-download-button" data-signup-modal="{"location":"wsj-grid-card-download-pdf-modal","work_title":"Clinical Medicine Heart Failure: Diagnosis, Management and Utilization","attachmentId":54468803,"attachmentType":"pdf","work_url":"https://www.academia.edu/34602867/Clinical_Medicine_Heart_Failure_Diagnosis_Management_and_Utilization","alternativeTracking":true}"><span class="material-symbols-outlined" style="font-size: 18px" translate="no">download</span><span class="ds2-5-text-link__content">Download free PDF</span></button><a class="ds2-5-text-link ds2-5-text-link--inline js-wsj-grid-card-view-pdf" href="https://www.academia.edu/34602867/Clinical_Medicine_Heart_Failure_Diagnosis_Management_and_Utilization"><span class="ds2-5-text-link__content">View PDF</span><span class="material-symbols-outlined" style="font-size: 18px" translate="no">chevron_right</span></a></div></div><div class="ds-related-work--container js-wsj-grid-card" data-collection-position="2" data-entity-id="111783542" data-sort-order="default"><a class="ds-related-work--title js-wsj-grid-card-title ds2-5-body-md ds2-5-body-link" href="https://www.academia.edu/111783542/2022_AHA_ACC_HFSA_Guideline_for_the_Management_of_Heart_Failure_Executive_Summary_A_Report_of_the_American_College_of_Cardiology_American_Heart_Association_Joint_Committee_on_Clinical_Practice_Guidelines">2022 AHA/ACC/HFSA Guideline for the Management of Heart Failure: Executive Summary: A Report of the American College of Cardiology/American Heart Association Joint Committee on Clinical Practice Guidelines</a><div class="ds-related-work--metadata"><a class="js-wsj-grid-card-author ds2-5-body-sm ds2-5-body-link" data-author-id="32105121" href="https://independent.academia.edu/LorraineNnacheta">Lorraine Nnacheta</a></div><p class="ds-related-work--metadata ds2-5-body-xs">Circulation, 2022</p><p class="ds-related-work--abstract ds2-5-body-sm">Heart failure remains a leading cause of morbidity and mortality globally. The 2022 heart failure guideline provides recommendations based on contemporary evidence for the treatment of these patients. The recommendations present an evidence-based approach to managing patients with heart failure, with the intent to improve quality of care and align with patients' interests. Many recommendations from the earlier heart failure guidelines have been updated with new evidence, and new recommendations have been created when supported by published data. Value statements are provided for certain treatments with high-quality published economic analyses. *Writing committee members are required to recuse themselves from voting on sections to which their specific relationships with industry may apply; see Appendix 1 of the full guideline for detailed information. †ACC/AHA Representative. ‡ACC/AHA Joint Committee on Clinical Practice Guidelines Liaison. §ACC/AHA Task Force on Performance Measures Representative. ‖HFSA Representative.</p><div class="ds-related-work--ctas"><button class="ds2-5-text-link ds2-5-text-link--inline js-swp-download-button" data-signup-modal="{"location":"wsj-grid-card-download-pdf-modal","work_title":"2022 AHA/ACC/HFSA Guideline for the Management of Heart Failure: Executive Summary: A Report of the American College of Cardiology/American Heart Association Joint Committee on Clinical Practice Guidelines","attachmentId":109217217,"attachmentType":"pdf","work_url":"https://www.academia.edu/111783542/2022_AHA_ACC_HFSA_Guideline_for_the_Management_of_Heart_Failure_Executive_Summary_A_Report_of_the_American_College_of_Cardiology_American_Heart_Association_Joint_Committee_on_Clinical_Practice_Guidelines","alternativeTracking":true}"><span class="material-symbols-outlined" style="font-size: 18px" translate="no">download</span><span class="ds2-5-text-link__content">Download free PDF</span></button><a class="ds2-5-text-link ds2-5-text-link--inline js-wsj-grid-card-view-pdf" href="https://www.academia.edu/111783542/2022_AHA_ACC_HFSA_Guideline_for_the_Management_of_Heart_Failure_Executive_Summary_A_Report_of_the_American_College_of_Cardiology_American_Heart_Association_Joint_Committee_on_Clinical_Practice_Guidelines"><span class="ds2-5-text-link__content">View PDF</span><span class="material-symbols-outlined" style="font-size: 18px" translate="no">chevron_right</span></a></div></div><div class="ds-related-work--container js-wsj-grid-card" data-collection-position="3" data-entity-id="111783536" data-sort-order="default"><a class="ds-related-work--title js-wsj-grid-card-title ds2-5-body-md ds2-5-body-link" href="https://www.academia.edu/111783536/2022_AHA_ACC_HFSA_Guideline_for_the_Management_of_Heart_Failure_A_Report_of_the_American_College_of_Cardiology_American_Heart_Association_Joint_Committee_on_Clinical_Practice_Guidelines">2022 AHA/ACC/HFSA Guideline for the Management of Heart Failure: A Report of the American College of Cardiology/American Heart Association Joint Committee on Clinical Practice Guidelines</a><div class="ds-related-work--metadata"><a class="js-wsj-grid-card-author ds2-5-body-sm ds2-5-body-link" data-author-id="32105121" href="https://independent.academia.edu/LorraineNnacheta">Lorraine Nnacheta</a></div><p class="ds-related-work--metadata ds2-5-body-xs">Circulation, 2022</p><p class="ds-related-work--abstract ds2-5-body-sm">Heart failure remains a leading cause of morbidity and mortality globally. The 2022 heart failure guideline provides recommendations based on contemporary evidence for the treatment of these patients. The recommendations present an evidence-based approach to managing patients with heart failure, with the intent to improve quality of care and align with patients' interests. Many recommendations from the earlier heart failure guidelines have been updated with new evidence, and new recommendations have been created when supported by published data. Value statements are provided for certain treatments with high-quality published economic analyses.</p><div class="ds-related-work--ctas"><button class="ds2-5-text-link ds2-5-text-link--inline js-swp-download-button" data-signup-modal="{"location":"wsj-grid-card-download-pdf-modal","work_title":"2022 AHA/ACC/HFSA Guideline for the Management of Heart Failure: A Report of the American College of Cardiology/American Heart Association Joint Committee on Clinical Practice Guidelines","attachmentId":109217214,"attachmentType":"pdf","work_url":"https://www.academia.edu/111783536/2022_AHA_ACC_HFSA_Guideline_for_the_Management_of_Heart_Failure_A_Report_of_the_American_College_of_Cardiology_American_Heart_Association_Joint_Committee_on_Clinical_Practice_Guidelines","alternativeTracking":true}"><span class="material-symbols-outlined" style="font-size: 18px" translate="no">download</span><span class="ds2-5-text-link__content">Download free PDF</span></button><a class="ds2-5-text-link ds2-5-text-link--inline js-wsj-grid-card-view-pdf" href="https://www.academia.edu/111783536/2022_AHA_ACC_HFSA_Guideline_for_the_Management_of_Heart_Failure_A_Report_of_the_American_College_of_Cardiology_American_Heart_Association_Joint_Committee_on_Clinical_Practice_Guidelines"><span class="ds2-5-text-link__content">View PDF</span><span class="material-symbols-outlined" style="font-size: 18px" translate="no">chevron_right</span></a></div></div><div class="ds-related-work--container js-wsj-grid-card" data-collection-position="4" data-entity-id="89049901" data-sort-order="default"><a class="ds-related-work--title js-wsj-grid-card-title ds2-5-body-md ds2-5-body-link" href="https://www.academia.edu/89049901/Heart_failure_A_challenging_syndrome_for_health_care_professionals">Heart failure: A challenging syndrome for health care professionals</a><div class="ds-related-work--metadata"><a class="js-wsj-grid-card-author ds2-5-body-sm ds2-5-body-link" data-author-id="166624343" href="https://euc.academia.edu/AndreasProtopapas">Andreas Protopapas</a></div><p class="ds-related-work--metadata ds2-5-body-xs">Cardiovascular Disorders and Medicine, 2018</p><p class="ds-related-work--abstract ds2-5-body-sm">Research and evidence-based practice in heart failure (HF) have well been developed the latest years helping health professionals to cope with multiple care needs of patients with HF. The current review presents an overview of the challenging issues of health professionals who care for patients with HF. The review was based on the relevant databases of PubMed, Cumulative Index to Nursing and Allied Health Literature (CINAHL) and Cochrane Library (reviews and clinical trials). Mortality and impaired quality of life in patients with HF still rises. This is mainly due to the ageing of population and the fact that prevalence of HF is higher in older people. Often HF in order people exists with co-morbidities which make HF diagnosis and management more difficult and complex.</p><div class="ds-related-work--ctas"><button class="ds2-5-text-link ds2-5-text-link--inline js-swp-download-button" data-signup-modal="{"location":"wsj-grid-card-download-pdf-modal","work_title":"Heart failure: A challenging syndrome for health care professionals","attachmentId":92920489,"attachmentType":"pdf","work_url":"https://www.academia.edu/89049901/Heart_failure_A_challenging_syndrome_for_health_care_professionals","alternativeTracking":true}"><span class="material-symbols-outlined" style="font-size: 18px" translate="no">download</span><span class="ds2-5-text-link__content">Download free PDF</span></button><a class="ds2-5-text-link ds2-5-text-link--inline js-wsj-grid-card-view-pdf" href="https://www.academia.edu/89049901/Heart_failure_A_challenging_syndrome_for_health_care_professionals"><span class="ds2-5-text-link__content">View PDF</span><span class="material-symbols-outlined" style="font-size: 18px" translate="no">chevron_right</span></a></div></div><div class="ds-related-work--container js-wsj-grid-card" data-collection-position="5" data-entity-id="125487279" data-sort-order="default"><a class="ds-related-work--title js-wsj-grid-card-title ds2-5-body-md ds2-5-body-link" href="https://www.academia.edu/125487279/Stable_but_Progressive_Nature_of_Heart_Failure_Considerations_for_Primary_Care_Physicians">Stable but Progressive Nature of Heart Failure: Considerations for Primary Care Physicians</a><div class="ds-related-work--metadata"><a class="js-wsj-grid-card-author ds2-5-body-sm ds2-5-body-link" data-author-id="300388421" href="https://independent.academia.edu/AnandInder">Inder Anand</a></div><p class="ds-related-work--metadata ds2-5-body-xs">American Journal of Cardiovascular Drugs, 2018</p><p class="ds-related-work--abstract ds2-5-body-sm">Primary care physicians play a significant role in managing heart failure (HF), with the goals of reducing mortality, avoiding hospitalization, and improving patients' quality of life. Most HF-related hospitalizations and deaths occur in patients with New York Heart Association functional class II or III, many of whom are perceived to have stable disease, which often progresses without clinical symptoms due to underlying deleterious effects of neurohormonal imbalance and endothelial dysfunction. Management includes lifestyle changes and stepped pharmacological therapy directed at the four stages of HF, with aggressive uptitration of therapies, including betablockers and inhibitors of the renin-angiotensin-aldosterone system. Recently, two new HF treatments have become available in clinical practice. Ivabradine was approved to reduce the risk of hospitalization for HF in patients with stable, symptomatic HF. Additionally, the angiotensin receptor-neprilysin inhibitor (ARNI), sacubitril/valsartan, was found to be significantly superior to enalapril in reducing risks of cardiovascular death and HF-related hospitalization. The respective 2016 and 2017 American College of Cardiology/American Heart Association/Heart Failure Society of America clinical practice guideline updates recommend that patients taking angiotensin-converting enzyme inhibitor/angiotensin receptor blocker therapy be switched to ARNI therapy to further reduce morbidity and mortality. For HF management to be maximally effective, physicians must be knowledgeable about the risks and benefits of treatments and stay engaged with patients to identify signs of disease progression. This article provides an overview of the progressive nature of HF in apparently stable patients and describes areas for treatment improvement that may help to optimize patient care. Recent data have highlighted how considerable further improvement in outcomes in apparently stable patients with heart failure (HF) is possible if primary care physicians (PCPs) optimize delivery of care. Although no simple means exist for PCPs to predict when a seemingly stable patient will decompensate, use of novel pharmacological agents may prevent the progression of HF. This article outlines HF-management recommendations for PCPs, with a focus on patients with stable but progressive disease.</p><div class="ds-related-work--ctas"><button class="ds2-5-text-link ds2-5-text-link--inline js-swp-download-button" data-signup-modal="{"location":"wsj-grid-card-download-pdf-modal","work_title":"Stable but Progressive Nature of Heart Failure: Considerations for Primary Care Physicians","attachmentId":119521252,"attachmentType":"pdf","work_url":"https://www.academia.edu/125487279/Stable_but_Progressive_Nature_of_Heart_Failure_Considerations_for_Primary_Care_Physicians","alternativeTracking":true}"><span class="material-symbols-outlined" style="font-size: 18px" translate="no">download</span><span class="ds2-5-text-link__content">Download free PDF</span></button><a class="ds2-5-text-link ds2-5-text-link--inline js-wsj-grid-card-view-pdf" href="https://www.academia.edu/125487279/Stable_but_Progressive_Nature_of_Heart_Failure_Considerations_for_Primary_Care_Physicians"><span class="ds2-5-text-link__content">View PDF</span><span class="material-symbols-outlined" style="font-size: 18px" translate="no">chevron_right</span></a></div></div><div class="ds-related-work--container js-wsj-grid-card" data-collection-position="6" data-entity-id="4059182" data-sort-order="default"><a class="ds-related-work--title js-wsj-grid-card-title ds2-5-body-md ds2-5-body-link" href="https://www.academia.edu/4059182/Heart_Failure_Update_2006_Integrating_the_Latest_Guidelines_Into_Clinical_Practice">Heart Failure Update 2006: Integrating the Latest Guidelines Into Clinical Practice</a><div class="ds-related-work--metadata"><a class="js-wsj-grid-card-author ds2-5-body-sm ds2-5-body-link" data-author-id="4888773" href="https://intermountainhealthcare.academia.edu/KismetRasmusson">Kismet Rasmusson</a></div><p class="ds-related-work--metadata ds2-5-body-xs">Progress in Cardiovascular Nursing, 2006</p><div class="ds-related-work--ctas"><button class="ds2-5-text-link ds2-5-text-link--inline js-swp-download-button" data-signup-modal="{"location":"wsj-grid-card-download-pdf-modal","work_title":"Heart Failure Update 2006: Integrating the Latest Guidelines Into Clinical Practice","attachmentId":50051884,"attachmentType":"pdf","work_url":"https://www.academia.edu/4059182/Heart_Failure_Update_2006_Integrating_the_Latest_Guidelines_Into_Clinical_Practice","alternativeTracking":true}"><span class="material-symbols-outlined" style="font-size: 18px" translate="no">download</span><span class="ds2-5-text-link__content">Download free PDF</span></button><a class="ds2-5-text-link ds2-5-text-link--inline js-wsj-grid-card-view-pdf" href="https://www.academia.edu/4059182/Heart_Failure_Update_2006_Integrating_the_Latest_Guidelines_Into_Clinical_Practice"><span class="ds2-5-text-link__content">View PDF</span><span class="material-symbols-outlined" style="font-size: 18px" translate="no">chevron_right</span></a></div></div><div class="ds-related-work--container js-wsj-grid-card" data-collection-position="7" data-entity-id="59698422" data-sort-order="default"><a class="ds-related-work--title js-wsj-grid-card-title ds2-5-body-md ds2-5-body-link" href="https://www.academia.edu/59698422/2013_ACCF_AHA_Guideline_for_the_Management_of_Heart_Failure_A_Report_of_the_American_College_of_Cardiology_Foundation_American_Heart_Association_Task_Force_on_Practice_Guidelines">2013 ACCF/AHA Guideline for the Management of Heart Failure: A Report of the American College of Cardiology Foundation/American Heart Association Task Force on Practice Guidelines</a><div class="ds-related-work--metadata"><a class="js-wsj-grid-card-author ds2-5-body-sm ds2-5-body-link" data-author-id="41101047" href="https://independent.academia.edu/EdwardKasper">Edward Kasper</a></div><p class="ds-related-work--metadata ds2-5-body-xs">Circulation, 2013</p><p class="ds-related-work--abstract ds2-5-body-sm">Additionally, the committee reviewed documents related to the subject matter previously published by the ACCF and AHA. References selected and published in this document are representative and not all-inclusive. To provide clinicians with a representative evidence base, whenever deemed appropriate or when published, the absolute risk difference and number needed to treat or harm are provided in the guideline (within tables), along with confidence intervals and data related to the relative treatment effects such as odds ratio, relative risk, hazard ratio, and incidence rate ratio.</p><div class="ds-related-work--ctas"><button class="ds2-5-text-link ds2-5-text-link--inline js-swp-download-button" data-signup-modal="{"location":"wsj-grid-card-download-pdf-modal","work_title":"2013 ACCF/AHA Guideline for the Management of Heart Failure: A Report of the American College of Cardiology Foundation/American Heart Association Task Force on Practice 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