Advertisement
Case Study

Heart failure. Re-admissions are just the tip of the iceberg

JASON BLOOM, LAURA SELKRIG, JUSTIN A. MARIANI

Figures

© DIGITAL SKILLET/ISTOCKPHOTO.COM MODEL USED FOR ILLUSTRATIVE PURPOSES ONLY
© DIGITAL SKILLET/ISTOCKPHOTO.COM MODEL USED FOR ILLUSTRATIVE PURPOSES ONLY

Abstract

Managing patients with heart failure presents a significant challenge for GPs. Hospitalisation will sometimes be necessary for stabilisation, despite optimal medical therapy and lifestyle measures.

Key Points

  • An admission with decompensated heart failure typically has a poor prognosis.
  • There is scope for improvement in the management of these patients, both from an inpatient optimisation point of view and in the ambulatory setting.
  • Achieving and maintaining euvolaemia is an essential aspect of preventing rehospitalisation and reducing the symptom burden of heart failure.
  • Early follow up (within one week) with the patient’s GP is an effective means of reinforcing these measures and preventing repeat hospitalisations.

Figures

© DIGITAL SKILLET/ISTOCKPHOTO.COM MODEL USED FOR ILLUSTRATIVE PURPOSES ONLY
© DIGITAL SKILLET/ISTOCKPHOTO.COM MODEL USED FOR ILLUSTRATIVE PURPOSES ONLY