ebpracticenet urges you to prioritize the following organizational guidance:
Chronisch hartfalenPublished by: Werkgroep Ontwikkeling Richtlijnen Eerste Lijn (Worel)Last published: 2024Insuffisance cardiaque chroniquePublished by: Groupe de Travail Développement de recommmandations de première ligneLast published: 2024
Patients should be advised to:
Monitor weight daily (for volume status)
Manage weight through diet and regular, symptom-limited exercise
Restrict sodium and fluid when necessary
Discontinue tobacco and alcohol
Participate in regular exercise if able, and enrol in a cardiac rehabilitation program.[7]Heidenreich PA, Bozkurt B, Aguilar D, et al. 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. Circulation. 2022 May 3;145(18):e895-1032.
https://www.ahajournals.org/doi/10.1161/CIR.0000000000001063
http://www.ncbi.nlm.nih.gov/pubmed/35363499?tool=bestpractice.com
[9]McDonagh TA, Metra M, Adamo M, et al; ESC Scientific Document Group. 2021 ESC guidelines for the diagnosis and treatment of acute and chronic heart failure. Eur Heart J. 2021 Sep 21;42(36):3599-726.
https://academic.oup.com/eurheartj/article/42/36/3599/6358045
http://www.ncbi.nlm.nih.gov/pubmed/34447992?tool=bestpractice.com
Have vaccinations against respiratory infections, such as influenza, COVID-19, pneumococcal disease, and respiratory syncytial virus (patients ages 60 years and older).[7]Heidenreich PA, Bozkurt B, Aguilar D, et al. 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. Circulation. 2022 May 3;145(18):e895-1032.
https://www.ahajournals.org/doi/10.1161/CIR.0000000000001063
http://www.ncbi.nlm.nih.gov/pubmed/35363499?tool=bestpractice.com
[329]Melgar M, Britton A, Roper LE, et al. Use of respiratory syncytial virus vaccines in older adults: recommendations of the Advisory Committee on Immunization Practices - United States, 2023. MMWR Morb Mortal Wkly Rep. 2023 Jul 21;72(29):793-801.
https://www.doi.org/10.15585/mmwr.mm7229a4
http://www.ncbi.nlm.nih.gov/pubmed/37471262?tool=bestpractice.com
Manage comorbidities:[278]Maddox TM, Januzzi JL Jr, Allen LA, et al. 2024 ACC expert consensus decision pathway for treatment of heart failure with reduced ejection fraction: a report of the American College of Cardiology solution set oversight committee. J Am Coll Cardiol. 2024 Apr 16;83(15):1444-88.
https://www.sciencedirect.com/science/article/pii/S0735109723083547
Control of hypertension and diabetes (e.g., provide patients with blood pressure and HbA1c goal)
Management of lipids (e.g., provide leaflets and show website links for diet, exercise, and healthy lifestyle)