Related Experiment Video

Updated: Aug 10, 2026

Shunt Surgery, Right Heart Catheterization, and Vascular Morphometry in a Rat Model for Flow-induced Pulmonary Arterial Hypertension
09:23

Shunt Surgery, Right Heart Catheterization, and Vascular Morphometry in a Rat Model for Flow-induced Pulmonary Arterial Hypertension

Published on: February 11, 2017

[Research set-up concerning the effectiveness of heart failure clinics in the Netherlands]

T Jaarsma1, D J van Veldhuisen

  • 1Academisch Ziekenhuis, afd. Cardiologie/Thoraxcentrum, Postbus 30.001, 9700 RB Groningen. t.jaarsma@thorax.azg.nl

Nederlands Tijdschrift Voor Geneeskunde
|April 8, 2003
PubMed

Insights

This study investigates heart failure management programs in the Netherlands, comparing standard care with additional basic or intensive education and support to reduce hospital readmissions and improve patient quality of life.

Area of Science:

  • Cardiology
  • Public Health
  • Health Services Research

Background:

  • Increasing prevalence of heart failure in the Netherlands necessitates improved management strategies.
  • Existing heart failure management programs aim to reduce readmissions and enhance patient care quality.
  • Conclusive data on the effectiveness of current programs are limited.

Purpose of the Study:

  • To evaluate the effectiveness of different heart failure management programs.
  • To assess the impact of basic and intensive education and support on patient outcomes.
  • To compare the outcomes of intervention groups with standard care.

Main Methods:

  • A randomized controlled trial involving 1050 heart failure patients across 16 Dutch hospitals.
  • Three arms: (a) care as usual, (b) care as usual + basic education and support, (c) care as usual + intensive education and support.
  • 18-month recruitment period followed by an 18-month follow-up for all participants.

Main Results:

  • Primary outcome: time to first major event (heart failure hospitalizations and death).
  • Secondary outcomes: patient-reported quality of life and healthcare costs.
  • Data collection ongoing; results pending.

Conclusions:

  • The study aims to provide conclusive data on the effectiveness of enhanced heart failure management.
  • Findings will inform future strategies for reducing heart failure hospitalizations and improving patient outcomes.
  • The research will offer insights into the cost-effectiveness of different support levels.

More Related Videos

A Novel Digital Platform for a Monitored Home-based Cardiac Rehabilitation Program04:24

A Novel Digital Platform for a Monitored Home-based Cardiac Rehabilitation Program

Published on: April 19, 2019

Lumped-Parameter and Finite Element Modeling of Heart Failure with Preserved Ejection Fraction09:20

Lumped-Parameter and Finite Element Modeling of Heart Failure with Preserved Ejection Fraction

Published on: February 13, 2021

Related Concept Videos

Heart Failure Drugs: Inhibitors of Renin-Angiotensin System01:26

Heart Failure Drugs: Inhibitors of Renin-Angiotensin System

The activation of the sympathetic nervous system and the renin-angiotensin-aldosterone system (RAAS) contributes to cardiac remodeling, and inhibiting the RAAS is a pharmacological target in heart failure management. As a result, neurohumoral modulation is a crucial treatment principle for managing heart failure. This approach involves using medications like ACE inhibitors (ACEIs), angiotensin receptor blockers (ARBs), β-blockers, mineralocorticoid receptor antagonists (MRAs), and neutral...
Heart Failure II: Pathophysiology01:29

Heart Failure II: Pathophysiology

Systolic Heart Failure and Compensatory MechanismsSystolic heart failure (also termed HFrEF, Heart Failure with Reduced Ejection Fraction) is the most prevalent type of heart filure. It results in a decreased volume of blood being pumped from the ventricle. The aortic arch and carotid sinuses have baroreceptors that detect reduced blood pressure, triggering the sympathetic nervous system (SNS) to release epinephrine and norepinephrine. Initially, this response aims to boost heart rate and...
Heart Failure IV: Classification and Diagnostic Evaluation01:30

Heart Failure IV: Classification and Diagnostic Evaluation

Heart failure can be classified in various ways, with the most common classifications based on physical activity limitations, disease progression, severity, and treatment strategies.The Functional Classification of Heart Failure divides patients into four categories based on physical activity limitation due to symptom burden.Class I: Patients in this class have cardiac disease but no physical activity limitations. Ordinary activities like walking, climbing stairs, or routine tasks do not cause...
Heart Failure V: Medical Management01:30

Heart Failure V: Medical Management

Medical Management of Acute Decompensated Heart Failure (ADHF)The primary goals of therapy for patients hospitalized with acute decompensated heart failure (ADHF) include:Relieving symptomsOptimizing volume statusSupporting oxygenation and ventilationMaintaining cardiac output (CO) and end-organ perfusionIdentifying and addressing the cause of ADHFPreventing complicationsProviding patient education on factors precipitating HF exacerbationPlanning for dischargeOngoing monitoring and assessment...
Heart Failure VI: Adjunct Therapies01:22

Heart Failure VI: Adjunct Therapies

Additional therapies for treating patients with heart failure (HF) may include procedural interventions, supplemental oxygen, the management of sleep disorders, and nutritional therapy.Procedural InterventionsImplantable Cardioverter-Defibrillator: For patients at risk of life-threatening arrhythmias due to severe left ventricular dysfunction, an Implantable Cardioverter-Defibrillator (ICD) can detect and terminate these arrhythmias, preventing sudden cardiac death and improving survival rates.
Heart Failure VII: Nursing Interventions01:30

Heart Failure VII: Nursing Interventions

The first step in nursing management of a patient with heart failure involves thoroughly assessing the patient's medical history.Subjective Data: Obtain the patient's medical history of coronary artery disease, hypertension, myocardial infarction, and symptoms like dyspnea, orthopnea, and paroxysmal nocturnal dyspnea.Objective Data: Conduct a physical examination to identify findings such as jugular vein distention, pulmonary crackles, tachycardia, murmurs, peripheral edema, and vital signs,...