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Cardiovascular nursing on human genomics: what do cardiovascular nurses need to know about congestive heart failure?
Lorraine Frazier1, Shu-Fen Wung, Elizabeth Sparks
1The University of Texas Health Science Center School of Nursing at Houston, 6901 Bertner, Houston, TX 77030, USA. lorraine.frazier@uth.tmc.edu
Insights
This review details heart failure (HF) causes and genetics, covering cardiomyopathies and cardiovascular conditions. It explores genetic factors and pharmacogenetics to improve patient care and family support.
Area of Science:
- Cardiology
- Genetics
- Internal Medicine
Background:
- Heart failure (HF) is a complex clinical syndrome with diverse etiologies.
- Understanding the genetic underpinnings of HF is crucial for targeted therapies.
- Cardiomyopathies represent a significant group of HF causes, with varied genetic influences.
Purpose of the Study:
- To present the primary causes of heart failure (HF).
- To provide an update on genetic studies related to each HF cause.
- To delineate the etiology, pathophysiology, and treatment rationale for HF patients and families.
Main Methods:
- Comprehensive literature review of HF etiology and genetics.
- Analysis of genetic studies across various cardiomyopathies (primary, mixed, multiorgan disorders).
- Inclusion of cardiovascular conditions like ischemic and hypertensive cardiomyopathy.
Main Results:
- Detailed review of HF causes, including genetic factors in cardiomyopathies.
- Discussion of genetic links in coronary artery disease and hypertension leading to HF.
- Exploration of pharmacogenetics in the context of HF treatment.
Conclusions:
- Genetic insights into HF causes, particularly cardiomyopathies, are expanding.
- Pharmacogenetics offers potential for personalized HF management.
- Integrating genetic knowledge enhances cardiovascular nursing care for HF patients.
Abstract:
This paper presents the main causes of heart failure (HF) and an update on the genetics studies on each cause. The review includes a delineation of the etiology and fundamental pathophysiology of HF and provides rational for treatment for the patient and family. Various cardiomyopathies are discussed, including primary cardiomyopathies, mixed cardiomyopathies, cardiomyopathies that involve altered cardiac muscle along with generalized multiorgan disorders, and various cardiovascular conditions, such as coronary artery disease (ischemic cardiomyopathy) and hypertension (hypertensive cardiomyopathy). A brief review of pharmacogenetics and HF is presented. The application of the genetic components of cardiomyopathy and pharmacogenetics is included to enhance cardiovascular nursing care.
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