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.

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