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Published on: April 19, 2019
The 2013 Canadian Cardiovascular Society Heart Failure Management Guidelines Update: focus on rehabilitation and
, Gordon W Moe1, Justin A Ezekowitz2
1St Michael's Hospital, University of Toronto, Toronto, Ontario, Canada.
Insights
The 2013 Canadian Cardiovascular Society Heart Failure Management Guidelines Update recommends exercise training for stable heart failure patients to improve tolerance and quality of life. It also suggests considering bypass graft surgery for selected patients with suitable coronary anatomy.
Area of Science:
- Cardiology
- Heart Failure Management
- Clinical Guidelines
Background:
- Heart failure management requires updated recommendations.
- Stakeholder feedback guides guideline focus areas.
- Previous guidelines inform current updates.
Purpose of the Study:
- To provide focused updates on exercise and rehabilitation for heart failure.
- To offer recommendations on surgical coronary revascularization in heart failure patients.
- To assist clinicians with practical tips for heart failure management.
Main Methods:
- Review of current evidence and clinical practice.
- Development of consensus-based recommendations.
- Inclusion of values, preferences, and practical tips.
Main Results:
- Recommends tailored exercise training programs for stable New York Heart Association class I-III heart failure patients.
- Suggests considering bypass graft surgery for selected heart failure patients with suitable coronary anatomy.
- Provides comprehensive recommendations, values, preferences, and practical tips.
Conclusions:
- Exercise training can improve exercise tolerance and quality of life in heart failure.
- Surgical coronary revascularization is a consideration for select heart failure patients.
- The 2013 update offers practical guidance for managing heart failure.
Abstract:
The 2013 Canadian Cardiovascular Society Heart Failure Management Guidelines Update provides focused discussions on the management recommendations on 2 topics: (1) exercise and rehabilitation; and (2) surgical coronary revascularization in patients with heart failure. First, all patients with stable New York Heart Association class I-III symptoms should be considered for enrollment in a tailored exercise training program, to improve exercise tolerance and quality of life. Second, selected patients with suitable coronary anatomy should be considered for bypass graft surgery. As in previous updates, the topics were chosen in response to stakeholder feedback. The 2013 Update also includes recommendations, values and preferences, and practical tips to assist the clinicians and health care workers manage their patients with heart failure.
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