Related Experiment Video

Updated: Mar 26, 2026

Author Spotlight: Workflow for Integrating POCUS Data into EHR for Managing Heart Failure Patients
03:47

Author Spotlight: Workflow for Integrating POCUS Data into EHR for Managing Heart Failure Patients

Published on: July 12, 2024

1.3K

Analysis Treatment Guideline versus Clinical Practice Protocol in Patients Hospitalized due to Heart Failure

Alessandra da Graça Corrêa1, Marcia Makdisse1, Marcelo Katz1

  • 1Hospital Israelita Albert Einstein, São Paulo, SP, Brazil.

Arquivos Brasileiros De Cardiologia
|January 28, 2016
PubMed

Insights

Hospitals showed similar adherence to heart failure medication guidelines. However, a hospital with a case management program had lower in-hospital mortality rates for heart failure patients.

Area of Science:

  • Cardiology
  • Health Services Research
  • Clinical Practice Guidelines

Background:

  • Adherence to established heart failure (HF) treatment guidelines remains suboptimal.
  • Few studies have evaluated hospital-level adherence to recommended HF therapies.

Purpose of the Study:

  • To compare adherence to angiotensin-converting enzyme inhibitor or angiotensin II receptor blockers (ACEI/ARB) and beta-blocker prescriptions at hospital discharge.
  • To evaluate the impact of a hospital case management program (HCP) versus standard treatment guidelines (HCG) on adherence and in-hospital mortality in decompensated HF patients.

Main Methods:

  • Prospective observational study of 1,052 patients with decompensated HF admitted between August 2006 and December 2008.
  • Compared prescription rates of beta-blockers and ACEI/ARB at discharge between HCP and HCG.
  • Assessed in-hospital mortality as a key outcome measure.

Main Results:

  • No significant difference in beta-blocker (69% vs. 69%) or ACEI/ARB (83% vs. 86%) prescription rates at discharge between HCG and HCP.
  • In-hospital mortality was significantly lower at HCP (16.5%) compared to HCG (27.8%).

Conclusions:

  • Hospital-based case management did not improve guideline-directed medication prescribing at discharge for HF patients.
  • Lower in-hospital mortality observed in the case management group may be linked to patient clinical characteristics rather than medication adherence.
  • Further research is needed to understand factors contributing to improved outcomes in case management settings.
Abstract

More Related Videos

Cutoff Value of Phase Angle by Bioelectrical Impedance Analysis at Admission as a Prognostic Factor in Patients with Acute Heart Failure05:16

Cutoff Value of Phase Angle by Bioelectrical Impedance Analysis at Admission as a Prognostic Factor in Patients with Acute Heart Failure

Published on: June 10, 2025

765
Author Spotlight: Unveiling Prognostic Indicators in Heart Failure - The Role of Phase Angle and Bioelectrical Impedance Analysis04:05

Author Spotlight: Unveiling Prognostic Indicators in Heart Failure - The Role of Phase Angle and Bioelectrical Impedance Analysis

Published on: June 30, 2023

3.0K

Related Concept Videos

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.
543
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,...
685
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...
576
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...
517
Heart Failure III: Clinical Manifestations01:26

Heart Failure III: Clinical Manifestations

Heart failure (HF) manifests primarily as dyspnea, fatigue, and fluid retention, resulting in peripheral and pulmonary edema. Symptoms may vary depending on which ventricle is more affected, left or right.Left-Sided Heart FailureAlso known as left ventricular failure, this condition results from the left ventricle's inability to fill or eject sufficient blood into the systemic circulation. It leads to pulmonary congestion, which occurs when the left ventricle fails to eject blood effectively...
830
Cardiomyopathy V: Interprofessional Care01:29

Cardiomyopathy V: Interprofessional Care

Managing cardiomyopathy involves addressing underlying or precipitating causes, treating heart failure with medications, and implementing dietary changes and a balanced exercise and rest regimen.Lifestyle ModificationsCardiomyopathy patients should adopt a low-sodium diet to reduce fluid retention and manage heart failure. A personalized exercise and rest plan helps maintain physical fitness without overstraining the heart. Avoiding alcohol and tobacco is essential to prevent further damage to...
621