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Related Concept Videos

Heart Failure VI: Adjunct Therapies01:22

Heart Failure VI: Adjunct Therapies

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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.
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Heart Failure V: Medical Management01:30

Heart Failure V: Medical Management

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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...
419
Heart Failure IV: Classification and Diagnostic Evaluation01:30

Heart Failure IV: Classification and Diagnostic Evaluation

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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...
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Heart Failure VII: Nursing Interventions01:30

Heart Failure VII: Nursing Interventions

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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,...
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Cardiomyopathy V: Interprofessional Care01:29

Cardiomyopathy V: Interprofessional Care

542
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...
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Pathophysiology of Heart Failure01:17

Pathophysiology of Heart Failure

4.2K
Heart failure (HF) is a progressive syndrome involving ventricles that leads to inadequate cardiac output. It can be classified based on location and output or ejection fraction. Ejection fraction (EF) is an essential measurement in the diagnosis and surveillance of HF. Reduced EF corresponds to systolic heart failure (HFrEF). However, HF with preserved ejection fraction (HFpEF) is becoming increasingly prevalent. Also known as diastolic HF, this form of HF is related to aging. The...
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Updated: Feb 27, 2026

Lumped-Parameter and Finite Element Modeling of Heart Failure with Preserved Ejection Fraction
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Decision making in advanced heart failure: bench, bedside, practice, and policy.

Daniel D Matlock1,2,3, William C McGuire4, Molly Magid5

  • 1Division of Geriatric Medicine, Department of Medicine, University of Colorado School of Medicine, 13199 E. Montview Blvd. Suite 210, Mail Stop F443, Aurora, CO, 80045, USA. daniel.matlock@ucdenver.edu.

Heart Failure Reviews
|July 4, 2017
PubMed
Summary

Patient-centered care is advancing, with guidelines now including shared decision-making for advanced heart failure patients. However, the science supporting patient-centered care delivery is still developing.

Keywords:
Decision aidsDecision makingImplementation scienceShared decision making

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Area of Science:

  • Translational science
  • Decision science
  • Health services research

Background:

  • Growing emphasis on patient-centered care in medicine.
  • Evolving heart failure guidelines incorporate shared decision-making for major procedures and end-of-life care.
  • Cultural shift towards valuing patient preferences in medical decisions.

Purpose of the Study:

  • Provide a comprehensive overview of decision-making science in advanced heart failure.
  • Utilize a translational science framework to examine patient-centered care.
  • Identify gaps and future directions in the science of patient-centered care delivery.

Main Methods:

  • Review of existing literature on decision-making in advanced heart failure.
  • Application of a translational science model (basic, clinical, delivery, policy).
  • Synthesis of findings to highlight the current state of the science.

Main Results:

  • Guidelines increasingly support shared decision-making in advanced heart failure.
  • Significant development needed in the science of delivering patient-centered care.
  • Translational science framework reveals areas for research across multiple domains.

Conclusions:

  • The science of patient-centered care in advanced heart failure requires further development.
  • Translational research is crucial for advancing the delivery of patient-centered care.
  • Continued focus on patient values and preferences is essential for optimal outcomes.