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Related Concept Videos

Heart Failure V: Medical Management01:30

Heart Failure V: Medical Management

184
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...
184
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 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,...
379
Cardiomyopathy V: Interprofessional Care01:29

Cardiomyopathy V: Interprofessional Care

287
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...
287
Cardiomyopathy VI: Nursing Management01:29

Cardiomyopathy VI: Nursing Management

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Assessment: Nursing management of patients with cardiomyopathy begins with a thorough assessment of the patient's history, including a family history of cardiomyopathy or sudden cardiac death, personal history of heart disease, hypertension, diabetes, and any alcohol consumption or drug use.During the physical examination, assess vital signs, look for signs of heart failure (such as edema, jugular venous distention, and cyanosis), auscultate for abnormal heart sounds (like murmurs and gallops),...
271
Heart Failure I: Introduction01:27

Heart Failure I: Introduction

633
Heart failure refers to a clinical syndrome caused by structural or functional cardiac disorders that prevent the heart from pumping an adequate amount of blood to meet the body's metabolic needs. This condition often arises from myocardial infarction or ischemia, leading to decreased cardiac output, reduced tissue perfusion, impaired gas exchange, fluid volume imbalance, and decreased functional ability.Heart failure can result from disruptions in the mechanisms that regulate cardiac output...
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Mobile Phone Apps to Support Heart Failure Self-Care Management: Integrative Review.

Ponrathi Athilingam1, Bradlee Jenkins1

  • 1University of South Florida, Tampa, FL, United States.

JMIR Cardio
|November 24, 2019
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Summary

Mobile health (mHealth) apps show promise for heart failure self-care, but current research and available apps have significant quality limitations. Further development is needed to ensure efficacy and reliability for patient management.

Keywords:
heart failuremobile healthself-care management

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Area of Science:

  • Cardiology
  • Digital Health
  • Health Informatics

Background:

  • Mobile health (mHealth) apps are increasingly used for chronic disease self-care, with an estimated 500 million patients potentially utilizing them.
  • This review specifically focuses on mHealth applications designed for patients managing heart failure.

Purpose of the Study:

  • To identify and evaluate mHealth apps for heart failure self-care management.
  • To assess apps with usability and efficacy data, as well as commercially available options lacking such data.
  • To determine the impact of these apps on heart failure outcomes.

Main Methods:

  • Conducted a literature search for peer-reviewed studies on mHealth apps for heart failure.
  • Included 18 articles testing usability and efficacy, and searched app stores for 26 commercially available heart failure apps.
  • Rated commercial apps using the Mobile Application Rating Scale (MARS).

Main Results:

  • Included studies had low-quality designs and small sample sizes (total 847 participants).
  • Most studies exhibited high risk of bias across multiple categories (selection, performance, detection, attrition, reporting).
  • Commercially available apps frequently had incomplete features, bugs, or low overall quality.

Conclusions:

  • Heterogeneity in study design and outcomes prevented systematic review or meta-analysis.
  • Despite limitations, mHealth apps show potential for cost-effective, 24/7 symptom monitoring and improved patient engagement in home care.
  • Further research and development are crucial to enhance the quality and reliability of mHealth apps for heart failure management.