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Related Concept Videos

Pathophysiology of Heart Failure01:17

Pathophysiology of Heart Failure

2.5K
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...
2.5K
Heart Failure II: Pathophysiology01:29

Heart Failure II: Pathophysiology

549
Systolic Heart Failure and Compensatory MechanismsSystolic heart failure (also termed HFrEF, Heart Failure with Reduced Ejection Fraction) is the most prevalent type of heart filure. It results in a decreased volume of blood being pumped from the ventricle. The aortic arch and carotid sinuses have baroreceptors that detect reduced blood pressure, triggering the sympathetic nervous system (SNS) to release epinephrine and norepinephrine. Initially, this response aims to boost heart rate and...
549
Heart Failure IV: Classification and Diagnostic Evaluation01:30

Heart Failure IV: Classification and Diagnostic Evaluation

189
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...
189
Heart Failure I: Introduction01:27

Heart Failure I: Introduction

583
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...
583
Heart Failure VII: Nursing Interventions01:30

Heart Failure VII: Nursing Interventions

310
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,...
310
Heart Failure III: Clinical Manifestations01:26

Heart Failure III: Clinical Manifestations

341
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...
341

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A Surgical Model of Heart Failure with Preserved Ejection Fraction in Tibetan Minipigs
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Depression in Heart Failure: A Systematic Review.

Waguih William Ishak1,2,3, Gabriel Edwards1,2,3, Nathalie Herrera1,2,3

  • 1Drs. IsHak, Edwards, Herrera, Lin, Spiegel, Hedrick, Chernoff, Diniz, Danovitch; Mr. Mirocha and Mr. Peterson; and Ms. Hren, Ms. Nigor, Ms. Liu, and Ms. Manoukian and are with the Department of Psychiatry and Behavioral Neurosciences, Cedars-Sinai Medical Center in Los Angeles, California.

Innovations in Clinical Neuroscience
|August 18, 2020
PubMed
Summary

This review identifies patient-reported tools for measuring depression in heart failure (HF). Collaborative care and cognitive behavioral therapy show promise for treating depression in HF patients.

Keywords:
Adult attention-deficit/hyperactivity disordercomorbid disordersexternalizing disorderinternalizing disordernosology

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Post-Myocardial Infarction Heart Failure in Closed-chest Coronary Occlusion/Reperfusion Model in Göttingen Minipigs and Landrace Pigs
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Area of Science:

  • Cardiology
  • Psychiatry
  • Systematic Reviews

Background:

  • Depression is a common comorbidity in heart failure (HF) patients.
  • Effective measurement tools and interventions for depression in HF are crucial for patient outcomes.

Purpose of the Study:

  • To identify instruments used for measuring depression in heart failure.
  • To evaluate the impact of various treatment interventions on depression in heart failure patients.

Main Methods:

  • Systematic review following Preferred Reporting Items for Systematic Reviews and Meta-analyses (PRISMA) guidelines.
  • Searched PubMed and PsycINFO databases (1988-2018) using keywords: "depres*" AND "heart failure."
  • Included 27 studies meeting selection criteria and quality checks.

Main Results:

  • Patient-reported questionnaires (e.g., PHQ-9, HADS) were more common than clinician-rated tools.
  • Effective interventions included collaborative care with antidepressants and cognitive behavioral therapy (CBT).
  • Selective serotonin reuptake inhibitors (SSRIs) showed limited efficacy, except for paroxetine; evidence for exercise and education was mixed.

Conclusions:

  • Patient-reported measures are widely used for assessing depression in heart failure.
  • Collaborative care models and CBT demonstrate significant effectiveness in managing depression in HF patients.
  • Further research may clarify the role of non-pharmacological interventions in this population.