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Related Concept Videos

Heart Failure V: Medical Management01:30

Heart Failure V: Medical Management

18
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...
18
Heart Failure VI: Adjunct Therapies01:22

Heart Failure VI: Adjunct Therapies

20
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.
20
Heart Failure VII: Nursing Interventions01:30

Heart Failure VII: Nursing Interventions

129
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,...
129
Heart Failure I: Introduction01:27

Heart Failure I: Introduction

29
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...
29
Heart Failure II: Pathophysiology01:29

Heart Failure II: Pathophysiology

19
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...
19
Heart Failure III: Clinical Manifestations01:26

Heart Failure III: Clinical Manifestations

30
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...
30

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Related Experiment Video

Updated: Aug 6, 2025

A Novel Digital Platform for a Monitored Home-based Cardiac Rehabilitation Program
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Getting Into Light Exercise (GENTLE-HF) for Patients With Heart Failure: the Design and Methodology of a Live-Video

Jill Howie-Esquivel1, Maureen Metzger1, Steven K Malin2

  • 1University of Virginia School of Nursing, Charlottesville, VA.

Journal of Cardiac Failure
|March 22, 2023
PubMed
Summary

This study introduces the GENTLE-HF trial, testing a home-based gentle stretching program to reduce heart failure symptoms and improve quality of life. Findings will explore exercise access and adherence for diverse patient populations.

Keywords:
exerciseheart failurepalliationphysical activityphysical functionquality of lifesymptomsyoga

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Area of Science:

  • Cardiology
  • Exercise Science
  • Gerontology

Background:

  • Heart failure (HF) survival is increasing, leading to greater symptom burden.
  • Existing exercise programs face participation and adherence barriers.
  • Gentle exercise like yoga shows short-term benefits for HF symptom management.

Purpose of the Study:

  • To describe the design and methodology of the Getting Into Light Exercise for HF (GENTLE-HF) trial.
  • To test a gentle stretching and education intervention against a control group.
  • To explore how rurality affects exercise participation and symptom burden in HF patients.

Main Methods:

  • A randomized controlled trial (n=234) comparing a gentle stretching/HF education group to an HF education-only control group.
  • Participants recruited from diverse U.S. cardiology clinics (urban, suburban, rural).
  • A 6-month intervention delivered via iPad, measuring symptom burden and quality of life.

Main Results:

  • The GENTLE-HF study will test a home-based, video-conference-delivered gentle stretching and HF education intervention.
  • The study aims to determine if gentle stretching decreases symptom burden.
  • Exploratory analysis will assess if rurality moderates exercise participation and symptom burden.

Conclusions:

  • The GENTLE-HF trial will provide insights into the efficacy of home-based gentle stretching for HF symptom management.
  • Findings may inform strategies to improve exercise access and adherence for diverse HF populations.
  • This research addresses health equity by examining symptom burden across different geographic and demographic groups.