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Related Concept Videos

Heart Failure VII: Nursing Interventions01:30

Heart Failure VII: Nursing Interventions

147
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,...
147
Heart Failure VI: Adjunct Therapies01:22

Heart Failure VI: Adjunct Therapies

38
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

33
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...
33
Cardiomyopathy V: Interprofessional Care01:29

Cardiomyopathy V: Interprofessional Care

40
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...
40
Acute Coronary Syndrome IV: Interprofessional Care01:28

Acute Coronary Syndrome IV: Interprofessional Care

32
IntroductionThe management of Acute Coronary Syndrome (ACS) aims to minimize myocardial damage, preserve myocardial function, and prevent complications.Initial ManagementInpatient management involves continuous cardiac monitoring, preferably in an ICU, focusing on blood pressure, serum sodium, potassium, and creatinine levels, and urine output. Ongoing pharmacologic management is crucial for stabilizing the patient.Supplemental Oxygen: Administer supplemental oxygen if oxygen saturation is...
32
Heart Failure IV: Classification and Diagnostic Evaluation01:30

Heart Failure IV: Classification and Diagnostic Evaluation

41
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...
41

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Related Experiment Video

Updated: Sep 17, 2025

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

880

Adherence to eHealth Interventions Among Patients With Heart Failure: Scoping Review.

Arno Joachim Gingele1, Bianca Steiner2, Bettina Zippel-Schultz2

  • 1Department of Cardiology, Maastricht University Medical Center, P Debyelaan 25, 6229 HX, Maastricht, The Netherlands, 31 043 387 6543.

JMIR Mhealth and Uhealth
|June 27, 2025
PubMed
Summary
This summary is machine-generated.

Patient adherence to eHealth devices in heart failure (HF) management is crucial but understudied. Findings show declining eHealth use over time, highlighting the need for tailored interventions and clearer adherence metrics in future research.

Keywords:
eHealthheart failureinvasive devicesmixed modelpatient adherencequantitative datareviewtelephone supportwearables

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Area of Science:

  • Cardiology
  • Digital Health
  • Health Services Research

Background:

  • Heart failure (HF) management requires innovative strategies like eHealth.
  • Patient adherence to eHealth is critical for its effectiveness but remains under-researched.

Purpose of the Study:

  • To review evidence on eHealth device adherence in HF patients.
  • To identify factors promoting engagement and research gaps.

Main Methods:

  • Scoping review of quantitative HF studies (PubMed, CINAHL, PsycINFO).
  • Analysis of eHealth characteristics and patient adherence factors.
  • Generalized mixed model analyses were used.

Main Results:

  • 70 studies analyzed; most used noninvasive wearables.
  • Adherence reporting and definitions were inconsistent.
  • Adherence often declined over time; older age correlated with higher adherence in some studies.

Conclusions:

  • Inconsistent reporting of adherence hinders understanding.
  • eHealth use in HF patients tends to decrease over time.
  • Future research needs detailed adherence descriptions and patient-centered customization.