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Simultaneous Symptom Network Analysis of Heart Failure Patients: A Cross-Sectional Study.
Rui Wu1,2, Lu Chen3, Yingjie Li3
1Department of Cardiology, The Second Affiliated Hospital of Jiangxi Medical College, Nanchang University, Nanchang, People's Republic of China.
Chest pain is the core symptom in heart failure, impacting others. Targeting chest pain and early interventions for fatigue can improve heart failure symptom management and patient outcomes.
Area of Science:
- Cardiology
- Clinical Medicine
- Patient Outcomes
Background:
- Heart failure (HF) presents complex symptoms impacting patient quality of life.
- Effective symptom management in HF remains a significant clinical challenge.
- Understanding symptom interactions is key to improving HF care.
Purpose of the Study:
- Investigate HF symptom incidence and severity.
- Construct a HF symptom network.
- Identify core symptoms for targeted interventions.
Main Methods:
- 1051 HF patients assessed using the Memorial Heart Failure Symptom Assessment Scale.
- Regularized partial correlation network analysis applied.
- Symptom centrality and network structure analyzed.
Main Results:
- Palpitations were most common; lack of energy and depression were most severe.
- Chest pain identified as the core symptom in the network.
- Chest pain demonstrated the highest predictability within the symptom network.
Conclusions:
- Intervening in chest pain can reduce overall symptom severity in HF.
- Targeting core and early symptoms like fatigue can enhance management.
- Findings guide precise, effective symptom management strategies for HF patients.
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