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Related Concept Videos

Heart Failure VII: Nursing Interventions01:30

Heart Failure VII: Nursing Interventions

425
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,...
425
Heart Failure V: Medical Management01:30

Heart Failure V: Medical Management

223
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...
223
Cardiomyopathy V: Interprofessional Care01:29

Cardiomyopathy V: Interprofessional Care

343
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...
343
Heart Failure VI: Adjunct Therapies01:22

Heart Failure VI: Adjunct Therapies

263
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.
263
Mitral Regurgitation IV: Nursing Management01:28

Mitral Regurgitation IV: Nursing Management

312
Mitral regurgitation (MR) is a condition where the mitral valve does not close properly, leading to the backward flow of blood from the left ventricle into the left atrium during systole. This condition can arise from various causes, including rheumatic fever, infective endocarditis, or degenerative valve disease. Effective nursing management is crucial to optimizing patient outcomes and involves comprehensive assessment and targeted interventions.Comprehensive Patient AssessmentA detailed...
312
Heart Failure I: Introduction01:27

Heart Failure I: Introduction

711
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...
711

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Updated: Jan 18, 2026

Author Spotlight: Workflow for Integrating POCUS Data into EHR for Managing Heart Failure Patients
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Nurse-coordinated multidisciplinary comprehensive heart failure management programme: A propensity-matched trial.

Cecilia Miu-Ching Chan1, Polly Wai-Chi Li2, Derek Pok-Him Lee1

  • 1Department of Medicine, Division of Cardiology, Queen Elizabeth Hospital, Hong Kong, Hong Kong.

ESC Heart Failure
|September 8, 2025
PubMed
Summary

A nurse-led heart failure (HF) management program significantly reduced 6-month mortality and readmissions. This comprehensive approach improved patient outcomes and quality of life, offering a promising strategy for HF care.

Keywords:
Guideline‐directed medical therapyHeart failureMortalityMultidisciplinary careReadmissionTransitional care

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Area of Science:

  • Cardiology
  • Nursing
  • Public Health

Background:

  • Heart failure (HF) poses a significant global health burden with high mortality and readmission rates.
  • Despite advancements, prognosis remains poor, especially after acute exacerbations.
  • Effective management strategies are crucial to improve patient outcomes and reduce healthcare costs.

Purpose of the Study:

  • To evaluate the impact of a nurse-coordinated multidisciplinary comprehensive HF management program.
  • To assess the program's effect on mortality, readmissions, and patient-reported outcomes.
  • To determine the efficacy of integrated care in managing HF exacerbations.

Main Methods:

  • Retrospective cohort study comparing a comprehensive HF program group with a standard care control group.
  • Inclusion of patients admitted for acute HF exacerbation.
  • Multidisciplinary rounds, early guideline-directed medical therapy (GDMT), discharge education, transitional care, and cardiac rehabilitation were key program components.

Main Results:

  • The program cohort showed significantly lower rates of the composite endpoint (mortality/readmission) at 6 months (12.0% vs. 38.0%).
  • HF-related readmissions (10.1% vs. 25.4%) and all-cause mortality (4.4% vs. 18.3%) were substantially reduced in the program group.
  • The program group reported improvements in health-related quality of life (HRQoL) and high patient satisfaction.

Conclusions:

  • A nurse-coordinated comprehensive HF management program significantly improves outcomes by reducing mortality and readmissions.
  • The program demonstrates consistent benefits across various patient subgroups.
  • Further research is warranted to validate these findings and elucidate underlying mechanisms.