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Related Concept Videos

Cardiomyopathy V: Interprofessional Care01:29

Cardiomyopathy V: Interprofessional Care

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

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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...
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Cardiomyopathy VII: Pre and Post Operative Nursing Management01:28

Cardiomyopathy VII: Pre and Post Operative Nursing Management

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Patients with hypertrophic cardiomyopathy (HCM) and left ventricular outflow tract (LVOT) obstruction who remain symptomatic despite optimal medical therapy may undergo a septal myectomy (Morrow procedure). This procedure involves excising a portion of the hypertrophied septum below the aortic valve using a heart-lung machine to improve blood flow through the LVOT. Effective preoperative and postoperative nursing management ensures successful patient outcomes, minimizes complications, and...
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Cardiomyopathy VI: Nursing Management01:29

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Assessment: Nursing management of patients with cardiomyopathy begins with a thorough assessment of the patient's history, including a family history of cardiomyopathy or sudden cardiac death, personal history of heart disease, hypertension, diabetes, and any alcohol consumption or drug use.During the physical examination, assess vital signs, look for signs of heart failure (such as edema, jugular venous distention, and cyanosis), auscultate for abnormal heart sounds (like murmurs and gallops),...
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Cardiomyopathy III: Hypertrophic Cardiomyopathy01:29

Cardiomyopathy III: Hypertrophic Cardiomyopathy

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Hypertrophic cardiomyopathy, or HCM, is an autosomal dominant genetic disorder characterized by asymmetric left ventricular hypertrophy without ventricular dilation. It is more common in men and is typically diagnosed in young, athletic adults.EtiologyHCM is primarily genetic and is caused by mutations in genes encoding sarcomeric proteins. Researchers have identified over 1400 mutations across at least 11 different genes. Among these, the most frequently occurring mutations are found in the...
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Pulse rhythm01:30

Pulse rhythm

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Pulse rhythm refers to the pattern of pulsations within specific intervals, offering valuable insights into the regularity or irregularity of the heart's beats as observed through the pattern of pulsation within specific intervals. A regular pulse exhibits a consistent heart rate with uniform waveforms and pulsation force, variations of which can be classified as normal, weak, or bounding.
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Related Experiment Video

Updated: Jan 11, 2026

A Novel Digital Platform for a Monitored Home-based Cardiac Rehabilitation Program
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Cardiac outreach services reduce mortality and readmissions.

Zaidon AlFalahi1,2, Dylan Rajaratnam1, Srisa Boddupalli1

  • 1Cardiology Department, Liverpool Hospital, Liverpool, New South Wales, Australia.

Open Heart
|November 14, 2025
PubMed
Summary
This summary is machine-generated.

An outreach program for heart failure (HF) significantly reduced mortality and hospitalizations. Patients in the program also received better guideline-directed medical therapy (GDMT), improving outcomes for heart failure with reduced ejection fraction (HFrEF).

Keywords:
Cardiac RehabilitationHeart Failure, SystolicQuality of Health Care

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Area of Science:

  • Cardiology
  • Public Health
  • Health Services Research

Background:

  • Heart failure (HF) remains a leading cause of morbidity and mortality globally.
  • Despite advancements, HF patient outcomes require improvement through non-pharmacological interventions.
  • The study addresses the need for enhanced HF management strategies.

Purpose of the Study:

  • To assess the impact of a heart failure (HF) outreach program.
  • To evaluate the program's effect on mortality, HF hospitalizations, and guideline-directed medical therapy (GDMT) adherence.
  • To determine the effectiveness of HF outreach in South-Western Sydney Local Health District (SWSLHD).

Main Methods:

  • Observational, registry-based study of adult patients with HF with reduced ejection fraction (HFrEF).
  • Inclusion criteria: diagnosis of HFrEF in SWSLHD, participation in HF outreach service (March 2011-January 2016).
  • Primary outcome: all-cause mortality; Secondary outcomes: optimal GDMT rate, HF hospitalizations.

Main Results:

  • Enrolled patients (n=470) showed significantly lower mortality (26% vs 38.2%, p<0.001) compared to non-enrolled (n=348).
  • Fewer hospital admissions for HF (>3 admissions: 16.2% vs 35.6%, p<0.001) and reduced admission days were observed in the enrolled group.
  • Enrolled patients had higher rates of optimal GDMT (76.6% vs 56.6%, p<0.001).

Conclusions:

  • HF outreach program enrollment is linked to reduced mortality and HF hospital admissions.
  • The program significantly increases the likelihood of patients receiving optimal guideline-directed medical therapy (GDMT).
  • HF outreach programs are recommended for routine management of HFrEF patients due to high HF prevalence.