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Related Concept Videos

Pulse rhythm01:30

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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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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,...
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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...
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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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Related Experiment Video

Updated: Apr 16, 2026

A Novel Digital Platform for a Monitored Home-based Cardiac Rehabilitation Program
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Development of Virtual Mental Health Stepped Care Service for a Heart Failure Remote Management Program: Qualitative

Amika Shah1,2, Anam Shahil-Feroz3, Kathleen A Sheehan4,5

  • 1Institute of Health Policy, Management and Evaluation, Dalla Lana School of Public Health, University of Toronto, 155 College St 4th Floor, Toronto, ON, M5T 3M6, Canada, 1 (416) 978 4326.

JMIR Formative Research
|April 14, 2026
PubMed
Summary

This study developed a virtual stepped care service to improve mental health access for heart failure patients by addressing system barriers. The stakeholder-informed design prioritizes patient choice and integrated care, aiming to reduce treatment burden and enhance service delivery.

Keywords:
depressiondigital healthe-counselingheart failurepatient care managementremote monitoringtelemedicinetelemonitoring

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Area of Science:

  • Cardiology and Psychiatry
  • Digital Health Interventions
  • Health Services Research

Background:

  • Depression is common and undertreated in heart failure patients, highlighting significant barriers to mental health care access.
  • Digital mental health interventions exist but lack clinical integration and implementation research.
  • Stepped care models offer potential for integrating digital health but require tailored design for clinical settings.

Purpose of the Study:

  • To identify strategies for overcoming health system barriers to mental health care for heart failure patients.
  • To incorporate these strategies into the design of a virtual mental health stepped care service.
  • To integrate this service within an existing heart failure remote management program.

Main Methods:

  • A qualitative descriptive study involving purposive sampling of heart failure patients, clinicians, and researchers.
  • Semistructured interviews were conducted as part of a service design approach.
  • Data were descriptively coded to identify themes guiding the virtual stepped care service development.

Main Results:

  • Six themes emerged from 22 interviews (13 patients, 9 clinicians/researchers), including requirements for collective distress identification, referral-based approaches, leveraging existing resources, and patient choice.
  • Foundational principles included building on organizational strengths and reducing treatment burden.
  • A virtual stepped care service was developed with a depression screening module, referral workflows, and patient choice in treatment.

Conclusions:

  • The stakeholder-informed design of this virtual stepped care service addresses a gap in stepped care literature.
  • The model demonstrates context-specific tailoring for heart failure patients' mental health needs.
  • Future research should assess the acceptability and feasibility of this model in practice.