Can we alter survival in patients with congestive heart failure?
Article Abstract:
Patients with congestive heart failure (CHF) who are treated with angiotensin converting enzyme (ACE) inhibitors may survive longer than those treated with other drugs. CHF patients have decreased cardiac function and exercise capacity, and more than 50% die within five years of their diagnosis. An analysis of research studies published in the medical literature found that drugs that improve cardiac function and exercise duration in CHF patients may not necessarily increase survival. But patients who are treated with angiotensin converting enzyme (ACE) inhibitors, or substances that relax blood vessels, may survive longer, and have improved cardiac function and exercise capacity. Those who are treated with a combination of hydralazine hydrochloride and isosorbide dinitrate may survive longer, although not as long as patients treated with ACE inhibitors. Patients treated with the combination of hydralazine hydrochloride and isosorbide dinitrate had more side effects than those treated with ACE inhibitors.
Publication Name: JAMA, The Journal of the American Medical Association
Subject: Health
ISSN: 0098-7484
Year: 1992
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Diurnal blood pressure pattern and risk of congestive heart failure
Article Abstract:
A study was conducted to explore 24-hour ambulatory blood pressure characteristics as predictors of congestive heart failure (CHF) incidence and to investigate whether altered diurnal blood pressure patterns confer any additional risk information beyond that provided by conventional office blood pressure measurements. It was found that nighttime blood pressure appears to convey additional risk information about CHF beyond office-measured blood pressure and other established risk factors for CHF.
Publication Name: JAMA, The Journal of the American Medical Association
Subject: Health
ISSN: 0098-7484
Year: 2006
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Does this dyspneic patient in the emergency department have congestive heart failure?
Article Abstract:
The usefulness of history, symptoms, and signs along with routine diagnostic studies that differentiate heart failure from other causes of dyspnea in the emergency department is assessed. It is suggested that for dyspenic, adult emergency department patients, a directed history, physical examination, chest radiograph, and electrocardiography should be performed.
Publication Name: JAMA, The Journal of the American Medical Association
Subject: Health
ISSN: 0098-7484
Year: 2005
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