Congestive heart failure lifestyle modification

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Summary
Acute Pharmacotherapy
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Chronic Pharmacotherapy in HFrEF
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Surgical Therapy:

Biventricular Pacing or Cardiac Resynchronization Therapy (CRT)
Implantation of Intracardiac Defibrillator
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ACC/AHA Guideline Recommendations

Initial and Serial Evaluation of the HF Patient
Hospitalized Patient
Patients With a Prior MI
Sudden Cardiac Death Prevention
Surgical/Percutaneous/Transcather Interventional Treatments of HF
Patients at high risk for developing heart failure (Stage A)
Patients with cardiac structural abnormalities or remodeling who have not developed heart failure symptoms (Stage B)
Patients with current or prior symptoms of heart failure (Stage C)
Patients with refractory end-stage heart failure (Stage D)
Coordinating Care for Patients With Chronic HF
Quality Metrics/Performance Measures

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Congestive heart failure end-of-life considerations

Specific Groups:

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Patients who have concomitant disorders
Obstructive Sleep Apnea in the Patient with CHF
NSTEMI with Heart Failure and Cardiogenic Shock

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]

Overview

Lifestyle modification in the management of chronic heart failure includes salt restriction to 2 to 3 g or less per day, smoking cessation, avoidance of excess alcohol consumption, maintaining weight to within 10% of ideal body weight and daily weight monitoring to allow the early detection of weight gain that would signify fluid retention.

Lifestyle Modification

The following lifestyle modifications are recommended in the patient with congestive heart failure:

  • Salt restriction to 2 to 3 g or less per day
  • Smoking cessation
  • Avoidance of excess alcohol consumption
  • Maintaining weight to within 10% of ideal body weight
  • Daily weight monitoring to allow the early detection of weight gain that would signify fluid retention

Vaccination

The patient should be vaccinated for pneumococcus and influenza.

References

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