Leading practitioners from the University of Pennsylvania review all aspects of heart failure diagnosis and management, with a particular emphasis on office-based/ambulatory care. Following the problem-solving steps used in an office-based practice, the authors provide extensive coverage of the presenting signs and symptoms of heart failure, as well as the tools with which to evaluate left-ventricular function, hemodynamics, and exercise performance. They also discuss the complex, evidenc-based therapeutic options for treating patients with dyspnea, fatigue, or edema, following the new ACC/AHA heart failure guidelines that are specifically and directed at targeted symptoms.

Includes supplementary material: sn.pub/extras

Klappentext
With a growing population of heart attack survivors and persons over 65, almost every practicing physician in the United States will increasingly encounter patients suffering the heart failure syndrome. In Heart Failure: A Clinician's Guide to Ambulatory Diagnosis and Treatment, leading practitioners from a major center for the study of heart failure-the University of Pennsylvania-review all aspects of heart failure diagnosis and management, with a particular emphasis on office-based/ambulatory care. Following the problem-solving steps used in an office-based practice, the authors provide extensive coverage of the presenting signs and symptoms of heart failure, as well as the tools with which to evaluate left-ventricular function, hemodynamics, and exercise performance. They also discuss the complex, evidenced-based therapeutic options for treating patients with dyspnea, fatigue, or edema, following the new ACC/AHA heart failure guidelines that are specifically directed at targeted symptoms. Treatment recommendations are also presented for the patient with advanced heart failure, including alternative therapies, surgical approaches, and devices.
Problem-oriented and highly practical, Heart Failure: A Clinician's Guide to Ambulatory Diagnosis and Treatment provides an indispensable resource for physicians and nurses on the primary care team charged with the daily management of patients with heart failure.

Inhalt
1 Heart Failure: The Economic Burden of a Deadly Disease.- 2 Taking a History in a Patient with Heart Failure.- 3 Evaluation of Dyspnea.- 4 Heart Failure and Fatigue.- 5 Evaluation of Edema.- 6 Evaluation of Palpitations.- 7 Examination of the Patient Suspected to Have Heart Failure.- 8 Evaluation of Ventricular Function.- 9 Coronary Artery Disease and Congestive Heart Failure.- 10 Hemodynamic Evaluation of Patients with Heart Failure.- 11 Exercise Performance Evaluation in Patients with Heart Failure.- 12 Understanding the Syndrome of Heart Failure.- 13 Education and Management of the Whole Patient.- 14 Pharmacologic Therapy for Symptomatic Congestive Heart Failure.- 15 Evaluation and Treatment of Arrhythmias in Heart Failure.- 16 Emerging Therapies in Heart Failure.- 17 Current Concepts of Biventricular Pacing in Heart Failure.- 18 Alternate Therapies for Congestive Heart Failure.- 19 Established Therapies for Advanced Heart Failure.- 20 Diastolic Heart Failure: A Clinician's Approach to Diagnosis and Management.- 21 Disease Management and Practice Guidelines for Heart Failure: A Practical Approach.