Management of Heart Failure

Published In: JAMA, The Journal of the American Medical Association, v. 272, no. 19, Nov. 16, 1994, p. 1528-1534

Posted on RAND.org on January 01, 1994

by David William Baker, Robert Jones, James S. Hodges, Barry M. Massie, Marvin A. Konstam, Eric A. Rose

Read More

Access further information on this document at jama.jamanetwork.com

This article was published outside of RAND. The full text of the article can be found at the link above.

Discusses the role of revascularization in the treatment of patients with severe heart failure. It concludes that CABG improves three-year survival rates in patients with moderate to severe left ventricular dysfunction and limiting angina. It is not clear, however, whether patients whose predominant symptom is heart failure rather than angina benefit from CABG, or how much ischemia is required to justify surgical intervention. In addition, the article contends that clinical outcomes after angioplasty have not been sufficiently studied to determine angioplasty's relative risks and benefits compared with those of CABG.

This report is part of the RAND Corporation External publication series. Many RAND studies are published in peer-reviewed scholarly journals, as chapters in commercial books, or as documents published by other organizations.

Our mission to help improve policy and decisionmaking through research and analysis is enabled through our core values of quality and objectivity and our unwavering commitment to the highest level of integrity and ethical behavior. To help ensure our research and analysis are rigorous, objective, and nonpartisan, we subject our research publications to a robust and exacting quality-assurance process; avoid both the appearance and reality of financial and other conflicts of interest through staff training, project screening, and a policy of mandatory disclosure; and pursue transparency in our research engagements through our commitment to the open publication of our research findings and recommendations, disclosure of the source of funding of published research, and policies to ensure intellectual independence. For more information, visit www.rand.org/about/principles.

The RAND Corporation is a nonprofit institution that helps improve policy and decisionmaking through research and analysis. RAND's publications do not necessarily reflect the opinions of its research clients and sponsors.