Management of Heart Failure

Published In: JAMA, The Journal of the American Medical Association, v. 272, no. 18, Nov. 9, 1994, p. 1442-1446

Posted on RAND.org on January 01, 1994

by Kathleen A. Dracup, David P. Baker, Sandra B. Dunbar, Robert A. Dacey, N. Brooks, Jerry C. Johnson, Carole Oken, Barry M. Massie

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Counseling, education, and lifestyle modifications in CHF patients are the subject of this article, which presents the recommendations of the RAND Guideline Panel on congestive heart failure that counseling and education be used to improve patient outcomes and decrease unnecessary hospitalizations, that patients with mild to moderate heart failure should be restricted to three grams of sodium per day, that, initially, patients should be advised to drink no more than 30 ml per day of alcohol, and that exercise training is safe and can improve duration and symptoms. Adherence to treatment should be monitored at each physician visit, and clinicians should inform patients of the seriousness of their disease and prognosis, but that the patients can continue to remain active and enjoy a reasonable quality of life.

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