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Also revised is the

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arrhythmia called atrial fibrillation. Guidelines are assessed periodically to determine whether results of new trials or studies require changes, Jessup said. News Articles Next Article. One revised section of the guidelines contains simplified advice on implantable cardioverter defibrillators, which can prevent sudden cardiac death by delivering
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a shock to restore normal heart rhythm when the heart suddenly beats irregularly. "The guidelines also stress the role of evidence-based medicine and also what should be considered in the
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discharge of a patient from the hospital." Special consideration
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is given to blacks, she said, because "heart failure has a different etiology [cause] and tends to occur younger" in blacks than in others.

Mariell Jessup, professor of medicine at the University of Pennsylvania and chairwoman of the guidelines

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writing group. "The
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most important change is the addition of a new section on hospitalized patients," said Dr. The drugs are effective, because heart failure in blacks has been shown to be more related to high blood pressure than it is in whites, she said. Various guidelines on the use of these devices have been
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issued, Jessup said, "and we are trying to simplify what we have said about them," Jessup said. Several studies have shown that neither strategy is superior, and so the guidelines
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say a decision should be based on individual patient characteristics, she said. "The most important studies were on hospitalized patients, so we felt there was a gap
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we had to fill."
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The guidelines are being published in the Journal of the American College of Cardiology and in the Heart Association journal Circulation The new guidelines "outline what has to happen in the initial evaluation, such as measurement of ejection fraction and whether the patient has coronary disease or not," Jessup said. Heart failure
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management will cost the U.S. "Also, African-Americans with heart failure don't seem to have as much coronary disease," or blockage of the heart arteries, Jessup said.

The guidelines stress the

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use of two drugs, hydralazine and isosorbide dinitrate,
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in blacks. Many Heart Attack Patients Not Referred to Rehab Printer-Friendly Format Email to a Friend. "They describe what should be done
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each day to assess the
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patient and the need to think carefully about which drugs should be given and why." Drug assessment includes "the role of cardioactive drugs including nitroglycerine," Jessup said. "A trial sho that using
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them in a fixed-dose
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combination produced a remarkable reduction in mortality in African-Americans, and we really wanted to strengthen the recommendations that they should be used in African-Americans," Jessup said. "We found
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that enough has happened for the guidelines to be changed," she said. Health-care system more than $37 billion this year, the guidelines group estimated. Both relieve pressure on the heart by relaxing blood vessels.

There has been a debate

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about whether it is better to center treatment on relieving heart failure or on restoring normal heart rhythm, Jessup said. "It's unusual to have a completely new section, but it is increasingly recognized that hospitalization for heart failure contributes substantially to morbidity and mortality and to health-care costs." About 5.7 million Americans have heart failure, the progressive loss of ability to pump blood, and 1.1 million people are hospitalized because of it each year.



   


















 
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