Chapter

Monitoring

Jillian P. Riley and Martin R. Cowie

in Oxford Textbook of Heart Failure

Published on behalf of Oxford University Press

ISBN: 9780199577729
Published online July 2011 | e-ISBN: 9780199697809 | DOI: http://dx.doi.org/10.1093/med/9780199577729.003.0056

Series: Oxford Textbooks

Monitoring

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Heart failure (HF) is a chronic condition with the risk of episodicdeterioration (‘decompensation’). Aims of therapy include stabilizationof the syndrome, improvement in the prognosis and qualityof life, and the avoidance of hospitalization. Early detection ofdeterioration is a key component of HF management programmes,with the goal of adjusting therapy to restabilize the syndrome rapidlyand to avoid the need for emergency hospitalization.HF management programmes were developed to help ensurepatients received appropriate multiprofessional input to their treatment,education, and monitoring. They were designed to help fillthe gap that often existed between discharge from hospital and thetraditional outpatient clinic review. Many patients decompensatedduring this high-risk period, resulting in readmission to hospital.However, despite such programmes becoming more widespread,perhaps as many as 30% of patients are still readmitted within12 months of hospital discharge, with some of the admissionspreventable with better monitoring.This chapter discusses the key elements of monitoring of patientswith HF, including what and who should be monitored, the frequencyof monitoring, and the different methods of monitoring.

Chapter.  7655 words.  Illustrated.

Subjects: Cardiovascular Medicine

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