National Service Framework for heart failure urgently needed

A new National Service Framework for chronic heart failure is urgently needed, because patients with heart failure are getting a raw deal, despite the availability of effective treatment, say leading cardiologists in Heart.

There is a wealth of reliable evidence on the appropriate treatment of heart failure and an increasing range of effective treatments, they say.

Timely treatment can roughly double life expectancy and reduce the need for repeated hospital admissions. Yet heart failure continues to be inadequately investigated and treated.

Dr Andrew Clark and Professor John Cleland of Castle Hill Hospital, in Hull, north east England, point to the evidence of a large annual European survey of 11,000 patients admitted to hospital with heart failure.

This showed that only two thirds had ever been given a heart tracing (ECG). Recommended drugs for heart failure include ACE inhibitors, beta blockers, and diuretics.

But an ACE inhibitor had not prescribed to four out of 10 patients, while a beta blocker had only been given to just over a third. And a combination of all three recommended drugs had only been prescribed to 17% of patients.

This is not just of concern to individual patients whose lives are being curtailed by lack of treatment, but also to society as a whole, warn the authors.

"Heart failure is an enormous consumer of healthcare resources. The largest proportion of these costs is on inpatient hospital care, and heart failure patients have an extremely high readmission rate," they write.

Structured management programmes, including multidisciplinary teams of nurses, pharmacists, and physiotherapists, and partnership working with patients and carers, are the way forward, say the authors.

A study from the University of East Anglia, also published in this issue, shows that multidisciplinary treatment can cut both hospital admissions and deaths from heart failure.

The current framew

Contact: Emma Dickinson
BMJ Specialty Journals

Page: 1 2

Related medicine news :

1. National quality agenda, payment reform, care integration keys to improving quality, patient safety
2. National Academies Advisory -- June 8 public briefing on LANL groundwater protection
3. Story tips from the Department of Energys Oak Ridge National Laboratory, May 2007
4. National Autism Conference slated for June
5. National Academy of Sciences Institute of Medicine report calls for more dairy foods at school
6. Annual meeting of the National Academy of Sciences
7. National experts and nonprofit organizations call to end FDA user fees and to improve drug safety
8. National Institute of Dental and Craniofacial Research activities
9. National addiction treatment leaders to meet at first NIATx Summit
10. K-State National Agricultural Biosecurity Center director speaker at AAAS Biosecurity Symposium
11. National Inventors Hall of Fame announces 2007 inductees

Post Your Comments:

(Date:7/2/2020)... ... July 02, 2020 , ... ... including dental offices for non-emergency work. In conjunction with the American Dental Association ... Connecticut dental practices in mid-May. , Due to safety concerns, the announcement ...
(Date:7/1/2020)... ... July 01, 2020 , ... ... development of psychedelics and analogues, announces its core executive team. The co-founders Drs. ... drug discovery, novel formulations, and as distinguished researchers within the cannabis industry. They ...
(Date:6/28/2020)... ... June 26, 2020 , ... ... in the revision and redesignation of the ANSI/APSP/ICC-7 2013 American National Standard for ... Basins. PHTA is seeking member participation on the PHTA-7 Standard Writing Committee (SWC) ...
(Date:6/28/2020)... ... June 26, 2020 , ... ... Inland Empire’s premier residential addiction treatment center, proudly announces that it has reopened ... special preparation for recovery in a world affected by Covid-19. , When social-distancing ...
(Date:6/28/2020)... ... June 27, 2020 , ... The FSHD Society announced ... conference in the organization’s history. The online conference takes the place of FSHD ... cancelled this year due to COVID-19. Nearly 300 individuals and families living with ...
Breaking Medicine News(10 mins):
(Date:6/23/2020)... FAIRMONT, W.Va. (PRWEB) , ... June 23, 2020 ... ... announced the official launch of its refreshed brand and new website, which can ... leading the industry, offering federal and state agencies comprehensive, cutting-edge solutions — and ...
(Date:6/23/2020)... ... June 23, 2020 , ... One size fits all may work for ... a similar, universal program does not work as an overall response to the virus ... daily life in one way or another, from plummeting stock markets and rising unemployment ...
(Date:6/19/2020)... ... June 19, 2020 , ... Food Equality Initiative (FEI), ... with food allergies and celiac disease announced the first of the “ For the ... is scheduled for Friday, June 19, 2020, from 11:00, am EST - 12:00 pm ...
Breaking Medicine Technology:
Cached News: