DEFEAT - Heart Failure:
A Simple 5-Step Approach to
Managing Chronic Heart Failure in Older Adults |
Certified
for 1 AMA PRA Category 1 Credit™
Co-Sponsored
by
the
University of Alabama
School
of Medicine
Division of Continuing Medical Education,
Division of Gerontology, Geriatrics, and
Palliative Care, and
The Center for Aging
| Release
Date: July 10, 2007 |
Expiration
Date: July 10, 2010 |
| TARGET
AUDIENCE: |
| Primary
care physicians |
| OBJECTIVES: |
| Upon
completion of this CME activity,
physicians and other healthcare professionals
should be able to: |
- Identify that heart failure is a clinical diagnosis.
- Discuss that heart failure is a syndrome and thus an underlying cause must be determined.
- Clarify the role of jugular venous pressure estimation in assessing fluid status.
- Explain the importance of estimation of ejection fraction.
- Recognize that treatment of heart failure is complex and rapidly evolving and practicing general clinicians need to follow a national heart failure guideline.
|
| Top of Page |
| SOURCE: |
| EDITOR
AND CONTRIBUTING AUTHORS: |
Angela
R. Curtis, PhD
Managing Editor
Assistant Professor, Geriatric Education
Manager
Ali Ahmed , MD, MPH, FACC, FAHA
Associate Professor, UAB Division of Gerontology, Geriatrics, and Palliative Care
Assistant Professor, UAB Department of Epidemiology, School of Public Health
Director, UAB Geriatric Heart Failure Clinic
Director, UAB Geriatric Heart Failure Research Unit, UAB Center of Heart Failure Research
Director, Geriatric Heart Failure Clinic, Birmingham Veterans Affairs Medical Center
Email Address: aahmed@uab.edu
Linda Jones, MN, CRNP
Nurse Practitioner, UAB Geriatric Heart Failure Clinic
Shyam Randeria, MD
Geriatric Medicine Fellow
Division
of Gerontology, Geriatrics and
Palliative Care
University of Alabama at Birmingham
Birmingham, Alabama |
| Top of Page |
| |
| DISCLOSURE: |
The
faculty has no commercial affiliations
to disclose.
Because of the nature of preliminary
studies, some products mentioned are
unlabeled and investigational. Dosages,
indications, and methods of use of
drugs mentioned in this publication
may reflect the experience of the authors,
clinical literature, or other resources.
Therefore, please see the full prescribing
information before using any licensed
product mentioned. |
| CME
PARTICIPATION: |
| To
participate in this online course
for CME credit, please review the
objectives before beginning the program.
Complete the course and the self-assessment
test before July 10, 2010 to receive
CME credit. Your certificate will
then be available online. This process
should take approximately 1 hour. |
| ACCREDITATION: |
The
University of Alabama School of
Medicine is accredited by the Accreditation
Council for Continuing Medical
Education to provide continuing
medical education for physicians.
The
University of Alabama School of
Medicine designates this educational
activity for a maximum of 1 AMA
PRA Category 1 Credit™.
Physicians should only claim credit
commensurate with the extent of
their participation in the activity.
The
boards of nursing in many states,
including Alabama, recognize Category
1 continuing medical education
courses as acceptable activities
for the renewal of license to practice
nursing. |
| DISCLAIMER: |
| Dosages,
indications, and methods of use of
any drug referred to in this publication
may reflect the clinical experience
of the authors, clinical literature,
or other clinical resources. Therefore,
please see the full prescribing information
before using any product mentioned.
UAB is an equal opportunity/affirmative
action institution. |
| INTRODUCTION: |
Heart failure is a geriatric syndrome. Over 80% of the heart failure patients are 65 years and older. With the “graying of America,” the incidence and prevalence of heart failure are projected to increase in the coming decades. Heart failure is also a cardiac syndrome. It is a mechanical and neurohormonal disorder of enormous complexity. As the end-stage condition for many other cardiovascular disorders, it is also the only cardiovascular disorder with increasing incidence and prevalence. Ironically, this is in part due to the fact of better treatment of hypertension and coronary artery disease, and the aging of the population. Heart failure is also a health services syndrome. With about one million hospitalizations annually, heart failure is the number one reason for hospital admissions in the United States and one of the most expensive diseases for the Center for Medicare and Medicaid Services.
Assessment of heart failure may be difficult, and its management is complex and rapidly evolving. Assessment and management of heart failure may be challenging for busy generalist clinicians. The assessment and management are simplified by a five-step approach recently described by Ahmed (Ahmed A. Clinical manifestations, diagnostic assessment, and etiology of heart failure in older adults. Clinics in Geriatric Medicine. February 2007;23:11-30). The approach called DEFEAT-Heart Failure addresses five key steps in the assessment and management of heart failure: Diagnosis, Etiology, Fluid volume, Ejection frAction, and Treatment of heart failure. |
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