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      Quality of Life: Can It and Should It Be Assessed in Patients with Heart Failure?

      Cardiology

      S. Karger AG

      Heart failure, Quality of life, Left ventricular dysfunction

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          Abstract

          The goal of therapy in patients with severe symptomatic heart failure is improvement in symptoms, stabilization or improvement in functional abilities, and improved comfort for the remaining duration of life. Prolongation of survival without these benefits appears less desirable. There is poor correlation among hemodynamic features (including ejection fraction), exercise capacity, and quality of life attributes. Patients value as an outcome of therapy quality of life attributes: comfort, sense of well-being, and physical and other functional capabilities. By contrast, patients with asymptomatic ventricular dysfunction cannot anticipate any short-term benefit of therapy, whose goal is solely improvement in long-term survival. Interference by therapy with any aspect of life quality is likely to adversely affect compliance and thereby limit long-term outcome advantages.

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          Author and article information

          Journal
          CRD
          Cardiology
          10.1159/issn.0008-6312
          Cardiology
          S. Karger AG
          978-3-8055-5110-6
          978-3-318-01704-5
          0008-6312
          1421-9751
          1989
          1989
          12 November 2008
          : 76
          : 5
          : 391-398
          Affiliations
          Emory University School of Medicine, and Cardiac Clinics, Grady Memorial Hospital, Atlanta, Ga., USA
          Article
          174523 Cardiology 1989;76:391–398
          10.1159/000174523
          2688878
          © 1989 S. Karger AG, Basel

          Copyright: All rights reserved. No part of this publication may be translated into other languages, reproduced or utilized in any form or by any means, electronic or mechanical, including photocopying, recording, microcopying, or by any information storage and retrieval system, without permission in writing from the publisher. Drug Dosage: The authors and the publisher have exerted every effort to ensure that drug selection and dosage set forth in this text are in accord with current recommendations and practice at the time of publication. However, in view of ongoing research, changes in government regulations, and the constant flow of information relating to drug therapy and drug reactions, the reader is urged to check the package insert for each drug for any changes in indications and dosage and for added warnings and precautions. This is particularly important when the recommended agent is a new and/or infrequently employed drug. Disclaimer: The statements, opinions and data contained in this publication are solely those of the individual authors and contributors and not of the publishers and the editor(s). The appearance of advertisements or/and product references in the publication is not a warranty, endorsement, or approval of the products or services advertised or of their effectiveness, quality or safety. The publisher and the editor(s) disclaim responsibility for any injury to persons or property resulting from any ideas, methods, instructions or products referred to in the content or advertisements.

          Page count
          Pages: 8
          Categories
          Heart Failure

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