Guidelines for the prevention, detection and management of people with chronic heart failure in Australia 2006 Academic Article uri icon

abstract

  • Chronic heart failure (CHF) is found in 1.5%-2.0% of Australians. Considered rare in people aged less than 45 years, its prevalence increases to over 10% in people aged >/= 65 years. CHF is one of the most common reasons for hospital admission and general practitioner consultation in the elderly (>/= 70 years). Common causes of CHF are ischaemic heart disease (present in > 50% of new cases), hypertension (about two-thirds of cases) and idiopathic dilated cardiomyopathy (around 5%-10% of cases). Diagnosis is based on clinical features, chest x-ray and objective measurement of ventricular function (eg, echocardiography). Plasma levels of B-type natriuretic peptide (BNP) may have a role in diagnosis, primarily as a test for exclusion. Diagnosis may be strengthened by a beneficial clinical response to treatment(s) directed towards amelioration of symptoms. Management involves prevention, early detection, amelioration of disease progression, relief of symptoms, minimisation of exacerbations, and prolongation of survival.

authors

  • Krum, H
  • Jelinek, MV
  • Stewart, S
  • Sindone, A
  • Atherton, JJ
  • Hawkes, AL
  • Amerena, J
  • Beltrame, J
  • Burrell, L
  • Campbell, D
  • Davidson, P
  • DePasquale, C
  • Doughty, R
  • Esmore, D
  • Feneley, M
  • Galbraith, A
  • Gilbert, R
  • Goble, A
  • Hare, D
  • Horowitz, J
  • Kalman, J
  • Kaye, D
  • Keogh, A
  • Larbalestier, R
  • Leitch, J
  • McDonald, P
  • Marwick, T
  • McGuire, M
  • Meyers, D
  • Mottram, P
  • Pollock, C
  • Walsh, W

publication date

  • November 20, 2006