IIeana Pina - Heart Failure: Strategies to Improve Outcomes (Cardiovascular Diseases: a Multidisciplinary Team Approach for Management and Pr)

Heart Failure

Strategies to Improve Outcomes

The Cardiovascular Team Approach

A book series focusing on the interprofessional team approach for the management and prevention of cardiovascular diseases.

Editors-in-chief:

Joseph S. Alpert, MD, FAHA, FACC, MACP, FESC

Lynne T. Braun, PhD, CNP, FAHA, FAAN

Barbara J. Fletcher, RN, MN, FAHA, FAAN

Gerald Fletcher, MD, FAHA

Advisory Board:

Benjamin Alimurung, MD, FAHA, FACC; Philippines

Jerilyn Allen, RN, ScD, FAHA, FAAN; USA

Theresa Beckie, PhD, FAHA; USA

Kathy Berra, MSN, ANP, FPCNA, FAHA, FAAN; USA

Roger Blumenthal, MD, FACC, FCCP, FAHA; USA

W. Virgil Brown, MD; USA

Lora E. Burke, PhD, MPH, FAHA, FAAN; USA

Christi Deaton, PhD, RN, FESC, FAHA; United Kingdom

Sabina De Geest, PhD, RN, FAAN, FRCN, FAHA; Switzerland

Sandra B. Dunbar, RN, DSN, FAHA, FAAN; USA

Edgardo Escobar, MD, FACC, FAHA; Chile

Barry Franklin, PhD; USA

Thomas C. Gerber, MD, PhD, FACC, FAHA; USA

Eileen Handberg, PhD, ARNP, BC, FAHA, FACC; USA

Laura L. Hayman, PhD, RN, FAHA, FAAN; USA

Nancy Houston Miller, RN, BSN, FAHA, FPCNA; USA

Jane A. Linderbaum, MS, CNP, AACC; USA

Franz Messerli, MD; USA

Debra K. Moser, DNSc, RN, FAHA, FAAN; USA

Patrick T. OGara, MD; USA

Ileana L. Pia, MD, MPH, FACC, FAHA; USA

Barbara Riegel, DSNc, RN, FAHA, FAAN; USA

Sidney C. Smith, Jr., MD; USA

John Spertus, MD, MPH, FACC, FAHA; USA

Look for these and other forthcoming series titles from Cardiotext Publishing.

Volume 1: Heart Failure: Strategies to Improve Outcomes

Ileana L. Pia, MD, MPH, FACC, FAHA, and
Elizabeth A. Madigan, PhD, RN, FAAN, editors

Volume 2: Prehospital Management of the Acute Infarction Patient
Edgardo Escobar, MD, FACC, FAHA, and
Alejandro Barbagelata, MD, FAHA, FSCAI, editors

Volume 3: Acute Coronary Syndrome: Urgent and Follow-up Care
Eileen Handberg, PhD, ARNP, BC, FAHA, FACC, and
R. David Anderson, MD, MS, FACC, FSCAI, editors

Please visit www.cardiotextpublishing.com for more information about this series.

2013 Joseph S. Alpert, Lynne T. Braun, Barbara J. Fletcher, Gerald Fletcher

Cardiotext Publishing, LLC
3405 W. 44th Street
Minneapolis, Minnesota 55410
USA

www.cardiotextpublishing.com

Any updates to this book may be found at: www.cardiotextpublishing.com/titles/detail/9781935395508

Comments, inquiries, and requests for bulk sales can be directed to the publisher at:

All rights reserved. No part of this book may be reproduced in any form or by any means without the prior permission of the publisher.

All trademarks, service marks, and trade names used herein are the property of their respective owners and are used only to identify the products or services of those owners.

This book is intended for educational purposes and to further general scientific and medical knowledge, research, and understanding of the conditions and associated treatments discussed herein. This book is not intended to serve as and should not be relied upon as recommending or promoting any specific diagnosis or method of treatment for a particular condition or a particular patient. It is the readers responsibility to determine the proper steps for diagnosis and the proper course of treatment for any condition or patient, including suitable and appropriate tests, medications, or medical devices to be used for or in conjunction with any diagnosis or treatment.

Due to ongoing research, discoveries, modifications to medicines, equipment and devices, and changes in government regulations, the information contained in this book may not reflect the latest standards, developments, guidelines, regulations, products, or devices in the field. Readers are responsible for keeping up to date with the latest developments and are urged to review the latest instructions and warnings for any medicine, equipment, or medical device. Readers should consult with a specialist or contact the vendor of any medicine or medical device where appropriate.

Except for the publishers website associated with this work, the publisher is not affiliated with and does not sponsor or endorse any websites, organizations, or other sources of information referred to herein.

The publisher and the authors specifically disclaim any damage, liability, or loss incurred, directly or indirectly, from the use or application of any of the contents of this book.

Unless otherwise stated, all figures and tables in this book are used courtesy of the authors.

Library of Congress Control Number: 2013931846

ISBN: 978-1-935395-50-8

Printed in the United States of America.

Dedicated to my daughter, Victoria, who continues
to be my inspiration and garners my admiration for her integrity
and incredible strength.

Ileana L. Pia

I wish to acknowledge the support of my husband, Glenn,
and children, Tom and Leigh, and the many patients
with heart failure I have cared for during my career.

Elizabeth A. Madigan

Contents

About the Editors-in-chief

Editors-in-chief

Joseph S. Alpert, MD, FAHA, FACC, MACP, FESC

Professor of Medicine

University of Arizona Health Science Network

Editor-in-chief, The American Journal of Medicine

Tucson, Arizona

Lynne T. Braun, PhD, CNP, FAHA, FAAN

Professor

Department of Adult Health and Gerontological Nursing

Rush University College of Nursing

Nurse Practitioner

Section of Cardiology, Rush University Medical Center

Chicago, Illinois

Barbara J. Fletcher, RN, MN, FAHA, FAAN

Clinical Associate Professor

Brooks College of Health, School of Nursing

University of North Florida

Jacksonville, Florida

Gerald Fletcher, MD, FAHA

Professor in Medicine (Cardiovascular Diseases)

Mayo Clinic College of Medicine

Mayo Clinic Florida

Jacksonville, Florida

About the Authors

Editors

Ileana L. Pia, MD, MPH, FACC, FAHA

Professor, Department of Medicine and Department of Epidemiology and Population Health

Associate Chief for Academic Affairs

Division of Cardiology

Staff Heart Failure/Transplant

Montefiore Einstein Center for Heart and Vascular Care

Bronx, New York

Elizabeth A. Madigan, PhD, RN, FAAN

Professor of Nursing

Frances Payne Bolton School of Nursing

Case Western Reserve University

Cleveland, Ohio

Contributors

Nancy Altice, DNP, RN, CCNS, ACNS-BC

Cardiology Clinical Nurse Specialist

Carilion Roanoke Memorial Hospital

Roanoke, Virginia

Angela Cheng-Lai, PharmD, BCPS

Clinical Pharmacy Manager

Montefiore Einstein Medical Center

Assistant Professor of Medicine

Department of Pharmacy

Albert Einstein College of Medicine

Bronx, New York

Miriam Pappo, MS, RD, CDN

Director, Clinical Nutrition

Montefiore Medical Center

Bronx, New York

Snehal Patel, MD

Department of Cardiology, Center for Advanced Cardiac Therapy

Montefiore Einstein Center for Heart and Vascular Care

Bronx, New York

Xiomara Tolentino, LMSW

Social Worker/Discharge Planner

Montefiore Qualified Medical Interpreter

Montefiore Einstein Medical Center

Social Services Department

Bronx, New York

Preface

Heart failure is a complex syndrome. The approach to heart failure is equally complex. It is nave to believe that one clinician can provide such needed complex care that is multifaceted and addresses not only the multiplicity of etiologies of heart failure but involves family and caregiver; provides ongoing education, support, and nutritional advice; and takes into consideration the psychosocial aspects of each patient. It is, in fact, impossible. This book presents the true multidisciplinary approach to this common syndrome. The authors are professionals who actively practice and care for heart failure patients, each in their own specialty. The book is not meant to be a cookbook for care but a guide that opens doors to the possibilities.