Structured telephone support or telemonitoring programs for patients with chronic heart failure (Protocol)

John Wiley & Sons Ltd
Publication Type:
Journal Article
The Cochrane Database of Systematic Reviews, 2008, 3 pp. 1 - 12
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Chronic heart failure (CHF) is a complex, debilitating syndrome which is the consequence of structural abnormality or cardiac dysfunction that impairs the ability of the ventricle to ?ll with, or eject blood. As a result typical symptoms such as dyspnoea and fatigue occur at rest or with physical effort. CHF often results from damage to the myocardium for which the aetiology differs according to the population studied. In high income nations CHF is often the end-product of underlying coronary heart disease. In low to medium income nations the syndrome is often the result of longstanding hypertension, cardiomyopathy or rheumatic heart disease (Sliwa 2005). This trend is changing, with the incidence and prevalence of cardiovascular disease increasing in low to medium income nations (Yusuf 2001). CHF exerts a signi?cant burden on healthcare systems, with the majority of its economic burden attributable to repeated and lengthy admissions to hospital (Stewart 2002). As the prevalence of CHF increases with the ageing of populations internationally, this situation will deteriorate unless new management strategies are developed (Cleland 2000).
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