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

Henry Krum, Michael V. Jelinek, Simon Stewart, Andrew Sindone, John J. Atherton, Anna L. Hawkes, John Amerena, John Beltrame, Louise Burrell, Duncan Campbell, Patricia Davidson, Carmine DePasquale, Rob Doughty, Donald Esmore, Michael Feneley, Andrew Galbraith, Richard Gilbert, Alan Goble, David Hare, John HorowitzJohn Kalman, David Kaye, Ann Keogh, Robert Larbalestier, James Leitch, Peter McDonald, Tom Marwick, Mark McGuire, Deborah Meyers, Phil Mottram, Carol Pollock, Warren Walsh

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Abstract

• Chronic heart failure (CHF) is found in 1.5/6-2.0% 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.

Original languageEnglish
Pages (from-to)549-556
Number of pages8
JournalMedical Journal of Australia
Volume185
Issue number10
DOIs
Publication statusPublished - 20 Nov 2006
Externally publishedYes

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Krum, H., Jelinek, M. V., Stewart, S., Sindone, A., Atherton, J. J., Hawkes, A. L., 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., ... Walsh, W. (2006). Guidelines for the prevention, detection and management of people with chronic heart failure in Australia 2006. Medical Journal of Australia, 185(10), 549-556. https://doi.org/10.5694/j.1326-5377.2006.tb00690.x