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Revised Guidelines For Treating Heart Failure
The guidelines update was a joint effort of the American College of Cardiology (ACC) and the American Heart Association (AHA), and was accomplished in collaboration with the International Society for Heart and Lung Transplantation.
The new document, a focused revision of guidelines released in 2005, publishes online today in the Journal of the American College of Cardiology (JACC) and Circulation: Journal of the American Heart Association.
"Heart failure is the number one reason patients over the age of 65 are hospitalized, and is responsible for a huge portion of the costs associated with cardiovascular disease," said Mariell Jessup, M.D., chair of the guidelines writing group and a professor of medicine at the University of Pennsylvania School of Medicine in Philadelphia. "We want to be sure the guidelines are current and timely, and reflect the latest data on the management of this important condition."
In heart failure, the heart does not do an adequate job circulating blood throughout the body. In one type of heart failure, the heart is enlarged and weak. It is therefore unable to squeeze enough blood out into the blood vessels with each beat. In another form of heart failure, the walls of the heart become stiff so that the heart is unable to relax and fill with enough blood between beats. In either case, fluid backs up into the lungs and the rest of the body, causing shortness of breath, swelling of the limbs and other symptoms.
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